Prevalence of Episiotomy and its Associated Factors among Mothers Who Gave Birth at Public Health Facility in Gondar City, Northwest Ethiopia: A Cross-Sectional Study
محل انتشار: مجله مامایی و بهداشت باروری، دوره: 10، شماره: 4
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 117
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شناسه ملی سند علمی:
JR_JMREH-10-4_009
تاریخ نمایه سازی: 18 مهر 1401
چکیده مقاله:
Background & aim: Extension of the incision, vulvar hematoma, infection, wound dehiscence and dyspareunia are some complications of performing episiotomy. Despite its adverse effects, the prevalence of episiotomy is increasing in some settings due to different factors. Therefore, this study aimed to determine the prevalence of episiotomy and its associated factors among mothers who gave birth at Gondar public health facility, Northwest Ethiopia.Methods: This, cross-sectional study was conducted among ۴۱۱ mothers from September ۱ to November ۱, ۲۰۲۱. Data were gathered using a structured questionnaire administered by an interviewer and supplemented with a delivery chart review at postnatal room. Binary and multivariable logistic regressions were performed to identify predictor variables. P-value ≤ ۰.۰۵ used to determine the level of statistically significant of outcome variable.Results: A total of ۴۱۱ study participants were interviewed, with a response rate of ۱۰۰%. The prevalence of episiotomy was found to be ۵۲.۸%, with a ۹۵%CI of ۴۷.۷–۵۷.۴). Being a perimiparous mother (AOR = ۸.۹۵; ۹۵% CI: ۴.۶۵, ۱۷.۲۰), labor complications (AOR = ۳.۰۳; ۹۵% CI: ۱.۲۱, ۷.۶۲), fetal distress (AOR = ۴.۵۱; ۹۵% CI: ۲.۷۱, ۶.۴۹), and fetal weight ≥ ۴ kilogram (AOR = ۳.۴۲; ۹۵% CI: ۲.۶۴, ۶.۶۲) were significantly associated with episiotomy.Conclusion: The rate of episiotomy was higher than the World Health Organization's maximum limit of recommendation (۱۰%). Therefore, as per our findings we recommend that clinicians emphasize on use of standard guidelines and clear indication of performing episiotomy to reduce the rate of unnecessary procedures.
کلیدواژه ها:
نویسندگان
Agerie Zeleke
Lecturer, Department of Midwifery, School of Public Health, Teda Health Science College, Gondar, Ethiopia
Zemene Lakew
Lecturer, Department of Public Health, School of Public Health, Teda Health Science College, Gondar, Ethiopia
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