会阴切开术的患病率和决定因素:横断面调查

Journal of Medicine, Physiology and Biophysics Pub Date : 2021-01-01 DOI:10.7176/jmpb/69-02

Bisrat Tamene

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引用次数: 0

摘要

外阴切开术是产科最常见的手术之一;定义为分娩第二阶段会阴扩大切口，以增加阴道出口直径，促进婴儿出生。限制性会阴切开术包括只有在有指征时才进行会阴切开术。2018年世卫组织外阴切开术政策建议避免对自然阴道分娩的妇女常规或随意使用外阴切开术。然而，据报道，在发展中国家，外阴切开术的流行率很高，在研究领域的评估有限。方法:采用横断面研究设计评估埃塞俄比亚亚的斯亚贝巴圣保罗医院会阴切开术的患病率和决定因素。该研究包括2016年7月至6月在该医院的所有阴道分娩。审查了选定期间344例分娩的医疗图表，以便进行分析。采用系统抽样对研究参与者进行调查。使用SPSS 23.0 for Windows的社会科学统计软件包对数据进行清理和分析。计算平均值、百分比和比值，采用交叉表法比较不同变量，并采用卡方分析评估各种关系，P < 0.05为显著水平。结果:共有344名阴道分娩的妇女被纳入研究。年龄18 ~ 40岁，平均25.53岁(SD±4.601)岁。外阴切开术的患病率为41.9%。二元logistic分析显示，产次会阴切开术次数(P<0.001)与ANC随访地点(P=0.019)、第二产程时间(P=0.001)、新生儿体重(P<0.001)均有统计学意义。结论:研究表明，与世界卫生组织推荐的限制性手术相比，会阴切开术的患病率较高。指导方针和实践的评估必须到位，以提高安全的实践会阴切开术的机构。DOI: 10.7176/JMPB/69-02出版日期:3月31日202

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Prevalence and Determinants of Episiotomy: Cross Sectional Survey

Introduction: Episiotomy is one of the most common procedures in obstetrics; defined as perineum enlargement incision during the second stage of labor to increase the diameter of vaginal outlet to facilitate baby birth. Restrictive episiotomy involves performing an episiotomy only when there is an indication. The 2018 WHO episiotomy policy recommend to avoid routine or liberal use of episiotomy for women undergoing spontaneous vaginal birth. However, high prevalence of episiotomy are reported in developing countries and there is limited assessments in the study area. Methods: Cross sectional study design was employed to assess the prevalence and determinants of episiotomy in St.Paul’s Hospital, Addis Ababa, Ethiopia. The study included all vaginal deliveries from JulyJune2016 in the hospital. Medical charts for 344 deliveries in the selected period were reviewed for analysis. Systematic sampling was followed to employ study participants. Data were cleaned and analyzed using the Statistical Package of Social Sciences (SPSS) version 23.0 for Windows. Means, Percentages and Ratios were be calculated and cross tabulation used to compare different variables and subjected to Chi-square analysis to assess various relationships with a significance level of P < 0.05. Result: A total of 344 women who had a vaginal delivery were included in the study. The age of the women ranges from 18-40 years, with the mean age of 25.53 (SD± 4.601) years. The prevalence of episiotomy was 41.9%. Binary logistics analysis showed statistically significance relationship between practice of episiotomy with parity (P<0.001) and place of ANC follow up (P=0.019), with duration of second stage of labour (P=0.001) and weight of the new born (P<0.001). Conclusion: The study indicated high prevalence of episiotomy practice compared to the WHO recommended restrictive practice. Guidelines and evaluation of the practice has to be in place to improve the safe practice of episiotomy in the institution. DOI: 10.7176/JMPB/69-02 Publication date:March 31 202

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Journal of Medicine, Physiology and Biophysics

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