GynZone

08/09/2026

PERSISTENT OCCIPITO-POSTERIOR POSITION - 135° to go to become AP position
"Current evidence does not support the routine use of manual rotation or specific maternal positions for managing persistent OP position. Manual rotation and maternal positioning for managing fetal occiput posterior position during labor: a network meta-a**lysis "https://www.tandfonline.com/doi/10.1080/01443615.2026.2704339?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

07/09/2026

POSTPARTUM HEALING
Assisted vaginal birth is a significant risk factor for perineal wound complications in the postpartum period after meta-a**lysis. There is a paucity of research investigating prognostic factors for perineal wound complications after childbirth related-perineal trauma. Therefore, further robust and well-powered primary research is required.

Assisted vaginal birth is a risk factor for perineal wound complication. This review was limited by a paucity of existing research in the area; therefore, further robust and well-powered primary rese...

06/09/2026

SLIM WOMEN & OASI
"Evaluate the association between gestational weight gain (GWG) and perineal trauma in primiparous women with a pre-pregnancy BMI

Objective To evaluate the association between gestational weight gain (GWG) and perineal trauma in primiparous women with a pre-pregnancy body mass index (BMI)

05/09/2026

PERINEAL MASSAGE - EPISIOTOMY & OASI
"Published SRMAs show a consistent direction of effect suggesting that perineal massage may reduce episiotomy rates and severe perineal trauma, although GRADE certainty was low or very low for most outcomes. The synthesis does not support strong recommendations for routine use; clinical application should remain optional and calibrated to the local baseline episiotomy rate and shared decision-making."

Introduction and Hypothesis Perineal trauma affects approximately 85% of women delivering vaginally. Episiotomy and obstetric a**l sphincter injuries (OASIS) carry substantial short- and long-term morbidity. Published systematic reviews on perineal massage reach inconsistent conclusions. The objecti...

04/09/2026

We do our best to help all women regain their sexual health after giving birth by training their midwives and obstetricians
https://my.gynzone.com/home

https://worldsexualhealthday.org/
https://www.facebook.com/WAS.org

World Sexual Health Day 2026. Every person has a body. For as long as we are alive, we live in one. And through it, we experience intimacy, pleasure, connection, and care. Every Body is the World Sexual Health Day 2026 theme, a declaration that Sexual Health, - Rights, - Justice and - Pleasure belon...

04/09/2026

Delivery mode and maternal health conditions before and after childbirth: A population-based cohort study from Estonia Cesarean section is related to more complications and health problems compared with vaginal birth, but the relationship may not be causative. Cesarean section risks should be weighed against clinical indications for its use. It is important for healthcare providers to recognize and openly discuss both the immediate and long-term risks associated with the procedure with women requiring or considering Cesarean section.

Cesarean section is associated with higher rates of chronic health conditions and pregnancy-related complications, whereas vaginal delivery is more commonly linked to pelvic floor and perineal compli...

03/09/2026

EPISIOTOMY & OASI
Prevalence and Predictors of Severe Perineal Tears Following Episiotomy
"Approximately 1 in 8 women with episiotomy at MRRH sustained severe perineal tears and were associated with fetal distress and intern-assisted deliveries."

This study assessed prevalence and predictors of severe perineal tears following episiotomy:

02/09/2026

RISK FACTORS FOR EPISIOTOMY DURING VAGINAL BIRTH
"High newborn weight and oxytocin use are associated with higher rates of episiotomy."
https://www.ovid.com/jnls/md-journal/fulltext/10.1097/md.0000000000049662~risk-factors-for-episiotomy-during-vaginal-birth-a

01/09/2026

EPISIOTOMY
When episiotomy is counted as injury
"This grouping combines events of different clinical nature. Spontaneous tears, labial lacerations, and OASI are injuries that occur during birth, whereas episiotomy is a deliberate obstetric intervention shaped by the clinician’s assessment of risk and threshold for action.4–6 Therefore, this endpoint does not measure intrinsic perineal vulnerability alone; it also captures obstetric decision making."

To the Editors,

29/08/2026

EPISIOTOMY - welcome to our webinar September 3rd https://my.gynzone.com/webinars
"In conclusion, non-episiotomy approaches prove superior, with lower risks of complications compared to routine episiotomy. While restrictive episiotomy performs better than routine, it falls short of non-episiotomy methods. Therefore, non-episiotomy strategies are preferred, followed by restrictive episiotomy"
https://link.springer.com/article/10.1186/s12978-025-02132-9

Background Episiotomy, although occasionally required during labor, can result in postpartum discomfort, perineal trauma, and delayed healing. This study offers a comprehensive comparison of the safety and effectiveness of routine, restrictive, and non-episiotomy approaches on maternal and neonatal....