Clesse Christophe, Lighezzolo-Alnot Joëlle, De Lavergne Sylvie, Hamlin Sandrine, Scheffler Michèle
a Interpsy Laboratory (EA4432) , Université de Lorraine , Nancy , France.
b Hospital Centre of Jury-les-Metz - Route d'Ars Laquenexy , Jury , France.
Health Care Women Int. 2018 Jun;39(6):644-662. doi: 10.1080/07399332.2018.1445253. Epub 2018 Apr 2.
The authors' purpose for this article is to identify, review and interpret all publications about the episiotomy rates worldwide. Based on the criteria from the PRISMA guidelines, twenty databases were scrutinized. All studies which include national statistics related to episiotomy were selected, as well as studies presenting estimated data. Sixty-one papers were selected with publication dates between 1995 and 2016. A static and dynamic analysis of all the results was carried out. The assumption for the decline in the number of episiotomies is discussed and confirmed, recalling that nowadays high rates of episiotomy remain in less industrialized countries and East Asia. Finally, our analysis aims to investigate the potential determinants which influence apparent statistical disparities.
本文作者的目的是识别、回顾和解读全球范围内所有关于会阴切开率的出版物。基于PRISMA指南的标准，对20个数据库进行了审查。所有包含与会阴切开相关的国家统计数据的研究以及呈现估计数据的研究均被选中。选取了61篇发表于1995年至2016年之间的论文。对所有结果进行了静态和动态分析。讨论并证实了会阴切开术数量下降的假设，同时指出如今在工业化程度较低的国家和东亚地区，会阴切开率仍然很高。最后，我们的分析旨在调查影响明显统计差异的潜在决定因素。
