Episiotomy and its relationship to various clinical variables that influence its performance

Objective: to understand the episiotomy rate and its relationship with various clinical variables. Method: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. Results: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. Conclusions: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.

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Main Authors: Ballesteros-Meseguer,Carmen, Carrillo-García,César, Meseguer-de-Pedro,Mariano, Canteras-Jordana,Manuel, Martínez-Roche,Mª Emilia
Format: Digital revista
Language:English
Published: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100327
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spelling oai:scielo:S0104-116920160001003272016-05-17Episiotomy and its relationship to various clinical variables that influence its performanceBallesteros-Meseguer,CarmenCarrillo-García,CésarMeseguer-de-Pedro,MarianoCanteras-Jordana,ManuelMartínez-Roche,Mª Emilia Episiotomy Natural Childbirth Obstetric Nursing Obstetric Surgical Procedures Labor Obstetric Objective: to understand the episiotomy rate and its relationship with various clinical variables. Method: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. Results: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. Conclusions: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.info:eu-repo/semantics/openAccessEscola de Enfermagem de Ribeirão Preto / Universidade de São PauloRevista Latino-Americana de Enfermagem v.24 20162016-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100327en10.1590/1518-8345.0334.2686
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country Brasil
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region America del Sur
libraryname SciELO
language English
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author Ballesteros-Meseguer,Carmen
Carrillo-García,César
Meseguer-de-Pedro,Mariano
Canteras-Jordana,Manuel
Martínez-Roche,Mª Emilia
spellingShingle Ballesteros-Meseguer,Carmen
Carrillo-García,César
Meseguer-de-Pedro,Mariano
Canteras-Jordana,Manuel
Martínez-Roche,Mª Emilia
Episiotomy and its relationship to various clinical variables that influence its performance
author_facet Ballesteros-Meseguer,Carmen
Carrillo-García,César
Meseguer-de-Pedro,Mariano
Canteras-Jordana,Manuel
Martínez-Roche,Mª Emilia
author_sort Ballesteros-Meseguer,Carmen
title Episiotomy and its relationship to various clinical variables that influence its performance
title_short Episiotomy and its relationship to various clinical variables that influence its performance
title_full Episiotomy and its relationship to various clinical variables that influence its performance
title_fullStr Episiotomy and its relationship to various clinical variables that influence its performance
title_full_unstemmed Episiotomy and its relationship to various clinical variables that influence its performance
title_sort episiotomy and its relationship to various clinical variables that influence its performance
description Objective: to understand the episiotomy rate and its relationship with various clinical variables. Method: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. Results: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. Conclusions: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.
publisher Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100327
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