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Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China
OBJECTIVE: Episiotomy is still performed widely by obstetricians and midwives in some Chinese maternity units, but the reasons are unknown. This study aims to determine the knowledge, attitude and experience towards the practice of episiotomy among obstetricians and midwives in China’s public hospit...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047989/ https://www.ncbi.nlm.nih.gov/pubmed/33846148 http://dx.doi.org/10.1136/bmjopen-2020-043596 |
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author | Yang, Jingxuan Bai, Hua |
author_facet | Yang, Jingxuan Bai, Hua |
author_sort | Yang, Jingxuan |
collection | PubMed |
description | OBJECTIVE: Episiotomy is still performed widely by obstetricians and midwives in some Chinese maternity units, but the reasons are unknown. This study aims to determine the knowledge, attitude and experience towards the practice of episiotomy among obstetricians and midwives in China’s public hospitals and consider strategies to reduce its practice. METHODS: A cross-sectional web survey using a self-administered questionnaire was conducted among obstetricians and midwives in 90 public hospitals in Henan Province, China. RESULTS: 900 (82.21%) participants completed the questionnaire. Average knowledge level (4.15, SD=1.10) on complications and overuse was identified among participants. Episiotomy was performed more frequently in secondary hospitals than in tertiary hospitals (p<0.05). Senior clinicians were more likely to perform episiotomy than younger ones (p<0.05). Almost half of the clinicians (42.11%) considered the current rate of episiotomy (45%) to be right or too low. The most common reason for performing episiotomy identified by obstetricians (83.94%) and midwives (79.69%) was to reduce third-degree or fourth-degree perineal laceration. Both obstetricians (80.29%) and midwives (82.57%) agreed that the most significant obstacle to reducing the rate of episiotomy was lack of training on reducing perineal tears. CONCLUSION: In sum, episiotomy was driven by previous training, practitioners’ experience and local norms rather than the latest medical evidence. Clinicians in secondary hospitals and senior clinicians are key training targets. It is urgent to improve current clinical policies and surgical procedure guidelines for obstetricians and midwives regarding episiotomy. |
format | Online Article Text |
id | pubmed-8047989 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-80479892021-04-28 Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China Yang, Jingxuan Bai, Hua BMJ Open Obstetrics and Gynaecology OBJECTIVE: Episiotomy is still performed widely by obstetricians and midwives in some Chinese maternity units, but the reasons are unknown. This study aims to determine the knowledge, attitude and experience towards the practice of episiotomy among obstetricians and midwives in China’s public hospitals and consider strategies to reduce its practice. METHODS: A cross-sectional web survey using a self-administered questionnaire was conducted among obstetricians and midwives in 90 public hospitals in Henan Province, China. RESULTS: 900 (82.21%) participants completed the questionnaire. Average knowledge level (4.15, SD=1.10) on complications and overuse was identified among participants. Episiotomy was performed more frequently in secondary hospitals than in tertiary hospitals (p<0.05). Senior clinicians were more likely to perform episiotomy than younger ones (p<0.05). Almost half of the clinicians (42.11%) considered the current rate of episiotomy (45%) to be right or too low. The most common reason for performing episiotomy identified by obstetricians (83.94%) and midwives (79.69%) was to reduce third-degree or fourth-degree perineal laceration. Both obstetricians (80.29%) and midwives (82.57%) agreed that the most significant obstacle to reducing the rate of episiotomy was lack of training on reducing perineal tears. CONCLUSION: In sum, episiotomy was driven by previous training, practitioners’ experience and local norms rather than the latest medical evidence. Clinicians in secondary hospitals and senior clinicians are key training targets. It is urgent to improve current clinical policies and surgical procedure guidelines for obstetricians and midwives regarding episiotomy. BMJ Publishing Group 2021-04-12 /pmc/articles/PMC8047989/ /pubmed/33846148 http://dx.doi.org/10.1136/bmjopen-2020-043596 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Obstetrics and Gynaecology Yang, Jingxuan Bai, Hua Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China |
title | Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China |
title_full | Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China |
title_fullStr | Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China |
title_full_unstemmed | Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China |
title_short | Knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from China |
title_sort | knowledge, attitude and experience of episiotomy practice among obstetricians and midwives: a cross-sectional study from china |
topic | Obstetrics and Gynaecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047989/ https://www.ncbi.nlm.nih.gov/pubmed/33846148 http://dx.doi.org/10.1136/bmjopen-2020-043596 |
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