School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Reproductive Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Afr J Reprod Health. 2022 Apr;26(4):98-109. doi: 10.29063/ajrh2022/v26i4.11.
Episiotomy is one of the most common obstetric procedures done by health providers putting the client at high risk of developing complications and lacerations. These days, episiotomy has been done at an alarming rate in Ethiopia as compared to the slant set by World Health Organization. Be that as it may, there is a need for nationally representative data. This study aimed to determine the pooled prevalence of episiotomy practice among women who gave birth at public health institutions in Ethiopia. We accessed PubMed, Web of Science, Google Scholar, EMBASE, and manual search was used to retrieve articles. The extractions of the data were done by using Microsoft Excel and analyzed by STATA version 11 statistical software. The publication bias was checked by funnel plot visually and Egger's test and Begg's test, with P <0.05 considered indicating potential publication bias. I2 was used to check the presence of heterogeneity of the studies. Overall estimated analysis was done. Subgroup analysis was done by region. We carried out a leave-one-out sensitivity analysis. The Joanna Briggs Institute risk of bias assessment tool was used. Out of 254 articles retrieved, 9 studies met the eligibility criteria and are thus included in this study. The overall episiotomy practice in Ethiopia was 45.01% (95% CI: 36.288, 53.741). Based on the sub-group analysis, prevalence of episiotomy practice was 49.32% (95%CI: 12.67, 85.97), 46.92% (95%CI: 29.47, 64.37), 44.23% (95%CI: 37.77, 50.99) and 38.29 (95%CI: 32.38, 44.20) among South region, Addis Ababa, Amhara region and Tigray region respectively. The findings revealed that the prevalence of episiotomy practice in Ethiopia was high (45.01%). Therefore, it is better to have periodic training for birth attendants on the indication of episiotomy and the appropriate use of guidelines to reduce the rate of episiotomy.
会阴切开术是卫生保健提供者进行的最常见的产科手术之一，使产妇面临发生并发症和撕裂伤的高风险。如今，与世界卫生组织设定的标准相比，埃塞俄比亚的会阴切开术率高得惊人。然而，需要有全国代表性的数据。本研究旨在确定在埃塞俄比亚公立医疗机构分娩的妇女中会阴切开术实践的汇总患病率。我们访问了 PubMed、Web of Science、Google Scholar、EMBASE，并使用手动搜索检索文章。使用 Microsoft Excel 提取数据，并使用 STATA 版本 11 统计软件进行分析。通过漏斗图和 Egger 检验、Begg 检验来检查发表偏倚，P<0.05 表示存在潜在的发表偏倚。使用 I2 检查研究的异质性。进行了总体估计分析。按地区进行了亚组分析。我们进行了一项剔除一个研究的敏感性分析。使用 Joanna Briggs 研究所偏倚风险评估工具。从 254 篇文章中检索到 9 项研究符合纳入标准，因此纳入本研究。埃塞俄比亚的会阴切开术总体实施率为 45.01%（95%CI：36.288，53.741）。基于亚组分析，会阴切开术的实施率分别为 49.32%（95%CI：12.67，85.97）、46.92%（95%CI：29.47，64.37）、44.23%（95%CI：37.77，50.99）和 38.29%（95%CI：32.38，44.20），分别为南部地区、亚的斯亚贝巴、阿姆哈拉地区和提格雷地区。研究结果表明，埃塞俄比亚的会阴切开术实施率较高（45.01%）。因此，最好定期对分娩护理人员进行会阴切开术的适应症和适当使用指南的培训，以降低会阴切开术的发生率。
