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Episiotomy and its relationship to various clinical variables that influence its performance

OBJECTIVE: to understand the episiotomy rate and its relationship with various clinical variables. METHOD: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position d...

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Autores principales: Ballesteros-Meseguer, Carmen, Carrillo-García, César, Meseguer-de-Pedro, Mariano, Canteras-Jordana, Manuel, Martínez-Roche, Mª Emilia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877173/
https://www.ncbi.nlm.nih.gov/pubmed/27224064
http://dx.doi.org/10.1590/1518-8345.0334.2686
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author Ballesteros-Meseguer, Carmen
Carrillo-García, César
Meseguer-de-Pedro, Mariano
Canteras-Jordana, Manuel
Martínez-Roche, Mª Emilia
author_facet Ballesteros-Meseguer, Carmen
Carrillo-García, César
Meseguer-de-Pedro, Mariano
Canteras-Jordana, Manuel
Martínez-Roche, Mª Emilia
author_sort Ballesteros-Meseguer, Carmen
collection PubMed
description OBJECTIVE: to understand the episiotomy rate and its relationship with various clinical variables. METHOD: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. RESULTS: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. CONCLUSIONS: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure.
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spelling pubmed-48771732016-06-03 Episiotomy and its relationship to various clinical variables that influence its performance Ballesteros-Meseguer, Carmen Carrillo-García, César Meseguer-de-Pedro, Mariano Canteras-Jordana, Manuel Martínez-Roche, Mª Emilia Rev Lat Am Enfermagem Original Articles OBJECTIVE: to understand the episiotomy rate and its relationship with various clinical variables. METHOD: a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. Variables: Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed with SPSS 19.0. RESULTS: the global percentage of episiotomies was 50%. The clinical variables that presented a significant association were primiparity (RR=2.98), gestational age >41 weeks (RR=1.2), augmented or induced labor (RR=1.33), epidural analgesia use (RR=1,95), oxytocin use (RR=1.58), lithotomy position during fetal expulsion (RR=6.4), and instrumentation (RR=1.84). Furthermore, maternal age ≥35 years (RR=0.85) and neonatal weight <2500 g (RR=0.8) were associated with a lower incidence of episiotomy. CONCLUSIONS: episiotomy is dependent on obstetric interventions performed during labor. If we wish to reduce the episiotomy rate, it will be necessary to bear in mind these risk factors when establishing policies for reducing this procedure. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016-05-20 /pmc/articles/PMC4877173/ /pubmed/27224064 http://dx.doi.org/10.1590/1518-8345.0334.2686 Text en http://creativecommons.org/licenses/by/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
Ballesteros-Meseguer, Carmen
Carrillo-García, César
Meseguer-de-Pedro, Mariano
Canteras-Jordana, Manuel
Martínez-Roche, Mª Emilia
Episiotomy and its relationship to various clinical variables that influence its performance
title Episiotomy and its relationship to various clinical variables that influence its performance
title_full Episiotomy and its relationship to various clinical variables that influence its performance
title_fullStr Episiotomy and its relationship to various clinical variables that influence its performance
title_full_unstemmed Episiotomy and its relationship to various clinical variables that influence its performance
title_short Episiotomy and its relationship to various clinical variables that influence its performance
title_sort episiotomy and its relationship to various clinical variables that influence its performance
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877173/
https://www.ncbi.nlm.nih.gov/pubmed/27224064
http://dx.doi.org/10.1590/1518-8345.0334.2686
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