ArticleBMC pregnancy and childbirth2015
Knowledge, attitude and experience of episiotomy use among obstetricians and midwives in Viet Nam.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 34 citations in OpenAlex.
- Article
- An Evaluation of Polish Women's Knowledge of Perineal Incision: A Cross-Sectional Study.Journal of clinical medicine · 2025Article
- Promoting Respectful Maternity Care by Reducing Unnecessary Episiotomies: Experiences from Centers of Excellence for Breastfeeding in Vietnam.Healthcare (Basel, Switzerland) · 2023Article
- Women acceptance of episiotomy procedure before and after receiving educational materials: Pretest posttest study.European journal of obstetrics & gynecology and reproductive biology: X · 2022Article
- Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China.BMJ open · 2021Article
- Article
- Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study.BMC pregnancy and childbirth · 2020Article
- Pelvic Floor and Sexual Dysfunction After Vaginal Birth With Episiotomy in Vietnamese Women.Sexual medicine · 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
- Associations with perineal trauma during childbirth at home and in health facilities in indigenous municipalities in southern Mexico: a cross-sectional cluster survey.BMC pregnancy and childbirth · 2018Article
- Factors associated with a low prevalence of exclusive breastfeeding during hospital stay in urban and semi-rural areas of southern Vietnam.International breastfeeding journal · 2018Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEpisiotomy remains a routine procedure at childbirth in many South-East Asian countries but the reasons for this are unknown. The aim of this study was to determine the knowledge of, attitudes towards and experience of episiotomy use among clinicians in Viet Nam.
methodsAll obstetricians and midwives who provide delivery care at Hung Vuong Hospital were surveyed about their practice, knowledge and attitudes towards episiotomy use. Data were analysed using frequency tabulations and contingency table analysis.
results148 (88%) clinicians completed the questionnaire. Fewer obstetricians (52.2%) than midwives (79.7%) thought the current episiotomy rate of 86% was about right (P < 0.01). Most obstetricians (82.6%) and midwives (98.7%) reported performing episiotomies on nulliparous women over 90% of the time. Among multipara, 24.6% of obstetricians reported performing episiotomy less than 60% of the time compared with only 3 (3.8%) midwives (P < 0.01). Aiming to reduce 3rd-4th degree perineal tears was the most commonly reported reason for performing an episiotomy by both obstetricians (76.8%) and midwives (82.3%), and lack of training in how to minimize tears and keep the perineum intact was the mostly commonly reported obstacle (obstetricians 56.5%, midwives 36.7% P = 0.02) to reducing the episiotomy rate.
conclusionAlthough several factors that may impede or facilitate episiotomy practice change were identified by our survey, training and confidence in normal vaginal birth without episiotomy is a priority.
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