ArticleReproductive health2019
Potential excess of vaginal examinations during the management of labor: frequency and associated factors in 13 Peruvian hospitals.
Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Burden and determinants of puerperal sepsis in Ethiopia: a systematic review and meta-analysis.European journal of medical research · 2025Pooled it
- Exploratory Non-invasive Estimation of Cervical Dilation from Electrohysterography and Maternal Data: A Machine-Learning Proof-of-Concept Study.Annals of biomedical engineering · 2026Article
- Surgical site infection and associated factors among women who underwent cesarean delivery at Gandhi Memorial Hospital, Addis Ababa, Ethiopia.BMC pregnancy and childbirth · 2026Article
- Holistic perinatal care during intimate examinations: An integrative review.Health SA = SA Gesondheid · 2025Review
- Psychosocial needs of women undergoing perinatal intimate examinations.Health SA = SA Gesondheid · 2025Article
- Early onset neonatal sepsis and its associatited factors: a cross sectional study.BMC pregnancy and childbirth · 2024Article
- Risk factors associated with severe perineal lacerations during vaginal delivery: a 10-year propensity score-matched observational study.AJOG global reports · 2023Article
- Designing a respectful maternity care guideline: a multiphase study.Reproductive health · 2022Article
- Cervical Dilation Classification from Electrohysterography and Clinical Features: A Machine-Learning-Derived Digital Biomarker.Digital biomarkersArticle
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Authors and funding
4 authors at 4 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundA high number of vaginal examinations (VEs) may lead to a higher risk of infections, as well as discomfort/dissatisfaction with intrapartum care.
objectiveTo determine the frequency of potential excess of vaginal examinations (PEVE) during the management of labor and identify its associated factors, in Peruvian hospitals.
methodsSecondary analysis of the data collected in the DisrespEct and abuse during ChIlDbirth in pEru (DECIDE) study, held between April and May 2016. In this study, women hospitalized in Peruvian hospitals right after giving birth were surveyed by trained personnel. PEVE, the main outcome, was considered as five or more vaginal examinations (VEs) performed during the management of labor. Poisson regression models with robust variance were performed to calculate crude and adjusted prevalence ratios (cPR and aPR) as well as their 95% confidence intervals (95% CI).
resultsOne thousand four hundred twenty registries of 13 hospitals from 8 Peruvian cities were evaluated. The number of women studied at each hospital ranged between 100 and 129. The median age was 26 years (interquartile rank: 22-31). The median number of VEs was 3 (interquartile rank: 2-5). The proportion of women who underwent PEVE was 33.9%, this ranged from 0.9 to 69.9% at the studied hospitals. The frequency of PEVE was higher in women who attended > 2 obstetric psychoprophylaxis sessions, compared to those who attended ≤ 2 sessions (aPR: 1.78 95% CI: 1.01-3.12); and among women who gave birth between 18:00 h and 23:59 h, compared to those who did it between 7:00 and 17:59 h (aPR: 1.28 95% CI: 1.04-1.57).
conclusionAround one in three women underwent a PEVE, although this frequency varied widely across the evaluated hospitals. Women with more psychoprophylaxis sessions, and who gave birth between 18:00 h and 23:59 h, had a higher PEVE frequency. Future studies should assess in depth the causes and consequences of this high frequency.
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