Iranian Society of Gynecology Oncology

Document Type : Original Research Article


1 PhD (Medical Sciences), Head of the Department of Pediatric Surgery and Orthopedics, Pediatrics named after D.M. Tusupova. Non-profit joint-stock company Semey Medical University,Republic of the Kazakhstan

2 Department of Medical Laboratory Technics, AlNoor University College, Nineveh, Iraq

3 Medical technical college, Al-Farahidi university/ Iraq

4 English Language and Literature Department, Al-Mustaqbal University College, Babylon, Iraq

5 college of media/ The islamic university in Najaf, Iraq

6 Mazaya University College/ Iraq

7 Anesthesia techniques, Al–Nisour University College/ Iraq

8 College of Health and Medical Technology, Al-Ayen University, Thi-Qar, Iraq


Background & Objective: Episiotomy complications include infection, pain, hematoma, and third- and fourth-degree tears, and all primiparous women must undergo this procedure routinely. The current study aimed to compare the length of perineal tears in women referred to the Basra maternity hospital in 2020 for their first births with and without episiotomy.
Materials & Methods: The current clinical trial study involved 212 full-term, singleton, primiparous women with cephalic fetuses weighing between 2500 and 3000 grams. Randomly and evenly, the samples were divided into two test and control groups. In the test group, delivery occurred without an episiotomy, whereas in the control group, an episiotomy was performed. The length of the posterior perineal tear, the presence of an anterior perineal tear, and the necessity for repair were subsequently compared.
Results: The results revealed that 45.3% of women in the test group gave birth without perineal tears, while the remainder experienced posterior perineal tears (P<0.001). The mean length of posterior perineal tears in this group was 3.64±1.15 cm, compared to 7.12±1.67 cm in the control group (P<0.001). The mean length of a second-degree tear behind the perineum in the test group was 5.32±1.17 cm, compared to 6.13±1.62 cm in the control group (P>0.05).
Conclusion: Delivery without episiotomy decreased the incidence of posterior perineal tears; however, delivery without episiotomy should not be performed on all primiparous women.