Abstract
Background
An episiotomy is a surgical technique that widens the perineum during the second stage of childbirth. Therefore, the goal of this study was to assess the prevalence of episiotomy and the variables that affect it among women who gave birth in the town of Debre Tabor, in 2021.
Methods
In the Debre Tabor municipality’s four designated health center regions, 402 women who gave birth were included in a cross-sectional study. Systematic random selection was used to choose the study subjects. In SPSS version 23, data were entered, cleaned up, and analyzed using descriptive and inferential statistics. The use of binary and multivariable logistic regression models allowed the researchers to identify characteristics related to episiotomy magnitude. Using a 0.05 p value, the level of statistically significant variables was also calculated.
Result
Out of a total of 402 deliveries for this inquiry, the magnitude of the episiotomy was calculated to be 35.1% of those deliveries. About 127 women, or the bulk of respondents, were between the ages of 25 and 29 (33.1%). Face presentation was 4.7 times more common among primiparous women than breech and vertex presentation, and midwifery professionals and midwifery students were 5.5 times higher than internship medicine and health officer students. The odds of performing an episiotomy were 3.7 times higher among primiparous women compared to multiparous women (AOR = 3.754 (1.382–15.108)).
Conclusion
The magnitude of episiotomy in this study was somewhat larger than the World Health Organization’s recommendation of 10% .Instrumental delivery, neonatal presentation, experts allocated to the delivery ward, and the mother’s parity were all shown to be strongly linked with the practice of episiotomy.
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Data Availability
Datasets collected and analyzed for the current study is available from the corresponding author and can be obtained on a reasonable request and data are kept in the manuscript.
Abbreviations
- DTCSH:
-
Debre Tabor comprehensive specialized Hospital
- DTU:
-
Debre Tabor University
- GA:
-
Gestational Age and WHO:World Health Organization
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Acknowledgements
We would like to express our deepest gratitude to Debre Tabor University, College of Health Science, for providing this opportunity. We are grateful to the data collectors and participants for providing valuable information and making episiotomy data available in a timely manner.
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The author did not receive funding for this study.
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“M.B. wrote the proposal, was given training on data collection, analyzed the data, and drafted the paper, approved the proposal with some revisions, participated in data collection, initiated the concept and developed the proposal; and was involved in data collection and S.B. writing up of the draft manuscript. “The final version of the manuscript was read, agreed upon, and approved by all authors.“
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Ethics Approval and Consent to Participate
Ethical clearance, approval, and a supporting official letter were obtained from Debre Tabor University; college of health sciences. It was communicated to all administrative levels as well as the heads of each hospital department. The purpose and objective of the study were explained to each participant; verbal consent was obtained from each participant. The confidentiality of the information was maintained throughout by making the data collection anonymous and keeping their privacy during the interview by interviewing them alone.
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Bezie, M., Biru, S. Prevalence and its Associated Factors of Episiotomy Practice Among Mothers Who Gave Birth in Debre Tabor Town Northwest Ethiopia: An Institutional Based -Cross-Sectional Study. Matern Child Health J 27, 873–877 (2023). https://doi.org/10.1007/s10995-023-03603-w
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DOI: https://doi.org/10.1007/s10995-023-03603-w