2020
DOI: 10.1590/0034-7167-2019-0899
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Abstract: Objective: To analyze the factors associated with the performance of episiotomy. Methods: Cross-sectional study, developed with data from the research “Born in Belo Horizonte: Labor and birth survey, “conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio. Results: Episiotomy was performed in 26.34% of women, and 59.21% knew t… Show more

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Cited by 12 publications
(7 citation statements)
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“…14,15 In one study it was estimated that 40.79% of women were not aware of undergoing the procedure. 16 A similar situation was detected during this study, where the majority of women were not informed about the procedure before it was made and did not provide their consent to it. The decision of performing the procedure was made mostly by their health care provider, a similar situation is also observed in other studies.…”
Section: Discussionsupporting
confidence: 65%
“…14,15 In one study it was estimated that 40.79% of women were not aware of undergoing the procedure. 16 A similar situation was detected during this study, where the majority of women were not informed about the procedure before it was made and did not provide their consent to it. The decision of performing the procedure was made mostly by their health care provider, a similar situation is also observed in other studies.…”
Section: Discussionsupporting
confidence: 65%
“…Soleimanzadeh et al (2020) proved that the mean age of mothers who had an episiotomy was significantly lower than that of mothers without an episiotomy [ 22 ]. Aguiar B. et al (2020) came to the same conclusion [ 24 ]. Rasouli et al (2016) did not show any correlation between this medical intervention and the place of residence, profession, or race, but found a correlation between the episiotomy and the mother’s education (more often among women with higher education) [ 23 ].…”
Section: Discussionmentioning
confidence: 62%
“…Soleimanzadeh et al (2020) found that 90% of Iranian women who had experienced an episiotomy had their first delivery, while for women who did not have an episiotomy, only 4% [ 22 ]. The results of the research by Beyene et al (2020), Rasouli et al (2016), and Aguiar B. et al (2020) also confirm a significant relationship between the first delivery and more frequent performance of episiotomy [ 8 , 23 , 24 ]. A study by Wu L. at al.…”
Section: Discussionmentioning
confidence: 82%
“…(21) Similar to prior research, we found that primiparous as compared to multiparous mothers, regardless of age, were at higher risk for episiotomy (age < 25 multiparous AIRR 0.71, 95% CI 0.66-0.77; age ≥ 25 AIRR 0.71, 95% CI 0.66-0.77). (19,33) Other signi cant maternal or pregnancy characteristics in the adjusted analysis included higher gestational age (37-40 weeks AIRR 1.25, 95% CI 1.15-1.36; > 40 weeks AIRR 1.33, 95% CI 1.22-1.46), multiple gestations (AIRR 1.57, 95% CI 1.25-1.98), and higher fetal weight (middle tertile AIRR 1.19, 95% CI 1.12-1.26; highest tertile AIRR 1.43, 95% CI 1.33-1.54), all of which t the typical clinical justi cations for episiotomy. Interestingly, while assisted vaginal delivery is a more accepted indication for episiotomy-to facilitate placement of a vacuum or forceps-we found it was less likely to be used in these births [AIRR 0.76 (95% CI 0.60-0.96)] though the p-value did not meet the prespeci ed cut-off of p < 0.05 when adjusted using the BH procedure.…”
Section: Discussionmentioning
confidence: 99%
“…The vast majority of studies identi ed by a 2019 systematic review and more recent publications-including from India, which accounts for approximately onefth of births worldwide-represent data from a single hospital. (19)(20)(21)(22)(23)(24)(25) Understanding representative trends in episiotomy use globally is important given mounting evidence that most women prefer to avoid the procedure; its use without full patient consent is a common example of disrespectful and abusive maternity care that can deter women from seeking facility-based delivery, a key strategy to reducing maternal mortality. (26,27) The Maternal Newborn Health Registry (MNHR) is a large ongoing prospective population-based pregnancy cohort founded to address gaps in global health research.…”
mentioning
confidence: 99%