University of Port Harcourt, African Centre of Excellence, Centre for Public Health and Toxicological Research.
University of Port Harcourt, Department of Nursing.
Afr Health Sci. 2021 Sep;21(3):1355-1361. doi: 10.4314/ahs.v21i3.47.
The World Health Organization recommended less than 10% episiotomy rate for Skilled Birth Attendants (SBAs) and hospitals in 1996. More than two decades afterwards, some health facilities are still grappling with meeting the set target.
This study assessed the perspectives of SBAs and pregnant women regarding episiotomy in a Nigerian university teaching hospital.
A cross-sectional design was employed. Census sampling was used to select 19 SBAS and 973 vaginal birth records from 2019, while consecutive sampling technique was used to enrol 134 consenting pregnant women obtaining antenatal services in the facility. Data was collected using a three part instrument involving a data extraction sheet, episiotomy practice questionnaire for SBAs, and feelings about episiotomy questionnaire for pregnant women. Assembled data were summarised with descriptive statistics.
The episiotomy rate was 345(35.5%). About 266 (77.1%) of first time mothers (primips) and 79(22.9%) of nonfirst time mothers (multips) received episiotomy. Ten (52.6%) of the SBAs were unsure of any evidence supporting routine episiotomy. All the 19(100%) SBAs reported that there was no existing facility-based policy regarding routine episiotomy. Seventy five (56%) of the pregnant women reported feeling generally bad about episiotomy. One hundred and one (82.3%) of them hinted that they will not feel satisfied if they were given episiotomy with the reason that it ensures quick vaginal birth.
The rate of episiotomy was higher than global recommended standards and primips are disproportionately affected. If organised by professional societies, more scientific conferences on limiting episiotomy might remedy this situation.
1996 年，世界卫生组织建议熟练接生员（SBAs）和医院的会阴切开率应低于 10%。二十多年后，一些卫生机构仍在努力达到既定目标。
本研究评估了尼日利亚一所教学医院的 SBAs 和孕妇对会阴切开术的看法。
采用横断面设计。使用普查抽样法从 2019 年的 19 名 SBAs 和 973 份阴道分娩记录中选择样本，同时使用连续抽样技术招募 134 名在该设施接受产前服务的同意孕妇。使用包括数据提取表、SBAs 会阴切开术实践问卷和孕妇对会阴切开术感受问卷在内的三部分工具收集数据。收集的数据采用描述性统计方法进行总结。
会阴切开率为 345（35.5%）。初产妇（primips）中有 266 人（77.1%）和经产妇（multips）中有 79 人（22.9%）接受了会阴切开术。10 名（52.6%）SBAs 不确定是否有任何证据支持常规会阴切开术。所有 19 名（100%）SBAs 报告说，目前没有关于常规会阴切开术的机构政策。75 名（56%）孕妇报告对会阴切开术感觉一般不好。其中 101 名（82.3%）暗示，如果给他们会阴切开术，他们不会感到满意，原因是这可以确保快速阴道分娩。
会阴切开率高于全球推荐标准，初产妇的比例不成比例。如果由专业协会组织，更多关于限制会阴切开术的科学会议可能会改善这种情况。
