Predictors of routine episiotomy in primigravida women in Oman

Abstract

The rate of episiotomies was higher than other similar contexts. An urgent intervention is necessary to curb this excessive practice, and create a culture of evidence-based practice to deal with misleading perceptions.

Risk factors for episiotomy during vaginal childbirth: A retrospective cohort study in Western China

“…Binary logistic regression also showed that midwives who had a bachelor's degree and obstetricians who had a doctor's degree were most likely to perform episiotomies on primiparas. Our findings are consistent with those of Al‐Ghammari et al., which found that bachelor's degree‐holders were 2.26 times more likely than diploma‐holders to perform an episiotomy. It could be attributed to the possibility that highly degree holders may be subject to more difficult deliveries.…”

“…The prevalence of episiotomy in our WC cohort was 44% which was generally lower than other Asian countries reported rates of 63.4% (Indian), 66% (Oman), and 75.1% (Yemen) . The WC episiotomy rate was generally higher than that in America (6.7%), Australia (17.2%), and Spain (30.0%); and comparable to one German study reporting 37.7% and 41.4% in Jordan .…”

“…The WC prevalence of 52.9% among primiparas was lower than 77% reported by Enyindah's Nigerian study and 85.1% in India . Data from 11 hospitals in Oman showed that the episiotomy rates in regional hospitals were 2.36 times higher than those reported by tertiary hospitals . As a clinical training base for advanced nursing practice and tertiary university hospital for teaching, we speculate that other hospitals in WC may have comparable or even higher rates of episiotomy than that in our hospital.…”

The effect of infrared lamp therapy on episiotomy wound restorative besides pain relief among post-partum women

“…[8] Unfortunately, obstetricians usually carry out episiotomies habitually as it was thought to hasten the second phase of delivery and decrease the danger of impulsive perineal damaging. [9] Countless interventions are obtainable to support the episiotomy wound healing process during puerperium. They include: using cold compresses, topical use by dry heat (Infrared therapy), sitz bath, carrying out of kegel's exercise and perineal care.…”

Prática da episiotomia durante a assistência ao parto: tendência e fatores de risco em uma coorte retrospectiva de cinco anos

“…26,27 Of note, most studies reveal overall rates of episiotomy higher than 10%. 20,28,[29][30][31][32][33][34][35][36] The wide variation in episiotomy rates among countries may be attributed to the lack of guidelines for the performance of episiotomy, which makes the decision for the procedure a clinical judgment. 32 We know the decision to perform interventions such as episiotomies may be improved by the use of partograms in labor assistance.…”