ArticleBulletin of the World Health Organization2013
Episiotomy rate in Vietnamese-born women in Australia: support for a change in obstetric practice in Viet Nam.
Article in Bulletin of the World Health Organization, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Episiotomy Practice and Its Associated Factors in Africa: A Systematic Review and Meta-Analysis.Frontiers in medicine · 2022Pooled it
- Prevalence of episiotomy practice and factors associated with it in Ethiopia, systematic review and meta-analysis.Women's health (London, England)Pooled it
- Article
- Patterns of Labour Interventions and Associated Maternal Biopsychosocial Factors in Australia: a Path Analysis.Reproductive sciences (Thousand Oaks, Calif.) · 2023Article
- A nationwide cross-sectional survey of episiotomy practice in China.The Lancet regional health. Western Pacific · 2022Article
- Magnitude of episiotomy practice and associated factors among women who gave birth at Hiwot Fana Specialized University Hospital, Eastern Ethiopia.Frontiers in global women's health · 2022Article
- Magnitude of Episiotomy and Associated Factors among Mothers Who Give Birth in Arba Minch General Hospital, Southern Ethiopia: Observation-Based Cross-Sectional Study.Journal of pregnancy · 2020Observational
- Factors Associated with Episiotomy Practices in Bahirdar City, Ethiopia: A Cross-Sectional Study.Risk management and healthcare policy · 2020Article
- Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women.Sexual medicine · 2019Article
- Knowledge, Attitude and Practice of Brazilian Obstetricians Regarding Episiotomy.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2019Article
- Prospective comparison of obstetric anal sphincter injury incidence between an Asian and Western hospital.International urogynecology journal · 2019Article
- Perinatal Outcome in Women with a Vietnamese Migration Background - Retrospective Comparative Data Analysis of 3000 Deliveries.Geburtshilfe und Frauenheilkunde · 2018Article
- Retrospective analysis of episiotomy prevalence.Journal of the Turkish German Gynecological Association · 2017Article
- Knowledge, attitude and experience of episiotomy use among obstetricians and midwives in Viet Nam.BMC pregnancy and childbirth · 2015Article
- The effect of equisetum arvense (horse tail) ointment on wound healing and pain intensity after episiotomy: a randomized placebo-controlled trial.Iranian Red Crescent medical journal · 2015Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the use of episiotomy among Vietnamese-born women in Australia, including risk factors for, and pregnancy outcomes associated with, episiotomy.
methodsThis population-based, retrospective cohort study included data on 598 305 singleton, term (i.e. ≥ 37 weeks' gestation) and vertex-presenting vaginal births between 2001 and 2010. Data were obtained from linked, validated, population-level birth and hospitalization data sets. Contingency tables and multivariate analysis were used to compare risk factors and pregnancy outcomes in women who did or did not have an episiotomy.
findingsThe episiotomy rate in 12 208 Vietnamese-born women was 29.9%, compared with 15.1% in Australian-born women. Among Vietnamese-born women, those who had an episiotomy were significantly more likely than those who did not to be primiparous, give birth in a private hospital, have induced labour or undergo instrumental delivery. In these women, having an episiotomy was associated with postpartum haemorrhage (adjusted odds ratio, aOR: 1.26; 95% confidence interval, CI: 1.08-1.46) and postnatal hospitalization for more than 4 days (aOR: 1.14; 95% CI: 1.00-1.29). Among multiparous women only, episiotomy was positively associated with a third- or fourth-degree perineal tear (aOR: 2.00; 95% CI: 1.31-3.06); in contrast, among primiparous women the association was negative (aOR: 0.47; 95% CI: 0.37-0.60).
conclusionEpisiotomy was performed in far fewer Vietnamese-born women giving birth in Australia than in Viet Nam, where more than 85% undergo the procedure, and was not associated with adverse outcomes. A lower episiotomy rate should be achievable in Viet Nam.
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