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Created on : 02 Aug 2014
Modified on : 02 Aug 2014

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Bibliographical entry (without author) :

The Use of Episiotomy in a Low-Risk Population in The Netherlands: A Secondary Analysis - Birth - Vol. 40, 4 - ISBN: 1523-536X - p.247-255

Author(s) :

Seijmonsbergen-Schermers, A. E.; Geerts, C. C.; Prins, M; van Diem, M. T.; Klomp, T.; Lagro-Janssen, A. L. M.; de Jonge, A.

Year of publication :

2013

URL(s) :

http://onlinelibrary.wiley.com/doi/10.1111/birt.12…
https://doi.org/10.1111/birt.12060

Résumé (français)  :

Abstract (English)  :

Background

To examine the episiotomy incidence and determinants and outcomes associated with its use in primary care midwifery practices.


Methods

Secondary analysis of two prospective cohort studies (n = 3,404).


Results

The episiotomy incidence was 10.8 percent (20.9% for nulliparous and 6.3% for parous women). Episiotomy was associated with prolonged second stage of labor (adj. OR 12.09 [95% CI 6.0–24.2] for nulliparous and adj. OR 2.79 [1.7–4.6] for parous women) and hospital birth (adj. OR 1.75 [1.2–2.5] for parous women). Compared with episiotomy, perineal tears were associated with a lower rate of postpartum hemorrhage in parous women (adj. OR 0.58 [0.4–0.9]). Fewer women with perineal tears reported perineal discomfort (adj. OR 0.35 [0.2–0.6] for nulliparous and adj. OR 0.22 [0.1–0.3] for parous women). Among nulliparous women episiotomy was performed most frequently for prolonged second stage of labor (38.8%) and among parous women for history of episiotomy or prevention of major perineal trauma (21.1%).


Conclusions

The incidence of episiotomy is high compared with some low-risk settings in other Western countries. Episiotomy was associated with higher rates of adverse maternal outcomes. Restricted use of episiotomy is likely to be beneficial for women.

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Resumen (español)  :

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Keywords :

➡ prevention ; episiotomy

Author of this record :

Import 02/08/2014 — 02 Aug 2014
➡ latest update : Marion Corbe — 02 Aug 2014