Retrospective analysis of episiotomy prevalence

Bahtışen Kartal, Aynur Kızılırmak, Pelin Calpbinici, Gökçe Demir, Bahtışen Kartal, Aynur Kızılırmak, Pelin Calpbinici, Gökçe Demir

Abstract

Objective: This study was performed to determine the rate of episiotomy.

Material and methods: This retrospective was conducted in 3 state hospitals located in 3 cities in the Central Anatolia region of Turkey. Ethics committee approval was received for this study. Also, institutional permissions from the institutions where the study was conducted were obtained before the study. The sample of the study consisted of 8587 women. The data of the study were collected by analyzing birth records in archive records.

Results: The average age of the women was 26.16±5.9 years, the average number of deliveries was 2.19±1.2, and 52.0% of the women who gave birth via vaginal delivery underwent episiotomy. The rate of episiotomy was found to be 93.3% in primipara women and 30.2% in multipara women. It was determined that neonatal weight did not affect the episiotomy rate, and that neonatal height was higher in deliveries with episiotomy and suture. Also, it was determined that as the age and parity of the women decreased, the rate of episiotomy increased.

Conclusion: The rate of episiotomy was observed to be high, especially in primipara women.

Keywords: Episiotomy; prevalence vaginal deliveries..

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

References

    1. Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği. In: Ryan SJ, editor. 12th ed. Ankara: Akademisyen Tıp Bookstore, Özyurt Press. Ankara; 2014.
    1. Episiotomy for vaginal birth (Review). The Cochrane Collaboration. The Cochrane Library. Carroli G, Belizan J; 2007; 4: 2. [Internet] .
    1. Relationship between episiotomy and prevalence of urinary incontinence in women 2-5 years after childbirth. Cent Eur J Nurs Midw. Langrová P, Vrublová Y; 2014; 5: 94-8. [Internet] .
    1. Episiotomy for vaginal birth: RHL commentary. Geneva: World Health Organization Reproductive Health Library. Liljestrand J; [cited 2016 May 9] 2003. [Internet]
    1. ACOG recommends restricted use of episiotomies. American College of Obstetricians and Gynecologists; 2006. [cited 2016 May 5]. [Internet] .
    1. Annals of Medical And Health Sciences Research. Izuka EO, Dim CC, Chigbu CO, Obiora-Izuka CE. Prevalence and predictors of episiotomy among women at first birth in Enugu, south east Nigeria; 2015; 4(6): 928-32. [Internet]
    1. Episiotomy rates around the world: an update. BIRTH. Graham ID, Carroli G, Davies C, Medves JM; 2005; 32: 219-23. [Internet] .
    1. Managing complications in pregnancy and childbirth: a guide for midwives and doctors. World Health Organization (2007). Reproductive Health; [cited 2016 May 9]. [Internet] .
    1. Ayhan A, Bozdağ G, Deren Ö. 2st ed. Ankara: Ayrıntı Press; 2008. Birth Physiology and Vaginal Birth Basic Gynecology and Obstetrics.
    1. Episiotomy for vaginal birth. Cochrane Database Syst. Carroli G, Mignini L; 2009. Rev 1(1). [Internet] .
    1. Episiotomy: early maternal and neonatal outcomes of selective versus routine use episiotomia: resultados maternos e neonatais precoces do uso seletivo versus generalizado. Acta Obstet Ginecol Port. Coutada RS, Nogueira-Silva C, Rocha A; 2014; 8: 126-34. [Internet] .
    1. Karaçam Z, Ekmen H, Çalışır H, Şeker S. Prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, wound healing 3 weeks postpartum, in Turkey: A prospective follow-up study. Iran J Nurs Midwifery Res. 2013;18:237–45.
    1. Chang SR, Chen KH, Lin HH, Chao YM, Lai YH. Comparison of the effects of episiotomy and no episiotomy on pain, urinary incontinence, and sexual function 3 months postpartum: a prospective follow-up study. Int J Nurs Stud. 2011;48:409–18.
