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Acta Obstet Gynecol Scand. 2003 Oct;82(10):966-8.

Determinants of episiotomy in rural Zimbabwe.

Author information

1
Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.

Abstract

BACKGROUND:

To assess the influence of parity, mode of birth, place of birth, a history of birth by only cesarean section and birthweight on episiotomy rates.

METHODS:

Retrospective study of 3589 women giving birth vaginally from October 1997 to October 1998 in the Gutu district in Zimbabwe, to obtain the rate of episiotomy and its determinants.

RESULTS:

The overall episiotomy rate was 27%; 54% in nulliparous and 6% in multiparous women. Perineal tears varied between 5 and 11% in the different places of birth.

DISCUSSION:

An episiotomy rate of 54% in nulliparous women is higher than necessary. Medical and midwifery training should be adapted to facilitate a more restrictive use of episiotomy.

PMID:
12956849
[Indexed for MEDLINE]
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