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Magnitude of Episiotomy and Associated Factors among Mothers Who Give Birth in Arba Minch General Hospital, Southern Ethiopia: Observation-Based Cross-Sectional Study
Joint Authors
Fikadu, Kassahun
Boti, Negussie
Tadesse, Birtukan
Mesele, Dureti
Aschenaki, Emenet
Toka, Etenesh
Arega, Fistum
Girma, Tsehaynesh
Paulos, Abebech
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-01
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
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.
Methods.
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.
P value ≤ 0.05 was used to determine the level of statistically significant variables.
Results.
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/m2 [AOR=2.85, 95%CI=1.50‐5.44] were independent variables found to have significant association with episiotomy.
Conclusion.
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.
American Psychological Association (APA)
Fikadu, Kassahun& Boti, Negussie& Tadesse, Birtukan& Mesele, Dureti& Aschenaki, Emenet& Toka, Etenesh…[et al.]. 2020. Magnitude of Episiotomy and Associated Factors among Mothers Who Give Birth in Arba Minch General Hospital, Southern Ethiopia: Observation-Based Cross-Sectional Study. Journal of Pregnancy،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1190016
Modern Language Association (MLA)
Fikadu, Kassahun…[et al.]. Magnitude of Episiotomy and Associated Factors among Mothers Who Give Birth in Arba Minch General Hospital, Southern Ethiopia: Observation-Based Cross-Sectional Study. Journal of Pregnancy No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1190016
American Medical Association (AMA)
Fikadu, Kassahun& Boti, Negussie& Tadesse, Birtukan& Mesele, Dureti& Aschenaki, Emenet& Toka, Etenesh…[et al.]. Magnitude of Episiotomy and Associated Factors among Mothers Who Give Birth in Arba Minch General Hospital, Southern Ethiopia: Observation-Based Cross-Sectional Study. Journal of Pregnancy. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1190016
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1190016