Attitude and knowledge of Latvian women towards episiotomy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20223115Keywords:
Episiotomy, Perineal lacerations, Childbirth, Qualitative researchAbstract
Background: Although episiotomy is one of the most common surgical procedures, there is still not a lot of research on patients' experience, knowledge and attitudes.
Methods: A structured questionnaire was developed and carried out online to evaluate the knowledge and attitudes toward episiotomy among pregnant women and women who had given birth in the previous three years.
Results: In this study, 1394 respondents were included. 72.6% of respondents knew what episiotomy was and why the procedure was performed, and 50.9% of those women acknowledged that before labour they did not receive an adequate amount of information. There is a correlation between the knowledge of episiotomies and refusal of the procedure (Spearman’s r=-0.133, p≤0.001). In case of insufficient information, women were more likely to refuse the procedure. 36.2% of women who experienced episiotomy were informed about the procedure and gave their consent to it and 51.9% did not, the rest could not give a concrete answer.
Conclusions: Women are not provided with sufficient information about episiotomies during pregnancy. In the majority of cases, patient involvement in the decision-making is not observed. Women must be provided with choices and obtaining their consent should be an integral part of the procedure.
References
Carroli G, Belizan J. Episiotomy for vaginal birth. Cochrane Database Syst Rev. 2000;2:000081.
World Health Organization Division of Family Health, Maternal Health and Safe Motherhood. Care in normal birth: A practical guide. Report of a technical working group. Geneva: World Health Organization; 1996: 4-29.
Nassar AH, Visser GH. A, Ayres-de-Campos D, Rane A, Gupta S. FIGO Statement: Restrictive use rather than routine use of episiotomy. Int J Gynaecol Obstet. 2019;146(1):17-9.
Jiang H, Qian X, Carroli G, Garner P. Selective versus routine use of episiotomy for vaginal birth. Cochrane Database Syst Rev. 2017;2(2):000081.
Clesse C, Lighezzolo-Alnot J, DeLavergne S, Hamlin S, Scheffler M. Statistical trends of episiotomy around the world: Comparative systematic review of changing practices. Health Care Women Int. 2018;39(6):644-62.
MCH020. Data on obstetric operations by region. Available at: https://statistika.spkc.gov.lv:443/sq/7a5902eb-766e-4a5d-b8ac-ae1677d1232b. Accessed on 1 October 2022.
WHO Guidelines Approved by the Guidelines Review Committee, in WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization; Geneva; 2018.
International Telecommunication Unit. Statistics. Available at: https://www.itu.int/en/ITU-D/Statistics/Pages/stat/default.aspx. Accessed on 1 October 2022.
European Health Information Gateway. Professionally active midwives, per 100 000 population. Available at: https://gateway.euro.who.int/en/indicators/hlthres_201-professionally-active-midwives-per-100-000/. Accessed on 1 October 2022.
Attarha M, Keshavarz Z, Bakhtiari M, Jamilian M, The outcome of midwife-mother relationship in delivery room: a qualitative content analysis. Health. 2016;8:336-43.
Yeh J, Nagel EE. Patient satisfaction in obstetrics and gynecology: individualized patient-centered communication. Clin Med Insight Women's Health. 2010;3:5870.
Ghulmiyyah L, Sinno S, Mirza F, Finianos E, Nassar AH. Episiotomy: history, present and future - a review. J Matern Fetal Neonatal Med. 2022;35(7):1386-91.
Ghiasvand M, Nahidi F, Mobarakabadi SS, Nia HS, Majd HA. The perception of episiotomy among Iranian women: a qualitative study. Br J Midwife. 2021;30:30-40.
Djanogly T, Nicholls J, Whitten M, Lanceley A. Choice in episiotomy - fact or fantasy: a qualitative study of women's experiences of the consent process. BMC Pregnancy Childbirth. 2022;22(1):139.
Barjon K, Mahdy H. Episiotomy. Treasure Island (FL): StatPearls Publishing LLC; 2022.
Aguiar BM, Silva T, Pereira SL, Sousa AMM, Guerra RB, Souza KV, et al. Factors associated with the performance of episiotomy. Rev Bras Enferm. 2020;73(4):20190899.
Prapawichar P, Juntaruksa P. Women's involvement in decision making: Episiotomy procedure. J Anesthesiol. 2017;5(6):42-5.
Kartal B, Kızılırmak A, Calpbinici P, Demir G. Retrospective analysis of episiotomy prevalence. J Turk Ger Gynecol Assoc. 2017;18(4):190-4.
Alexander JW, Karantanis E, Turner RM, Faasse K, Watt C. Patient attitude and acceptance towards episiotomy during pregnancy before and after information provision: a questionnaire. Int Urogynecol J. 2020;31(3):521-8.
deLabrusse C, Ramelet AS, Humphrey T, Maclennan SJ. Patient-centered care in maternity services: a critical appraisal and synthesis of the literature. Womens Health Issues. 2016;26(1):100-9.
Minority rights. Fact sheet: Minorities and indigenous peoples in Latvia. Available at: https://minorityrights.org/country/latvia/. Accessed on 1 October 2022.
