The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future Research
Aims. The aim of this review is to provide a comprehensive overview of the available literature on preventing perineal trauma with the EpiNo. Methods. We perfomed a literature research in the MedLine and EMBASE databases for studies referring to EpiNo published between 1990 and 2014, without restric...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2016/3818240 |
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| _version_ | 1832550235645149184 |
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| author | Tilemachos Kavvadias Irene Hoesli |
| author_facet | Tilemachos Kavvadias Irene Hoesli |
| author_sort | Tilemachos Kavvadias |
| collection | DOAJ |
| description | Aims. The aim of this review is to provide a comprehensive overview of the available literature on preventing perineal trauma with the EpiNo. Methods. We perfomed a literature research in the MedLine and EMBASE databases for studies referring to EpiNo published between 1990 and 2014, without restrictions for language and study type. Results. Five published studies were identified, regarding the effect of EpiNo on the rate of episiotomy and perineal tears, pelvic floor muscle function, and fetal outcome. The device seems to reduce episiotomy and perineal tears’ rate, as well as the risk for levator ani microtrauma and avulsion, though not always statistically significant. It does not seem to have an effect on duration of second stage of labour and fetal outcome. The device is well tolerated and the adverse events are rare and mild. However, design and reporting bias in the reviewed articles do not allow evidence based conclusions. Conclusions. The EpiNo device seems to be promising, with potential positive effects on natural birth, while being uncomplicated to use and without major complications. Well designed, randomized trials are needed in order to understand the effects of EpiNo on pelvic floor and make evidence based recommendations on its use. |
| format | Article |
| id | doaj-art-b0146ef0f13f4d7eb85694a37f0cb6b9 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-b0146ef0f13f4d7eb85694a37f0cb6b92025-02-03T06:07:28ZengWileyObstetrics and Gynecology International1687-95891687-95972016-01-01201610.1155/2016/38182403818240The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future ResearchTilemachos Kavvadias0Irene Hoesli1Department of Obstetrics and Gynecology, University Hospital of Basel, Spitalstrasse 21, 4031 Basel, SwitzerlandDepartment of Obstetrics and Gynecology, University Hospital of Basel, Spitalstrasse 21, 4031 Basel, SwitzerlandAims. The aim of this review is to provide a comprehensive overview of the available literature on preventing perineal trauma with the EpiNo. Methods. We perfomed a literature research in the MedLine and EMBASE databases for studies referring to EpiNo published between 1990 and 2014, without restrictions for language and study type. Results. Five published studies were identified, regarding the effect of EpiNo on the rate of episiotomy and perineal tears, pelvic floor muscle function, and fetal outcome. The device seems to reduce episiotomy and perineal tears’ rate, as well as the risk for levator ani microtrauma and avulsion, though not always statistically significant. It does not seem to have an effect on duration of second stage of labour and fetal outcome. The device is well tolerated and the adverse events are rare and mild. However, design and reporting bias in the reviewed articles do not allow evidence based conclusions. Conclusions. The EpiNo device seems to be promising, with potential positive effects on natural birth, while being uncomplicated to use and without major complications. Well designed, randomized trials are needed in order to understand the effects of EpiNo on pelvic floor and make evidence based recommendations on its use.http://dx.doi.org/10.1155/2016/3818240 |
| spellingShingle | Tilemachos Kavvadias Irene Hoesli The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future Research Obstetrics and Gynecology International |
| title | The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future Research |
| title_full | The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future Research |
| title_fullStr | The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future Research |
| title_full_unstemmed | The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future Research |
| title_short | The EpiNo® Device: Efficacy, Tolerability, and Impact on Pelvic Floor—Implications for Future Research |
| title_sort | epino r device efficacy tolerability and impact on pelvic floor implications for future research |
| url | http://dx.doi.org/10.1155/2016/3818240 |
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