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

Autor: Carmen Ballesteros-Meseguer, César Carrillo-García, Mariano Meseguer-de-Pedro, Manuel Canteras-Jordana, Mª Emilia Martínez-Roche
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2016
Předmět:
Zdroj: Revista Latino-Americana de Enfermagem, Vol 24, Iss 0 (2016)
Druh dokumentu: article
ISSN: 1518-8345
DOI: 10.1590/1518-8345.0334.2686
Popis: 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
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