Evidence map›Paper›PMID 32953178›Full record

Observational studyJournal of pregnancy2020

Magnitude of Episiotomy and Associated Factors among Mothers Who Give Birth in Arba Minch General Hospital, Southern Ethiopia: Observation-Based Cross-Sectional Study.

Kassahun Fikadu, Negussie Boti, Birtukan Tadesse, Dureti Mesele, Emenet Aschenaki, Etenesh Toka, Fistum Arega, Tsehaynesh Girma, Abebech Paulos

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of pregnancy, 2020. 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.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Kassahun FikaduMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Negussie BotiSchool of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.ORCID https://orcid.org/0000-0001-8949-573X
Birtukan TadesseMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Dureti MeseleMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Emenet AschenakiMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Etenesh TokaMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Fistum AregaMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Tsehaynesh GirmaMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Abebech PaulosMidwifery Department, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Arba Minch University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpisiotomy is the most common obstetric procedure, performed when the clinical circumstances place the patient at a high risk of high-degree laceration. However, episiotomy should be done with judicious indication to lower perineal laceration with fewer complications. Despite its adverse effects, the magnitude of episiotomy is increasing due to different factors. Therefore, this study is aimed at determining the recent magnitude of episiotomy and at identifying associated factors among women who gave delivery in Arba Minch General Hospital, Southern Ethiopia.

methodsAn institution-based cross-sectional study was conducted from December 15, 2018, to January 30, 2019. A systematic random sampling technique was used to select study participants. A semistructured questionnaire was used to collect data. This was supplemented with a review of the labor and delivery records. Binary and multivariable logistic regression analyses were performed to identify factors associated with the magnitude of episiotomy.

resultsThe magnitude of episiotomy was found to be 272 (68.0%) with 95%CI = 64.0-72.5. Women who attended secondary education [AOR = 10.24, 95%CI = 2.81-37.34], women who attended college and above [AOR = 4.61, 95%CI = 1.27-16.71], birth weight ≥ 3000 g [AOR = 4.84, 95%CI = 2.66-8.82], primipara [AOR = 4.13, 95%CI = 2.40-7.12], being housewife occupants [AOR = 3.43, 95%CI = 1.20-9.98], married women [AOR = 2.86, 95%CI = 1.40-5.84], and body mass index < 25 kg/m

conclusionThe magnitude of episiotomy was 68.0% which is higher than the recommended practice by WHO (10%). The study participants' occupational status, marital status, educational status, parity, birth weight, and BMI were significantly associated with the magnitude of episiotomy in the study area. Therefore, to reduce the rate of episiotomy, it is better to have periodic training for birth attendants regarding the indication of episiotomy.

Indexed as

Labor, ObstetricAdolescentAdultBirth WeightBody Mass IndexCross-Sectional StudiesEducational StatusEpisiotomyEthiopiaFemaleHospitals, GeneralHumansLacerationsMothersOccupationsParity

Identifiers

PMID32953178
PMCPMC7481952
OpenAlexW3081990535

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.