Prevalence of Episiotomy and Its Associated Factors in University of Gondar Comprehensive Specialized Referral Hospital: A Retrospective Study from Ethiopia
American Journal of Life Sciences
Volume 8, Issue 1, February 2020, Pages: 9-13
Received: Oct. 23, 2019;
Accepted: Apr. 23, 2020;
Published: Apr. 29, 2020
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Yonas Teshome, Department of Biomedical Science, College of Medicine, Debre Birhan University, Debre Berhan, Ethiopia
Mengistu Mekonen, Department of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
Tariku Sisay, Department of Biomedical Science, College of Health Sciences, Mizan Tepi University, Mizan Teferi, Ethiopia
Getahun Chala, Department of Physiology, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
Amanuael Mengistu, Department of Internal Medicine, Debre Berhan Hospital, Debre Berhan, Ethiopia
Sisay Shewasinad, Department of Nursing, College of Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia
Negese Worku, Department of Biomedical Science, College of Medicine, Debre Birhan University, Debre Berhan, Ethiopia
Background: Episiotomy is a surgical incision of the perineum during delivery to enlarge the vaginal orifice. It is one of the most commonly performed obstetric intervention world widely. The magnitude of episiotomy varies from population to population. Limited information exists related to the practice of episiotomy in Ethiopia. This study aimed to assess the prevalence of episiotomy and its associated factors in University of Gondar Comprehensive Specialized Referral Hospital, Ethiopia. Methods: Institution based retrospective cross-sectional study was undertaken from March to June 2014 on 306 mothers who had a vaginal delivery in the Hospital. Systematic random sampling technique was employed to select study units. The data were collected using pretested cheek list. Proportion of patients who had episiotomy was calculated and the association between dependent and independent variables was checked using both binary and multiple logistic regression and Chi-square. Results: Prevalence of episiotomy in University of Gondar Comprehensive specialized Referral Hospital was 47.7% (n = 146). Majority (89.5%) of the delivery was spontaneous vaginal delivery while vacuum, forceps and destructive delivery were 4.6%, 4.6%, and 1.3% respectively. During pregnancy and delivery, 84% of mothers had no associated diseases while 8% had hypertensive disorder, 5% diabetes mellitus and 3% of them has other diseases. After multivariate analysis episiotomy was significantly associated with maternal age (15-24 years) (p = 0.041, AOR (CI 95%) 1.65 (1.02 - 2.66)), primiparity (p =0.010, AOR (CI 95%) 2.61 (1.54 - 4.44)), prolonged labor (p = 0.001, COR (CI 95%) 6.45 (2.89 - 14.38)), and weight of newborn (p = 0.044, COR (CI 95%) 2.48 (1.16, 5.31)). Conclusion: Prevalence of episiotomies in the institution was 47.7% and variables that remained associated significantly with episiotomy were maternal age, primiparity, prolonged labor, and newborn weight.
Prevalence of Episiotomy and Its Associated Factors in University of Gondar Comprehensive Specialized Referral Hospital: A Retrospective Study from Ethiopia, American Journal of Life Sciences.
Vol. 8, No. 1,
2020, pp. 9-13.
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