Prevalence of episiotomy practice and factors associated with it in Ethiopia, systematic review and meta-analysis

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2022-01-01 DOI:10.1177/17455057221091659

Zerihun Figa Deyaso, Tesfaye Temesgen Chekole, Rediet Gido Bedada, W. Molla, Etaferahu Bekele Uddo, Tizalegn Tesfaye Mamo

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引用次数: 5

Abstract

An episiotomy is one of the most commonly performed obstetrics surgeries indicated in emergencies during the second stage of labor like fetal distress, dystocia, and tight perineum. As a result, this systematic review and meta-analysis aimed to assess the prevalence of episiotomy practice and associated factors in Ethiopia. Ten cross-sectional studies with a total population of 3718 were included in this study. The search was done using online databases like PubMed, HINARI, Web of Science, other gray, and online repositories of Universities. All the included papers were extracted and appraised using the standard extraction sheet format of JOANNA Briggs Institute. The Cochran Q-test and I2 statistics test were used to test the heterogeneity of studies. To detect the publication bias of the included studies, a funnel plot and Egger’s test were used. The pooled prevalence of episiotomy practice and the odds ratio with a 95% confidence interval were presented using forest plots. The overall pooled prevalence of episiotomy practice was 45.11% (95% CI; 37.04–53.18; I2 = 96.3%). Prolonged second stage of labor (OR: 4.79, 95% CI: 3.03, 7.57), face presentation (OR: 4.26, 95% CI: 1.21, 15.07), birth weight > 4000 g (OR: 6.71, 95% CI: 3.14–14.33), instrumental delivery (OR: 4.26, 95% CI 2.95, 6.14), and primiparity (OR: 3.70, 95% CI: 1.90, 7.2) were factors associated with episiotomy practice. The overall prevalence of episiotomy practice was higher in Ethiopia compared to studies conducted in other countries. The prolonged second stage of labor, face presentation, birth weight > 4000 g, instrumental delivery, and primiparity of women were the factors associated with episiotomy practice. Therefore, efforts should be made to prevent routine episiotomy practice through creating awareness, adjusting national guidelines, affecting the World Health Organization episiotomy policy, and monitoring the activities of the health care facilities in executing the protocols.

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埃塞俄比亚外阴切开术的患病率及其相关因素，系统回顾和荟萃分析

会阴切开术是最常见的产科手术之一，用于分娩第二阶段的紧急情况，如胎儿窘迫、难产和会阴紧张。因此，本系统综述和荟萃分析旨在评估外阴切开术在埃塞俄比亚的流行程度及其相关因素。本研究纳入了10项横断面研究，共3718人。搜索是使用在线数据库，如PubMed, HINARI, Web of Science，其他灰色和在线大学知识库完成的。所有纳入的论文均采用乔安娜布里格斯研究所的标准提取表格格式进行提取和评价。采用Cochran q检验和I2统计量检验检验研究的异质性。为检测纳入研究的发表偏倚，采用漏斗图和Egger检验。外阴切开术的总流行率和95%置信区间的比值比采用森林图表示。外阴切开术的总流行率为45.11% (95% CI;37.04 - -53.18;i2 = 96.3%)。第二产程延长(OR: 4.79, 95% CI: 3.03, 7.57)、面部表现(OR: 4.26, 95% CI: 1.21, 15.07)、出生体重> 4000 g (OR: 6.71, 95% CI: 3.14-14.33)、器械分娩(OR: 4.26, 95% CI: 2.95, 6.14)和初产(OR: 3.70, 95% CI: 1.90, 7.2)是与会阴切开术相关的因素。与其他国家进行的研究相比，埃塞俄比亚外阴切开术的总体流行率更高。第二产程延长、面部表现、出生体重> 4000 g、辅助分娩和女性初产是影响会阴切开术的因素。因此，应通过提高认识、调整国家准则、影响世界卫生组织的外阴切开术政策和监测卫生保健机构在执行议定书方面的活动，努力防止常规的外阴切开术做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.