.. Women who experienced spontaneous tears without episiotomy had less pain than women with episiotomies. Complications related to the healing of the perineum were the same with or without episiotomy.In addition, the evidence showed that episiotomy does not protect women against urinary or fecal incontinence, pelvic organ prolapse or difficulties with sexual function in the first three months to five years of delivery.
Evidence was either inconsistent or does not support the use of other materials such as rapidly absorbed sutures treated chromic catgut and silk sutures. Further investigations, including rigorous clinical trials, Compare the complete approaches to repair, is needed impact impact of alternative materials such as tissue adhesive and to resolve the inconsistencies in the current literature.The Global Fund has $ 1.2 billion in Eastern European and Central Asia is engaged till 2010, approximately 55 percent of which goes to HIV / AIDS combat. Ten countries of the regions – including Kazakhstan, 320 thousand U.S. Dollars non eligible on Global Fund until the end of in 2009 because they are considered upper income reports the news agency Reuters are classified.
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