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Episiotomy in Operative Vaginal Delivery Reduces the Risk of Obstetric Anal Sphincter Injuries in Nulliparous Women: A Systematic Review and Meta-Analysis.

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Title: Episiotomy in Operative Vaginal Delivery Reduces the Risk of Obstetric Anal Sphincter Injuries in Nulliparous Women: A Systematic Review and Meta-Analysis.
Authors: Braga A; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland., Serati M; Department of Obstetrics and Gynaecology, Del Ponte Hospital, University of Insubria, 21100 Varese, Italy., Ruffolo AF; CHU Lille, Department of Gynaecology, Jeanne de Flandre University Hospital, 59000 Lille, France., Treglia G; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.; Medical Education and Research Area, General Directorate, Ente Ospedaliero Cantonale, 6500 Bellinzona, Switzerland.; Faculty of Biology and Medicine, University of Lausanne, 1011 Lausanne, Switzerland., Caccia G; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland., Zacesta V; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland., Tenani G; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland., Torella M; Department of Gynaecology, Obstetric and Reproductive Science, Second University of Naples, 80138 Naples, Italy., Frigerio M; Department of Gynaecology and Obstetrics, San Gerardo Hospital, 20900 Monza, Italy., Soligo M; Department of Obstetrics and Gynaecology, Hospital of Lodi, 26900 Lodi, Italy., Salvatore S; Department of Obstetrics and Gynaecology, IRCSS San Raffaele Scientific Institute, 20132 Milan, Italy., Papadia A; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.; Department of Obstetrics and Gynaecology, EOC-Lugano Regional Hospital, 6900 Lugano, Switzerland., Codoni G; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.
Source: Journal of clinical medicine [J Clin Med] 2026 Jun 25; Vol. 15 (13). Date of Electronic Publication: 2026 Jun 25.
Publication Type: Journal Article; Review
Journal Info: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE
Database: MEDLINE Ultimate
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  Data: Episiotomy in Operative Vaginal Delivery Reduces the Risk of Obstetric Anal Sphincter Injuries in Nulliparous Women: A Systematic Review and Meta-Analysis.
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  Data: <searchLink fieldCode="AU" term="%22Braga+A%22">Braga A</searchLink>; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.<br /><searchLink fieldCode="AU" term="%22Serati+M%22">Serati M</searchLink>; Department of Obstetrics and Gynaecology, Del Ponte Hospital, University of Insubria, 21100 Varese, Italy.<br /><searchLink fieldCode="AU" term="%22Ruffolo+AF%22">Ruffolo AF</searchLink>; CHU Lille, Department of Gynaecology, Jeanne de Flandre University Hospital, 59000 Lille, France.<br /><searchLink fieldCode="AU" term="%22Treglia+G%22">Treglia G</searchLink>; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.; Medical Education and Research Area, General Directorate, Ente Ospedaliero Cantonale, 6500 Bellinzona, Switzerland.; Faculty of Biology and Medicine, University of Lausanne, 1011 Lausanne, Switzerland.<br /><searchLink fieldCode="AU" term="%22Caccia+G%22">Caccia G</searchLink>; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.<br /><searchLink fieldCode="AU" term="%22Zacesta+V%22">Zacesta V</searchLink>; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.<br /><searchLink fieldCode="AU" term="%22Tenani+G%22">Tenani G</searchLink>; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.<br /><searchLink fieldCode="AU" term="%22Torella+M%22">Torella M</searchLink>; Department of Gynaecology, Obstetric and Reproductive Science, Second University of Naples, 80138 Naples, Italy.<br /><searchLink fieldCode="AU" term="%22Frigerio+M%22">Frigerio M</searchLink>; Department of Gynaecology and Obstetrics, San Gerardo Hospital, 20900 Monza, Italy.<br /><searchLink fieldCode="AU" term="%22Soligo+M%22">Soligo M</searchLink>; Department of Obstetrics and Gynaecology, Hospital of Lodi, 26900 Lodi, Italy.<br /><searchLink fieldCode="AU" term="%22Salvatore+S%22">Salvatore S</searchLink>; Department of Obstetrics and Gynaecology, IRCSS San Raffaele Scientific Institute, 20132 Milan, Italy.<br /><searchLink fieldCode="AU" term="%22Papadia+A%22">Papadia A</searchLink>; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.; Department of Obstetrics and Gynaecology, EOC-Lugano Regional Hospital, 6900 Lugano, Switzerland.<br /><searchLink fieldCode="AU" term="%22Codoni+G%22">Codoni G</searchLink>; Department of Obstetrics and Gynaecology, EOC-Beata Vergine Hospital, 6850 Mendrisio, Switzerland.; Faculty of Biology and Medicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.
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  Data: <searchLink fieldCode="JN" term="%22101606588%22">Journal of clinical medicine</searchLink> [J Clin Med] 2026 Jun 25; Vol. 15 (13). <i>Date of Electronic Publication: </i>2026 Jun 25.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22MDPI+AG%22">MDPI AG </searchLink><i>Country of Publication: </i>Switzerland <i>NLM ID: </i>101606588 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Print <i>ISSN: </i>2077-0383 (Print) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2220770383%22">20770383 </searchLink><i>NLM ISO Abbreviation: </i>J Clin Med <i>Subsets: </i>PubMed not MEDLINE
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              Text: 2026 Jun 25
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