    1. Lam KW, Wong HS, Pun TC. The practice of episiotomy in public hospitals in Hong. Hong Kong Med J. 2006;12:94–8.
    1. Frankman EA, Wang L, Bunker CH, Lowder JL. Episiotomy in the United States: has anything changed? Am J Obstet Gynecol. 2009;200:573.
    1. McCandlish R, Bowler U, van Asten H, Berridge G, Winter C, Sames L, et al. A randomised controlled trial of care of the perineum during second stage of normal labour. Br J Obstet Gynaecol. 1998;105:1262–72.
    1. Albers L, Garcia J, Renfrew M, McCandlish R, Elbourne D. Distribution of genital tract trauma in childbirth and related postnatal pain. Birth. 1999;26:11–7.
    1. Mayerhofer K, Bodner-Adler B, Bodner K, Rabl M, Kaider A, Wagenbichler P, et al. Traditional care of the perineum during birth. A prospective, randomized, multicenter study of 1,076 women. J Reprod Med. 2002;47:477–82.
    1. Renfrew MJ, Hannah W, Albers L, Floyd E. Practices that minimize trauma to the genital tract in childbirth: a systematic review of the literature. Birth. 1998;25:143–60.
    1. Johanson R. Perineal massage for prevention of perineal trauma in childbirth. Lancet. 2000;355:250–1.
    1. Balkaya Akdolun N. Postpartum Dönemde Annelerin Bakım Gereksinimleri ve Ebe-Hemşirenin Rolü. C. Ü. Hemşirelik Yüksekokulu Dergisi. 2002;6:42–9.
    1. Hartmann K, Viswanathan M, Palmieri R, Gartlehner G, Thorp Jr, Lohr KN. Outcomes of routine episiotomy: a systematic review. JAMA. 2005;293:2141–8.
    1. Handa VL, Danielsen BH, Gilbert WM. Obstetric anal sphincter lacerations. Obstet Gynecol. 2001;98:225–30.
    1. de Leeuw JW, Struijk PC, Vierhout ME, Wallenburg HC. Risk factors for third degree perineal ruptures during delivery. BJOG. 2001;108:383–7.
    1. Rodriguez A, Arenas EA, Osorio AL, Mendez O, Zuleta JJ. Selective vs routine midline episiotomy for the prevention of third-or fourth-degree lacerations in nulliparous women. Am J Obstet Gynecol. 2008;198:285.
    1. No Authors. Republic of Turkey Ministry of Health General Directorate of Maternal and Infant Health and Family Planning. 2009. Safe Motherhood Participant Book. Ankara. 2016
    1. Çalışkan E, Öztürk N, Akyan B, Dilbaz B, Yalvaç S, Haberal A. Analysis of 47145 deliveries in a tertiary center: an epidemiological view. Gynecology Obstetrics & Reproductive Medicine. 2003;9:88–91.
    1. Hotun-Şahin N, Yıldırım G, Aslan E. Evaluating the second stages of deliveries in a maternity hospital, Turkiye Klinikleri. J Gynecol Obst. 2007;17:37–43.
    1. Goldberg J, Holtz D, Hyslop T, Tolosa JE. Has the use of routine episiotomy decreased? Examination of episiotomy rates from 1983 to 2000. Obstet Gynecol. 2002;99:395–400.
    1. Lai CY, Cheung HW, Hsi Lao TT, Lau TK, Leung TY. Is the policy of restrictive episiotomy generalisable? A prospective observational study. J Matern Fetal Neonatal Med. 2009;22:1116–21.
    1. Cromi A, Bonzini M, Uccella S, Serati M, Bogani G, et al. Provider contribution to an episiotomy risk model. J Matern Fetal Neonatal Med. 2015;28:2201–6.
    1. Trinh AT, Khambalia A, Ampt A, Morris JM, Roberts CL. Episiotomy rate in Vietnamese-born women in Australia: support for a change in obstetric practice in Viet Nam. Bull World Health Organ. 2013;91:350–6.
    1. Al-Ghammari K, Al-Riyami Z, Al-Moqbali M, Al-Marjabi F, Al-Mahrouqi B, Al-Khatri A, et al. Predictors of routine episiotomy in primigravida women in Oman. Appl Nurs Res. 2016;29:131–5.
    1. Albers LL, Sedler KD, Bedrick EJ, Teaf D, Peralta P. Factors related to genital tract trauma in normal spontneous vaginal births. Birth. 2006;32:94–100.

Source: PubMed

Подписаться