ArticleBMJ open2018
Episiotomy practice in six Palestinian hospitals: a population-based cohort study among singleton vaginal births.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02427854 (Can Perineal Tears and Obstetric Anal Sphincter Injuries in Palestine be Prevented? A Study of Two Different Interventions), which is not on this map. Cited by 7 papers.
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The trial behind it
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.
Can Perineal Tears and Obstetric Anal Sphincter Injuries in Palestine be Prevented? A Study of Two Different Interventions
Who cites it
7 citing papers in PubMed.
- 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
- 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
- Low-Value Surgical Procedures in Low- and Middle-Income Countries: A Systematic Scoping Review.JAMA network open · 2023Article
- The perception and knowledge about episiotomy: A cross-sectional survey involving healthcare workers in a low- and middle-income country.African journal of primary health care & family medicine · 2021Article
- Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China.BMJ open · 2021Article
- A novel classification for evaluating episiotomy practices: application to the Burgundy perinatal network.BMC pregnancy and childbirth · 2019Article
- Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study.Obstetrics and gynecology international · 2018Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the rates, characteristics and indications for episiotomy among women delivering vaginally for the first time, as well as parous women. STUDY
designA prospective, population-based birth cohort study.
settingObstetric departments in six Palestinian government hospitals.
participantsAll women with singleton vaginal births (n=29 165) from 1 March 2015 until 1 March 2016.
methodsAll women were divided into two groups: first vaginal birth group (n=9108), including primiparous women and women with their first vaginal birth after one caesarean section, and the parous group (n=20 057). Each group was analysed separately. Data were presented as numbers and percentages or range. Differences in rates were assessed by the p values of χ
main outcome measuresEpisiotomy rates and indications among women of singleton births.
resultsThe overall episiotomy rate was 28.7%: 78.8% for women with first vaginal birth (range 56.6%-86.0%) and 5.9% for parous women (range 1.0%-9.5%). The most common indications for episiotomy were 'primiparity' in the first vaginal birth group (69.9%) and 'protecting the perineum' in the parous group (59.5%). The least common indications were prolonged second stage (1.5%) and fetal distress (6.9%), respectively.
conclusionIn Palestine, the majority of women who delivered vaginally for the first time had an episiotomy. Education of birth attendants, clinical audits, educational interventions and adherence to the updated guidelines may help to decrease the routine overuse of episiotomy.
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