ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2019
Knowledge, Attitude and Practice of Brazilian Obstetricians Regarding Episiotomy.
Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Prevalence of Episiotomy Practice and Associated Factors in Brazil: A Systematic Review.Birth (Berkeley, Calif.) · 2026Pooled it
- Episiotomy Practice and Its Associated Factors in Africa: A Systematic Review and Meta-Analysis.Frontiers in medicine · 2022Pooled it
- Effectiveness of a physical therapy program using peanut ball positions during the first stage of labor on maternal and neonatal outcomes: randomized clinical trial.Brazilian journal of physical therapyTrial
- Knowledge, attitudes and practices of Brazilian obstetricians in relation to childbirth care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Pregnancy and childbirth outcomes among indigenous adolescents in Guatemala: a cohort study.Reproductive health · 2022Article
- Episiotomy in Southern Brazil: prevalence, trend, and associated factors.Revista de saude publica · 2022Article
- 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
- Evolution of care during pregnancy and childbirth in the extreme south of Brazil.Revista de saude publica · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the prevalence of episiotomy and the factors associated with the knowledge, attitude and practice (KAP) of Brazilian obstetricians in relation to this procedure.
methodsA KAP survey was conducted with obstetricians working in Brazil. An electronic form containing structured questions previously evaluated using the Delphi method was created in Google Docs and sent by e-mail. A multivariate logistic regression was performed to determine the principal factors associated with adequate KAP. For each dependent variable (knowledge, attitude and practice) coded as adequate (1 = yes; 0 = no), a multiple logistic regression model was developed. Binary codes (1 = yes and 0 = no) were assigned to every independent or predictor variables. Prevalence ratios (PRs) and their respective 95% confidence intervals (95%CIs) were calculated as measures of relative risk, at a significance level of 5%.
resultsOut of the 13 thousand physicians contacted, 1,163 replied, and 50 respondents were excluded. The mean episiotomy rate reported was of 42%. Knowledge was determined as adequate in 44.5% of the cases, attitude, in 10.9%, and practice, in 26.8% of the cases.
conclusionMost respondents had inadequate knowledge, attitudes and practices regarding episiotomy. Although some factors such as age, teaching, working in the public sector and attending congresses improved knowledge, attitude and practice, we must recognize that episiotomy rates remain well above what would be considered ideal. Adequate knowledge is more prevalent than adequate attitude or practice, indicating that improving knowledge is crucial but insufficient to change the outlook of episiotomies in Brazil.
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