ArticleRevista latino-americana de enfermagem2016
Episiotomy and its relationship to various clinical variables that influence its performance.
Article in Revista latino-americana de enfermagem, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- Episiotomy Practice and Its Associated Factors in Africa: A Systematic Review and Meta-Analysis.Frontiers in medicine · 2022Pooled it
- Trial
- Episiotomy practice and perineal outcomes in low risk vaginal deliveries: comparing a hospital attached birth center and delivery suite in Beirut, Lebanon.Future science OA · 2026Article
- Selective episiotomy guided by a perineal evaluation form for forceps-assisted vaginal delivery: a retrospective cohort study on maternal and neonatal outcomes.BMC pregnancy and childbirth · 2026Article
- Restrictive approach to episiotomy and the risk of third- and fourth-grade perineal tears: An analytical cross-sectional study at a rural tertiary hospital in South Africa.Journal of the colleges of medicine of South Africa · 2026Article
- Assessing the quality of life of postpartum mothers with episiotomy in the first six post-partum weeks: a descriptive cross-sectional study.BMC pregnancy and childbirth · 2025Article
- Utilizing machine learning to predict the risk factors of episiotomy in parturient women.AJOG global reports · 2025Article
- [Frequency of episiotomy practice in an institution in Quito, Ecuador 2009-2022].Revista colombiana de obstetricia y ginecologia · 2024Article
- Analysis of Maternal Positions during the Dilation and Expulsive Phase and Their Relationship with Perineal Injuries in Eutocic Deliveries Attended by Midwives.Healthcare (Basel, Switzerland) · 2024Article
- Prevalence of episiotomy and associated factors among women who gave birth at public health facilities in Jigjiga town, eastern Ethiopia: A cross-sectional study.PLOS global public health · 2024Article
- Obstetric Complications in Women from Sub-Saharan Africa-A Cross-Sectional Study.International journal of environmental research and public health · 2022Observational
- Episiotomy for Medical Indications during Vaginal Birth-Retrospective Analysis of Risk Factors Determining the Performance of This Procedure.Journal of clinical medicine · 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
- Influence of a Virtual Exercise Program throughout Pregnancy during the COVID-19 Pandemic on Perineal Tears and Episiotomy Rates: A Randomized Clinical Trial.Journal of clinical medicine · 2021Article
- Health care workers' perceptions of episiotomy in the era of respectful maternity care: a qualitative study of an obstetric training program in Mexico.BMC pregnancy and childbirth · 2021Article
- Episiotomy practices in France: epidemiology and risk factors in non-operative vaginal deliveries.Scientific reports · 2020Article
- 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
- Factors Associated with Episiotomy Practices in Bahirdar City, Ethiopia: A Cross-Sectional Study.Risk management and healthcare policy · 2020Article
- 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
- Intact Perineum: What are the Predictive Factors in Spontaneous Vaginal Birth?Materia socio-medica · 2019Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveto understand the episiotomy rate and its relationship with various clinical variables.
methoda descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. VARIABLES: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0.
resultsthe global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy.
conclusionsepisiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.
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