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Mediolateral episiotomy (MLE) followed an angle of at least 60\u00b0 from the midline. Lateral episiotomy (LE) started 1\u20132 cm laterally from the midline and was directed toward the ischial tuberosity. A rectal examination was performed before episiotomy repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>MLE was performed for 390 women, and LE for 400. The groups did not differ in maternal or neonatal characteristics. No difference was found in incidence or extent of vaginal and perineal trauma; or in additional perineal (1.8% vs 1.5%, <jats:italic>P<\/jats:italic> = 0.6) or vaginal (8.5% vs 10.6%, <jats:italic>P<\/jats:italic> = 0.2) trauma continuing along the episiotomy incision. The incidence of anal sphincter injury did not differ between MLE and LE (1.5% vs 1.3%, <jats:italic>P<\/jats:italic> = 0.7). MLE was associated with shorter repair times (<jats:italic>P<\/jats:italic> &lt; 0.05), less suturing material (<jats:italic>P<\/jats:italic> &lt; 0.05), and shorter distances from the anus (<jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Risk of additional vaginal and perineal trauma, and anal sphincter injury after adequately performed mediolateral episiotomy is relatively low and corresponds to that of lateral episiotomy.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2013.07.011","type":"journal-article","created":{"date-parts":[[2013,9,25]],"date-time":"2013-09-25T23:25:55Z","timestamp":1380151555000},"page":"72-76","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":28,"title":["Clinical evaluation of peripartum outcomes of mediolateral versus lateral episiotomy"],"prefix":"10.1002","volume":"124","author":[{"given":"Jaroslava","family":"Karbanova","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zdenek","family":"Rusavy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucie","family":"Betincova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Jansova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonin","family":"Parizek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimir","family":"Kalis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,25]]},"reference":[{"issue":"1","key":"e_1_2_6_2_2","first-page":"CD000081","article-title":"Episiotomy for vaginal birth","author":"Carroli G.","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03268.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00645.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.07.022"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2003.03030.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.09.015"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00835.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.05.026"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03293.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.05.025"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016340903295626"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811404276"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.04.033"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.03.013"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.02.019"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1960-3"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1980.tb04569.x"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-4-10"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.10.013"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09312-1"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.11.024"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-84628-503-5"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rigp.2003.08.003"},{"key":"e_1_2_6_25_2","unstructured":"Royal College of Obstetricians and Gynaecologists Green\u2010top Guideline No. 29: The Management of Third\u2010 and Fourth\u2010Degree Perineal Tears.http:\/\/www.rcog.org.uk\/files\/rcog\u2010corp\/GTG2911022011.pdf Published March 2007"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.05.008"}],"container-title":["International Journal of Gynecology &amp; 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