{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:50:38Z","timestamp":1791827438550,"version":"4.3.4"},"reference-count":15,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Transl Myol"],"abstract":"<jats:p>Pelvic Floor Disorders (PFDs) are a group of disorders of the female reproductive system that can cause a variety of problems for women. PFDs can include Urinary Incontinence (UI) and Pelvic Organ Prolapse (POP). This study evaluated the association between mediolateral episiotomy during pregnancy and POP in patients. A cross-sectional study with prospective follow-up was conducted on 150 pregnant women admitted for vaginal delivery at Furqani Hospital in Qom, Iran. Participants were divided into episiotomy and non-episiotomy groups based on clinical indications. Pelvic organ prolapse was assessed using the Pelvic Organ Prolapse Quantification (POP-Q) system at baseline and 3-6 months postpartum. Data were analyzed using SPSS version 26, with a significance level of 0.05. The study included 142 patients with a mean age of 29.67 years. No significant differences were observed in demographic or clinical variables between the episiotomy and non-episiotomy groups at baseline. Postpartum, the episiotomy group showed significant improvements in cystocele severity (P=0.038), rectocele severity (P=0.026), apical prolapse (P=0.011), levator tone (P=0.016), and perineal descent (P=0.016). However, the cough test results did not differ significantly (P=0.052). Mediolateral episiotomy during vaginal delivery was associated with reduced severity of POP and improved PFD. These findings suggest a potential protective effect of episiotomy against certain pelvic floor complications, although further studies with larger sample sizes and longer follow-up periods are needed to confirm these results.\u00a0<\/jats:p>","DOI":"10.4081\/ejtm.2025.13822","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T08:27:07Z","timestamp":1747816027000},"source":"Crossref","is-referenced-by-count":1,"title":["Study of the relationship between mediolateral episiotomy in vaginal delivery and pelvic organ prolapse in pregnant mothers"],"prefix":"10.4081","author":[{"given":"Marzieh","family":"Savari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahdieh","family":"Rahmatipanah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sepideh","family":"Miraj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abolfazl","family":"Mohammadbeigi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2549","published-online":{"date-parts":[[2025,5,21]]},"reference":[{"key":"179967","doi-asserted-by":"crossref","unstructured":"Good MM, Solomon ER. Pelvic floor disorders. Obst Gynecol Clinics 2019;46:527-40.","DOI":"10.1016\/j.ogc.2019.04.010"},{"key":"179968","doi-asserted-by":"crossref","unstructured":"Gonzalez DC, Khorsandi S, Mathew M, Enemchukwu E, Syan R. A systematic review of racial\/ethnic disparities in female pelvic floor disorders. Urology 2022;163:8-15.","DOI":"10.1016\/j.urology.2021.09.018"},{"key":"179969","doi-asserted-by":"crossref","unstructured":"Kettle C, Dowswell T, Ismail KM. Continuous and interrupted suturing techniques for repair of episiotomy or second-degree tears. Cochrane Database Syst Rev 2012;11:CD000947.","DOI":"10.1002\/14651858.CD000947.pub3"},{"key":"179970","doi-asserted-by":"crossref","unstructured":"Azimi S, Modarres SZ, Esgandari M, Fahimi SA, Fazeli R. Evaluation of the effect of embryo transfer methods on pregnancy outcomes: a retrospective study and future perspectives. J Reproduct Infertil 2024;25:140.","DOI":"10.18502\/jri.v25i2.16008"},{"key":"179971","doi-asserted-by":"crossref","unstructured":"Massoudifar A, Alimi N, Boostan A, et al. Investigating the relationship between the perception of labor pain and the number of deliveries. J Obstet Gynecol Cancer Res 2023;8:549-55.","DOI":"10.30699\/jogcr.8.6.549"},{"key":"179972","unstructured":"Klein MC, Kaczorowski J, Robbins JM, et al. Physicians' beliefs and behaviour during a randomized controlled trial of episiotomy: consequences for women in their care. Canadian Med Assoc J 1995;153:769."},{"key":"179973","doi-asserted-by":"crossref","unstructured":"Sartore A, De Seta F, Maso G, et al. The effects of mediolateral episiotomy on pelvic floor function after vaginal delivery. Obstet Gynecol 2004;103:669-73.","DOI":"10.1097\/01.AOG.0000119223.04441.c9"},{"key":"179974","doi-asserted-by":"crossref","unstructured":"Woolley RJ. Benefits and risks of episiotomy: a review of the English-language literature since 1980. Part I. Obstet Gynecol Surv 1995;50:806-20.","DOI":"10.1097\/00006254-199511000-00020"},{"key":"179975","doi-asserted-by":"crossref","unstructured":"Aytan H, Tapisiz OL, Tuncay G, Avsar FA. Severe perineal lacerations in nulliparous women and episiotomy type. Eur J Obstet Gynecol Reproduct Biol 2005;121:46-50.","DOI":"10.1016\/j.ejogrb.2004.10.013"},{"key":"179976","doi-asserted-by":"crossref","unstructured":"Thacker SB, Banta HD. Benefits and risks of episiotomy: an interpretative review of the English language literature, 1860\u20131980. Obstet Gynecol Survey 1983;38:322-38.","DOI":"10.1097\/00006254-198306000-00003"},{"key":"179977","doi-asserted-by":"crossref","unstructured":"Klein MC, Gauthier RJ, Robbins JM, et al. Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Am J Obstet Gynecol 1994;171:591-8.","DOI":"10.1016\/0002-9378(94)90070-1"},{"key":"179978","doi-asserted-by":"crossref","unstructured":"Hartmann K, Viswanathan M, Palmieri R, et al. Outcomes of routine episiotomy: a systematic review. JAMA 2005;293:2141-8.","DOI":"10.1001\/jama.293.17.2141"},{"key":"179979","doi-asserted-by":"crossref","unstructured":"Aytan H, Tok EC, Ertunc D, Yasa O. The effect of episiotomy on pelvic organ prolapse assessed by pelvic organ prolapse quantification system. Eur J Obstet Gynecol Reproduct Biol 2014;173:34-7.","DOI":"10.1016\/j.ejogrb.2013.11.010"},{"key":"179980","doi-asserted-by":"crossref","unstructured":"Frigerio M, Mastrolia SA, Spelzini F, et al. Long-term effects of episiotomy on urinary incontinence and pelvic organ prolapse: a systematic review. Arch Gynecol Obstet 2019;299:317-25.","DOI":"10.1007\/s00404-018-5009-9"},{"key":"179981","doi-asserted-by":"crossref","unstructured":"Do\u011fan B, G\u00fcn \u0130, \u00d6zdamar \u00d6, Y\u0131lmaz A, Muh\u00e7u M. Long-term impacts of vaginal birth with mediolateral episiotomy on sexual and pelvic dysfunction and perineal pain. Jo Maternal-Fetal Neonat Med 2017;30:457-60.","DOI":"10.1080\/14767058.2016.1174998"}],"container-title":["European Journal of Translational Myology"],"original-title":[],"link":[{"URL":"https:\/\/www.pagepressjournals.org\/bam\/article\/download\/13822\/13104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.pagepressjournals.org\/bam\/article\/download\/13822\/13104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T08:27:14Z","timestamp":1747816034000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.pagepressjournals.org\/bam\/article\/view\/13822"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,21]]},"references-count":15,"URL":"https:\/\/doi.org\/10.4081\/ejtm.2025.13822","relation":{},"ISSN":["2037-7460","2037-7452"],"issn-type":[{"value":"2037-7460","type":"electronic"},{"value":"2037-7452","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,21]]}}}