ArticleSultan Qaboos University medical journal2014
Midwives' Clinical Reasons for Performing Episiotomies in the Kurdistan Region: Are they evidence-based?
Article in Sultan Qaboos University medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Prevalence and Predictors of Severe Perineal Tears Following Episiotomy: A Cross-Sectional Study in Uganda.International journal of women's health · 2026Article
- The prevalence of episiotomy and associated factors at Shahrara Teaching Hospital in Kabul, Afghanistan.BMC pregnancy and childbirth · 2025Article
- 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
- Episiotomy practice and associated factors among mothers who gave birth at public health facilities in Metema district, northwest Ethiopia.Reproductive health · 2021Article
- Article
- Factors Associated with Episiotomy Practices in Bahirdar City, Ethiopia: A Cross-Sectional Study.Risk management and healthcare policy · 2020Article
- 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
- Effect of workshop training along with simulation and support of labor practitioners on their attitude and performance in conducting routine episiotomy.Journal of education and health promotion · 2019Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAn episiotomy is one of the most common obstetric surgical procedures and is performed mainly by midwives. The decision to perform an episiotomy depends on related clinical factors. This study aimed to find out midwives' reasons for performing episiotomies and to identify the relationship between these reasons and the demographic characteristics of the midwives.
methodsThis cross-sectional study was conducted between 1(st) July and 30(th) September 2013 in three governmental maternity teaching hospitals in the three main cities of the Kurdistan Region of Iraq. All of the midwives who had worked in the delivery rooms of these hospitals for at least one year were invited to participate in the study (n = 53). Data were collected through interviews with midwives as well as via a questionnaire constructed for the purpose of the study. The questionnaire sought to determine: midwives' demographic characteristics; type of episiotomy performed; authority of the decision to perform the procedure, and reasons for performing episiotomies.
resultsTHE MAIN CLINICAL REASONS REPORTED BY MIDWIVES FOR PERFORMING AN EPISIOTOMY WERE: macrosomia/large fetus (38, 71.7%), breech delivery (31, 58.5%), shoulder dystocia (29, 54.7%), anticipated perineal tear (27, 50.9%) and fetal distress (27, 50.9%). There was a significant association between the frequency of these reasons and midwives' total experience in delivery rooms as well as their levels of education.
conclusionMost of the reasons given by the midwives for performing episiotomies were not evidence-based. Age, years of experience, specialties and level of education also had an effect on midwives' reasons for performing episiotomies.
Indexed as
Identifiers
25097773PMC4117663W2236109254What OpenQuestion holds
Registered trials
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