Saadia Zaheera
Qassim University, College of medicine, Buraidah, Saudi Arabia ; Department of Obstetrics and Gynecology, Qassim College of Medicine, Buraidah, Saudi Arabia.
Mater Sociomed. 2014 Jun;26(3):188-90. doi: 10.5455/msm.2014.26.188-190. Epub 2014 Jun 21.
This observational study aimed to describe the rates and indicators for practice of episiotomy during normal labour and to compare them between women who have had one pregnancy (PG) and women who have already delivered two or more children (G2 and above).
The study was conducted at Mother and Child Hospital, Buraidah from October- December 2013 as a descriptive cross sectional study.
Overall rate of Episiotomy was 51.20%. Amongst the Primigravidas all went through episiotomies however in G2 and above only 7 patients (4.69%) delivered with episiotomy. Proportions tests revealed that there were significant differences between gravidity groups on two indications of episiotomy (vaginal breech p <0.001 and previous history of perineal tear p < 0.001). G2 and above had episiotomy for breech delivery (1 of 7 = 14.29%) significantly more often than PG participants (0 of 142 = 0.0%). And G2 and above participants experienced episiotomy for previous perineal tear (2 of 7 = 28.5% as compared to none in PG No other significant differences were found on indications of episiotomy.
Episiotomy is a very common obstetric intervention (51.20%). The PG experience episiotomy significantly more often than G2 and above women. Efforts should be made to reduce its rates. This can be done by reviewing the indications and rates at repeated intervals and setting guidelines for these indications.
本观察性研究旨在描述正常分娩时会阴切开术的实施率及指标，并比较初产妇（PG）和已分娩两个或更多子女的女性（G2及以上）之间的差异。
该研究于2013年10月至12月在布赖代妇幼医院进行，为描述性横断面研究。
会阴切开术的总体实施率为51.20%。所有初产妇均接受了会阴切开术，而在G2及以上产妇中，只有7例（4.69%）进行了会阴切开术分娩。比例检验显示，在会阴切开术的两个指征方面，不同妊娠次数组之间存在显著差异（阴道臀位分娩p<0.001，既往会阴裂伤史p<0.001）。G2及以上产妇因臀位分娩而行会阴切开术的比例（7例中的1例，占14.29%）显著高于初产妇（142例中的0例，占0.0%）。G2及以上产妇因既往会阴裂伤而行会阴切开术的比例为7例中的2例（28.5%），而初产妇中无此情况。在会阴切开术的指征方面未发现其他显著差异。
会阴切开术是一种非常常见的产科干预措施（51.20%）。初产妇接受会阴切开术的比例显著高于G2及以上产妇。应努力降低其实施率。这可以通过定期审查指征和实施率，并为这些指征制定指南来实现。
