Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.11889/5584
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dc.contributor.authorZimmo, Khaled
dc.contributor.authorLaine, Katariina
dc.contributor.authorFosse, Erik
dc.contributor.authorZimmo, Mohammad
dc.contributor.authorAli-Masri, Hadil
dc.contributor.authorZucknick, Manuela
dc.contributor.authorVikanes, Ase
dc.contributor.authorHassan, Shar
dc.date.accessioned2018-07-19T06:11:40Z
dc.date.available2018-07-19T06:11:40Z
dc.date.issued2018-07
dc.identifier.issnhttp://dx.doi.org/10.1136/bmjopen-2018-021629
dc.identifier.urihttp://hdl.handle.net/20.500.11889/5584
dc.description.abstractObjective To explore the rates, characteristics and indications for episiotomy among women delivering vaginally for the first time, as well as parous women. Study design A prospective, population-based birth cohort study. Setting Obstetric departments in six Palestinian government hospitals. Participants All women with singleton vaginal births (n=29 165) from 1 March 2015 until 1 March 2016. Methods All women were divided into two groups: first vaginal birth group (n=9108), including primiparous women and women with their first vaginal birth after one caesarean section, and the parous group (n=20 057). Each group was analysed separately. Data were presented as numbers and percentages or range. Differences in rates were assessed by the p values of χ2 test, or Fisher’s exact test if there are cell counts less than 5. Main outcome measures Episiotomy rates and indications among women of singleton births. Results The overall episiotomy rate was 28.7%: 78.8% for women with first vaginal birth (range 56.6%–86.0%) and 5.9% for parous women (range 1.0% 9.5%). The most common indications for episiotomy were ‘primiparity’ in the first vaginal birth group (69.9%) and ‘protecting the perineum’ in the parous group (59.5%). The least common indications were prolonged second stage (1.5%) and fetal distress (6.9%), respectively. Conclusion In Palestine, the majority of women who delivered vaginally for the first time had an episiotomy. Education of birth attendants, clinical audits, educational interventions and adherence to the updated guidelines may help to decrease the routine overuse of episiotomyen_US
dc.description.sponsorshipNorwegian Research Councilen_US
dc.language.isoenen_US
dc.publisherBMJ Openen_US
dc.subjectEpisiotomy - Palestineen_US
dc.subjectHospitals - Palestineen_US
dc.subject.lcshDelivery (Obstetrics) - Palestine
dc.titleEpisiotomy practice in six Palestinian hospitals : a population-based cohort study among singleton vaginal birthsen_US
dc.typeArticleen_US
newfileds.departmentPharmacy - Nursing and Health Professionsen_US
newfileds.custom-issue-date8:7en_US
newfileds.item-access-typeopen_accessen_US
newfileds.thesis-prognoneen_US
newfileds.general-subjectnoneen_US
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