Term: episiotomy
Literally meaning: “insicion of pubis region”
Origin: Anc Greek
επίσιον/epision/( the
pubic region)
+ τομή/tome(=section, slice, trunk,
stalk) >τέμνω/temno(=cut)
Coined/History
The term was coined by Austrian obstetrician Carl Braun Ritter von Ferwald (1822–1891) in 1857, who he believed that the procedure was inadvisable and
unnecessary although benefits of the
episiotomy was first reffered by Sir
Fielding Ould (1710- 1789) in 1749. Ould, in his Treatise of Midwifery in Three
Parts, recommended the
procedure for those cases in which the external vaginal opening is so tight
that labor is dangerously prolonged. The first report of the procedure in the
United States was 110 years later in a journal entitled The Stethoscope and Virginia
Medical Gazette. Taliaferro cut a small mediolateral
episiotomy to facilitate delivery in young eclamptic women. The use of
episiotomy was expanded in 1921, when Joseph
Bolivar DeLee (1869-1942) published a paper entitled “The Prophylactic Forceps Operation” which redefined
childbirth as pathogenic in nature.
Sources
7. Scott, JR
Episiotomy and vaginal trauma Obster Gynecol Clin N Am 32) 307-321, 2005
Definition
Episiotomy is incision of the perineal body and vagina to enlarge the vaginal opening
and facilitate delivery is referred to as an episiotomy. The term episiotomy actually refers to an incision into
the external genitals. The more precise name for the obstetric incision is perineotomy, an incision made in the perineum. The use of episiotomy has been said to decrease trauma to the fetusand protect the soft maternal tissues.
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