Practice of episiotomy: maternal and neonatal related factors

Authors

  • Luana Carolina Back Pelissari Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, Paraná, Brasil, luanapelissari2013@gmail.com. https://orcid.org/0000-0002-9698-1987
  • Adriana Zilly Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, Paraná, Brasil, aazilly@hotmail.com. https://orcid.org/0000-0002-8714-8205
  • Helder Ferreira Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, Paraná, Brasil, heelfer@gmail.com. https://orcid.org/0000-0003-0715-8057
  • Fabiana Aparecida Spohr Hospital Ministro Costa Cavalcanti (HMCC), Foz do Iguaçú, Paraná, Brasil, spohrenf@hotmail.com.
  • Gabriela Dominicci de Melo Casacio Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, Paraná, Brasil, gabrieladominicci@gmail.com. https://orcid.org/0000-0002-9232-1682
  • Rosane Meire Munhak da Silva Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, Paraná, Brasil, zanem2010@hotmail.com. https://orcid.org/0000-0003-3355-0132

DOI:

https://doi.org/10.5216/ree.v24.66517

Keywords:

Episiotomy, Epidemiologic Factors, Labor, Obstetric, Obstetric Nursing

Abstract

Objective: to analyze the incidence of episiotomy and maternal and neonatal related factors. Method: cross-sectional, retrospective study in which 11,809 medical records of women who underwent vaginal delivery were analyzed. The chi-square test was performed to identify related factors (p<0.05). Results: the incidence of episiotomy was 59.4%. Among women who did not undergo episiotomy, 27.0% had intact perineum and 13.5% had spontaneous laceration. Maternal related factors were age less than 19 years, appropriate antenatal care, primiparity, presence of uterine dynamics, cervical dilation between 1 and 3 cm, ruptured amniotic sac, and prolonged labor. Neonatal factors were full-term babies, birth weight ≥2,500g, Apgar ≥7, cephalic presentation, complications with the baby and referral to rooming-in. Conclusion: the practice of episiotomy was high and should be discouraged. Respect for the physiology of birth and the individuality of women is necessary to strengthen maternal care.

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References

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Published

2022-01-18

Issue

Vol. 24 (2022)

Section

Original Article

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