Role of mediolateral or lateral episiotomy in preventing obstetric anal sphincter injury (OASI) in nulliparous women undergoing vacuum-assisted delivery: A systematic review and meta-analysis.

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Title: Role of mediolateral or lateral episiotomy in preventing obstetric anal sphincter injury (OASI) in nulliparous women undergoing vacuum-assisted delivery: A systematic review and meta-analysis.
Authors: Morganelli G; Department of Medicine and Surgery, University of Parma, Parma, Italy. Electronic address: giovanni.morganelli@unipr.it., Celora GM; Department of Medicine and Surgery, University of Parma, Parma, Italy., Bassi MC; Medical Library, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy., Dall'Asta A; Department of Medicine and Surgery, University of Parma, Parma, Italy., Di Serio M; Department of Medicine and Surgery, University of Parma, Parma, Italy., Capozzi VA; Department of Medicine and Surgery, University of Parma, Parma, Italy., Ghi T; Department of Medicine and Surgery, University of Parma, Parma, Italy; Catholic University of Sacred Heart Rome, Department of Women and Child Health - Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Fieni S; Department of Medicine and Surgery, University of Parma, Parma, Italy.
Source: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2026 Feb 20; Vol. 318, pp. 114939. Date of Electronic Publication: 2026 Jan 05.
Publication Type: Journal Article; Systematic Review; Meta-Analysis; Review
Journal Info: Publisher: Elsevier Scientific Publishers Country of Publication: Ireland NLM ID: 0375672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7654 (Electronic) Linking ISSN: 03012115 NLM ISO Abbreviation: Eur J Obstet Gynecol Reprod Biol Subsets: MEDLINE
Database: MEDLINE Ultimate
Description
ISSN:1872-7654
DOI:10.1016/j.ejogrb.2026.114939