Graham Ian D, Carroli Guillermo, Davies Christine, Medves Jennifer Mary
School of Nursing at the University of Ottawa and Clinical Epidemiology Program, Ottawa Health Research Institute, Ottawa, Ontario, Canada.
Birth. 2005 Sep;32(3):219-23. doi: 10.1111/j.0730-7659.2005.00373.x.
Episiotomy, the unkindest cut of all, persists despite clinical practice guidelines recommending its restrictive use. The purpose of this paper was to compile international statistics on the use of this practice and examine whether current guidance on the restrictive use of episiotomy was being followed.
We searched government websites and the Internet, contacted colleagues for references, and checked the references of retrieved citations.
Statistics from around the world revealed overall high rates of episiotomy with a decreasing trend in some countries. Considerable variation occurs in the use of the operation by country, within countries, and even within the same professional provider group.
Greater efforts are needed than currently in place to reduce the episiotomy rate, particularly in the developing world.
尽管临床实践指南建议限制使用会阴切开术，但这种最伤人的切口仍在持续存在。本文的目的是汇编关于这种手术使用情况的国际统计数据，并研究当前关于限制会阴切开术使用的指南是否得到遵循。
我们搜索了政府网站和互联网，联系同事获取参考文献，并检查了检索到的文献的参考文献。
来自世界各地的统计数据显示，会阴切开术的总体使用率较高，在一些国家呈下降趋势。不同国家、同一国家内部甚至同一专业医疗服务提供者群体之间，该手术的使用情况存在很大差异。
需要做出比目前更大的努力来降低会阴切开术的使用率，尤其是在发展中世界。
