Fikadu Kassahun, Boti Negussie, Tadesse Birtukan, Mesele Dureti, Aschenaki Emenet, Toka Etenesh, Arega Fistum, Girma Tsehaynesh, Paulos Abebech
Midwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
J Pregnancy. 2020 Sep 1;2020:8395142. doi: 10.1155/2020/8395142. eCollection 2020.
Episiotomy is the most common obstetric procedure, performed when the clinical circumstances place the patient at a high risk of high-degree laceration. However, episiotomy should be done with judicious indication to lower perineal laceration with fewer complications. Despite its adverse effects, the magnitude of episiotomy is increasing due to different factors. Therefore, this study is aimed at determining the recent magnitude of episiotomy and at identifying associated factors among women who gave delivery in Arba Minch General Hospital, Southern Ethiopia.
An institution-based cross-sectional study was conducted from December 15, 2018, to January 30, 2019. A systematic random sampling technique was used to select study participants. A semistructured questionnaire was used to collect data. This was supplemented with a review of the labor and delivery records. Binary and multivariable logistic regression analyses were performed to identify factors associated with the magnitude of episiotomy. value ≤ 0.05 was used to determine the level of statistically significant variables.
The magnitude of episiotomy was found to be 272 (68.0%) with 95%CI = 64.0-72.5. Women who attended secondary education [AOR = 10.24, 95%CI = 2.81-37.34], women who attended college and above [AOR = 4.61, 95%CI = 1.27-16.71], birth weight ≥ 3000 g [AOR = 4.84, 95%CI = 2.66-8.82], primipara [AOR = 4.13, 95%CI = 2.40-7.12], being housewife occupants [AOR = 3.43, 95%CI = 1.20-9.98], married women [AOR = 2.86, 95%CI = 1.40-5.84], and body mass index < 25 kg/m [AOR = 2.85, 95%CI = 1.50-5.44] were independent variables found to have significant association with episiotomy.
The magnitude of episiotomy was 68.0% which is higher than the recommended practice by WHO (10%). The study participants' occupational status, marital status, educational status, parity, birth weight, and BMI were significantly associated with the magnitude of episiotomy in the study area. Therefore, to reduce the rate of episiotomy, it is better to have periodic training for birth attendants regarding the indication of episiotomy.
会阴切开术是最常见的产科手术，在临床情况使患者面临高度撕裂风险时进行。然而，会阴切开术应在合理指征下进行，以减少会阴撕裂并降低并发症发生率。尽管存在不良影响，但由于不同因素，会阴切开术的实施比例仍在上升。因此，本研究旨在确定埃塞俄比亚南部阿尔巴米琴综合医院近期会阴切开术的实施比例，并识别分娩女性中的相关因素。
2018年12月15日至2019年1月30日进行了一项基于机构的横断面研究。采用系统随机抽样技术选择研究参与者。使用半结构化问卷收集数据，并辅以对分娩记录的回顾。进行二元和多变量逻辑回归分析以识别与会阴切开术实施比例相关的因素。P值≤0.05用于确定具有统计学意义的变量水平。
会阴切开术的实施比例为272例（68.0%），95%置信区间为64.0 - 72.5。接受中等教育的女性[AOR = 10.24，95%置信区间 = 2.81 - 37.34]、接受大专及以上教育的女性[AOR = 4.61，95%置信区间 = 1.27 - 16.71]、出生体重≥3000g的婴儿[AOR = 4.84，95%置信区间 = 2.66 - 8.82]、初产妇[AOR = 4.13，95%置信区间 = 2.40 - 7.12]、家庭主妇[AOR = 3.43，95%置信区间 = 1.20 - 9.98]、已婚女性[AOR = 2.86，95%置信区间 = 1.40 - 5.84]以及体重指数<25kg/m²的女性[AOR = 2.85，95%置信区间 = 1.50 - 5.44]被发现是与会阴切开术有显著关联的独立变量。
会阴切开术的实施比例为68.0%，高于世界卫生组织推荐的比例（10%）。研究参与者的职业状况、婚姻状况、教育程度、产次、出生体重和体重指数与研究地区会阴切开术的实施比例显著相关。因此，为降低会阴切开术的比例，最好对助产人员进行关于会阴切开术指征的定期培训。
