Research Article
Volume 4 Issue 5 - 2022
Factors Associated with Episiotomy Practices in Gondar City at Public Health Facility Northwest Ethiopia: A Cross-Sectional Study

Agerie Mengistie Zeleke*

Department of Midwifery, School of Public Health, Teda Health Science College, Gondar, Ethiopia
*Corresponding Author: Agerie Mengistie Zeleke, Department of Midwifery, School of Public Health, Teda Health Science College, Gondar, Ethiopia.
Received: March 14, 2022; Published: April 22, 2022




Abstract

Background: An episiotomy is a surgical incision made in the perineum and posterior vaginal wall to allow for fetal delivery through a vaginal orifice. It is an obstetric procedure introduced into practice with a clear and acceptable indication of the extent of its limited performance obstetric interventions. Despite its limited acceptable indication, the prevalence of episiotomy is increasing due to different unclear factors. Therefore, this study is aimed at determining the prevalence of episiotomy and associated factors among women who gave birth at Gondar public health facility, Northwest Ethiopia.

Method: A facility-based cross-sectional study was conducted among 411 mothers from September 1 to November 1, 2021. Data were gathered using a structured questionnaire administered by an interviewer and supplemented with a review of the labor and delivery chart. Epi-data version 4.6 and SPSS version 23 software were used for data entry and analysis. Binary logistic regressions (bivariable and multivariable) were performed to identify statistically significant variables. An adjusted odd ratio with a 95% CI was used to declare statistically significant variables based on a p-value < 0.05 in the multivariable logistic regression model.

Result: A total of 411 study participants were interviewed with a response rate of 100%. The prevalence of women undergoing episiotomy was found to be 52.8% with a 95% CI of 47.7–57.4). In the multivariable analysis, being a perimiparous woman (AOR = 8.95; 95% CI: 4.65, 17.20), the presence of labor-related diseases (AOR = 3.03; 95% CI: 1.21, 7.62), having fetal distress (AOR = 4.51; 95% CI: 2.71, 6.49) and fetal weight of 4 kg (AOR = 3.42; 95% CI: 2.64, 6.62) were significantly associated with prevalence of episiotomy.

Conclusions: The prevalence of women undergoing episiotomy was higher than the World Health Organization’s maximum limit of recommendation (10%). Therefore, the practice of routine episiotomy should be abandoned. To reduce this high prevalence of episiotomy practice, obstetric clinical training should be provided for health providers to use the new national guidelines. It is highly advised that the health providers should be followed during labor delivery by an obstetric ultrasound to confirm the clear indication of episiotomy.

Keywords: Episiotomy, Ethiopia, Gondar 

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Citation: Agerie Mengistie Zeleke. “Factors Associated with Episiotomy Practices in Gondar City at Public Health Facility Northwest Ethiopia: A Cross-Sectional Study”. EC Nursing and Healthcare 4.5 (2022): 42-52.

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