ArticleBMJ open2021
Understanding the perspectives and values of midwives, obstetricians and obstetric registrars regarding episiotomy: qualitative interview study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Trial
- Impact of Episiotomy on Postpartum Pain, Pelvic Floor Function, and Sexual Health: A Propensity Score-Matched Cohort Study and Prediction Model Development.International urogynecology journal · 2026Article
- Accurate prediction of mediolateral episiotomy risk during labor: development and verification of an artificial intelligence model.BMC pregnancy and childbirth · 2025Article
- Utilizing machine learning to predict the risk factors of episiotomy in parturient women.AJOG global reports · 2025Article
- The Efficacy of Honey for the Treatment of Perineal Wounds Following Vaginal Birth: A Narrative Review.Pharmaceuticals (Basel, Switzerland) · 2025Review
- Obstetric Interventions Among Native and Migrant Women: The (Over)use of Episiotomy in Portugal.International journal of public health · 2024Article
- The ethics of consent during labour and birth: episiotomies.Journal of medical ethics · 2023Article
- Influence of the maternity unit and region of delivery on episiotomy practice in France: a nationwide population-based study.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Perineal stress as a predictor of performing episiotomy in primiparous women: a prospective observational study.BMC pregnancy and childbirth · 2022Observational
- 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
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInsight into perspectives and values of care providers on episiotomy can be a first step towards reducing variation in its use. We aimed to gain insight into these perspectives and values.
settingMaternity care in the Netherlands.
participantsMidwives, obstetricians and obstetric registrars working in primary, secondary or tertiary care, purposively sampled, based on their perceived episiotomy rate and/or region of work. PRIMARY AND SECONDARY OUTCOME MEASURES: Perspectives and values of care providers which were explored using semistructured in-depth interviews.
resultsThe following four themes were identified, using the evidence-based practice-model of Satterfield
conclusionsCare providers' underlying vision on episiotomy and childbirth was an important contributor to the large variations in episiotomy usage. Their clinical expertise was a more important component in decision-making on episiotomy than the literature. Women were minimally involved in the decision for performing episiotomy. More research is required to achieve consensus on indications for episiotomy.
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