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Created on : 27 Apr 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Episiotomy in Burkina Faso. Trop Doct. 1998 Apr;28(2):83-5.

Author(s) :

Lorenz N, Nougtara A, Garner P.

Year of publication :

1998

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

Episiotomy is a common obstetric intervention in many countries of the world, although little is known about rates in African countries. In recent years, the effectiveness of routine episiotomy to prevent severe tears and neonatal asphyxia has been questioned, and evidence shows that the procedure results in considerable maternal morbidity. This study estimates episiotomy rates in Burkina Faso.

A high proportion of primigravidae (46%) received an episiotomy when trained midwives attended the delivery; a level which indicates the procedure has to be regarded as routine practice. The episiotomy rate was lower (26%) in primigravidae delivered by auxillary midwives. This proportion is closer to recommended selective approaches derived from good research summaries. The tear rate in women assisted by midwife and auxiliary staff was similar, suggesting that women tear even when the procedure is performed.

These results indicate that obstetricians and midwives in Burkina Faso should critically appraise whether routine episiotomy should be abandoned. The introduction of a labour chart is a good vehicle to introduce a policy on avoiding episiotomies.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Les obstétriciens et sages-femmes du Burkina Faso devraient considérer l’abandon de l’épisiotomie prophylactique.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ episiotomy ; morbidity

Author of this record :

Cécile Loup — 27 Apr 2004