Document Detail

Determinants of episiotomy in rural Zimbabwe.
MedLine Citation:
PMID:  12956849     Owner:  NLM     Status:  MEDLINE    
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.
Janneke E van den Bergh; Marieke Sueters; Marc Segaar; Jos van Roosmalen
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  82     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-05     Completed Date:  2003-10-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  966-8     Citation Subset:  IM    
Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
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MeSH Terms
Birth Weight
Cesarean Section / statistics & numerical data*
Delivery, Obstetric / statistics & numerical data
Episiotomy / statistics & numerical data*
Infant, Newborn
Medical Records
Retrospective Studies
Rural Health
Unnecessary Procedures / statistics & numerical data
Zimbabwe / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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