{"title":"会阴切开术在产科实践中的应用","authors":"Shalini Singh , Tushita Thakur , Nomita Chandhiok , B.S. Dhillon","doi":"10.1016/j.jrhm.2016.02.001","DOIUrl":null,"url":null,"abstract":"<div><p><span>A survey of private and public sector maternity care providers was carried out to understand their perspective on use of current guidelines advocating selective use of episiotomy. Nearly 90% of the providers were aware of guidelines on selective episiotomy use but significantly higher proportion (</span><em>p</em> <!-->=<!--> <!-->0.03) of private practitioners (56.6%) advocated its use in all nullipara as compared to public sector doctors (23.3%). In actual practice, however, nearly 80% providers reported performing episiotomy in more than 75% nullipara with no difference between private and public sector doctors. Thus, awareness of current evidence was not reflected in clinical practice.</p></div>","PeriodicalId":91915,"journal":{"name":"Journal of reproductive health and medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrhm.2016.02.001","citationCount":"1","resultStr":"{\"title\":\"Provider perspective on use of episiotomy in obstetric practice\",\"authors\":\"Shalini Singh , Tushita Thakur , Nomita Chandhiok , B.S. Dhillon\",\"doi\":\"10.1016/j.jrhm.2016.02.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span>A survey of private and public sector maternity care providers was carried out to understand their perspective on use of current guidelines advocating selective use of episiotomy. Nearly 90% of the providers were aware of guidelines on selective episiotomy use but significantly higher proportion (</span><em>p</em> <!-->=<!--> <!-->0.03) of private practitioners (56.6%) advocated its use in all nullipara as compared to public sector doctors (23.3%). In actual practice, however, nearly 80% providers reported performing episiotomy in more than 75% nullipara with no difference between private and public sector doctors. Thus, awareness of current evidence was not reflected in clinical practice.</p></div>\",\"PeriodicalId\":91915,\"journal\":{\"name\":\"Journal of reproductive health and medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.jrhm.2016.02.001\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of reproductive health and medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214420X1600019X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of reproductive health and medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214420X1600019X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Provider perspective on use of episiotomy in obstetric practice
A survey of private and public sector maternity care providers was carried out to understand their perspective on use of current guidelines advocating selective use of episiotomy. Nearly 90% of the providers were aware of guidelines on selective episiotomy use but significantly higher proportion (p = 0.03) of private practitioners (56.6%) advocated its use in all nullipara as compared to public sector doctors (23.3%). In actual practice, however, nearly 80% providers reported performing episiotomy in more than 75% nullipara with no difference between private and public sector doctors. Thus, awareness of current evidence was not reflected in clinical practice.