Prevalence and predictors of episiotomy among women at first birth in enugu, South-East Nigeria.

التفاصيل البيبلوغرافية
العنوان:	Prevalence and predictors of episiotomy among women at first birth in enugu, South-East Nigeria.
المؤلفون:	Izuka E; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria., Dim C; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria., Chigbu C; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria., Obiora-Izuka C; Department of Pediatrics, University of Nigeria Teaching Hospital, Enugu, Nigeria.
المصدر:	Annals of medical and health sciences research [Ann Med Health Sci Res] 2014 Nov; Vol. 4 (6), pp. 928-32.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Nigeria Medical Association, Enugu State Country of Publication: India NLM ID: 101585351 Publication Model: Print Cited Medium: Print ISSN: 2141-9248 (Print) Linking ISSN: 21419248 NLM ISO Abbreviation: Ann Med Health Sci Res Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Publication: 2016- : [Enugu] : Nigeria Medical Association, Enugu State Original Publication: [Enugu] : Nigeria Medical Association, Enugu State, [2011]-
مستخلص:	Background: Women having their first birth have a higher risk of episiotomies. Therefore, the study of the procedure in this group of at risk women will assist in solving some of its associated controversies. Aim: The aim was to determine the prevalence, predictors, and outcomes of episiotomy among primigravid women in Enugu, Nigeria. Materials and Methods: The study was a retrospective cross-sectional review of labor ward records of women that had their first delivery at the University of Nigeria Teaching Hospital (UNTH) Enugu, over a 5-year of April 204 to March 2009. Only women that had a vaginal delivery were included in the study. Mann-Whitney U-test (continuous data) and Chi-square test (categorical data) were used for data analysis. Results: Prevalence of episiotomy in the study was 62.1% (411/662). The episiotomy rate for booked women (65.6%, 376/573) was significantly higher than that of unbooked women (39.3%, 35/89), (prevalence ratio = 1.67 [95% confidence interval: 1.28, 2.17]). The birth weights of babies delivered in the episiotomy group (median = 3.2 kg [interquartile range (IQR): 2.9-3.5]) was statistically higher than those of women who did not receive episiotomy (median, 3.1 kg [IQR: 2.7-3.4]), (Z = -3.415, P = 0.001). Proportion of newborns with low 1(st) min Apgar scores in the episiotomy group (21.7%, 89/411) was significantly lower than the no episiotomy group (15.1%, 38/251) (P = 0.04). Conclusion: Prevalence of episiotomy among women that had their first births in the UNTH, Enugu was high, and the predictors included booked status of women, higher gestational age at delivery, and larger neonatal birth weight. More efforts should be made to reduce episiotomy rate in the hospital.
References:	Niger J Med. 2007 Jul-Sep;16(3):242-5. (PMID: 17937162) Obstet Gynecol Surv. 1994 Dec;49(12):803-8. (PMID: 7885655) J Matern Fetal Neonatal Med. 2011 Mar;24(3):471-4. (PMID: 20617895) Am J Obstet Gynecol. 1996 May;174(5):1399-402. (PMID: 9065102) J Midwifery Womens Health. 2010 Jan-Feb;55(1):20-7. (PMID: 20129226) JNMA J Nepal Med Assoc. 2009 Oct-Dec;48(176):269-72. (PMID: 21105547) East Afr Med J. 2009 Jun;86(6):267-71. (PMID: 20358788) Cochrane Database Syst Rev. 2009 Jan 21;(1):CD000081. (PMID: 19160176) Birth. 2005 Sep;32(3):219-23. (PMID: 16128977) East Afr Med J. 2003 Jul;80(7):351-6. (PMID: 16167749)
فهرسة مساهمة:	Keywords: Episiotomy; Nullipara; Outcomes; Predictors; Primigravidae; University of Nigeria teaching hospital-Enugu
تواريخ الأحداث:	Date Created: 20141216 Date Completed: 20141216 Latest Revision: 20240510
رمز التحديث:	20240510
مُعرف محوري في PubMed:	PMC4250993
DOI:	10.4103/2141-9248.144916
PMID:	25506488
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	2141-9248
DOI:	10.4103/2141-9248.144916