Factors associated with episiotomy practice in Bukavu, Democratic Republic of the Congo

Ntamulenga Innocent; Mulongo Mbarambara Philémon; Imani Prince; Yatoka Justine; Mukanire Ntakwinja; Nyakiyo Olivier; Mukwege Denis

doi:10.18203/2320-1770.ijrcog20182860

Authors

Ntamulenga Innocent Department of Gynecology and Obstetrics, General Referral Hospital of Panzi, Bukavu, Democratic Republic of the Congo
Mulongo Mbarambara Philémon Department of Midwifery, Higher Institute of Medical Techniques of Bukavu, Bukavu, Democratic Republic of the Congo
Imani Prince Department of Gynecology and Obstetrics, General Referral Hospital of Panzi, Bukavu, Democratic Republic of the Congo
Yatoka Justine Department of Midwifery, Higher Institute of Medical Techniques of Bukavu, Bukavu, Democratic Republic of the Congo
Mukanire Ntakwinja Department of Gynecology and Obstetrics, General Referral Hospital of Panzi, Bukavu, Democratic Republic of the Congo
Nyakiyo Olivier Department of Gynecology and Obstetrics, General Referral Hospital of Panzi, Bukavu, Democratic Republic of the Congo
Mukwege Denis Department of Gynecology and Obstetrics, General Referral Hospital of Panzi, Bukavu, Democratic Republic of the Congo

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182860

Keywords:

DRC, Episiotomy, Factors associated

Abstract

Background: The primary objective of the present study is to determine the episiotomy rate and factors associated with practice of episiotomy at the maternities in Bukavu town, South-Kivu, DRC.

Methods: A case-control study was carried out the women who underwent the episiotomy (case) and those which did not undergo episiotomy (control) over one 12 months period between January to December 2015. A total of 1878 women had a vaginal delivery at a rate of one case for one control (939 cases and 939 controls) were included. Their medical files were exploited. The factors associated with episiotomy were performed by logistic regression.

Results: The rate of episiotomy was 20.4%. It was found that after the logistic regression, the Primiparity (OR = 4,5;95% CI:2,31-4,49), the existence of a foetal distress (OR = 4,2;IC to 95% CI :2,36-5,29), the antecedent of episiotomy (OR = 3,9;95% CI:2,83-7,07), private character of maternity (OR= 3,3; 95% CI :2,12-6,30) and the fact that the childbirth was directed by a doctor (OR = 2,3; 95% CI :1,85-5,08) were strongly associated with the practice of the episiotomy in our medium of study.

Conclusions: This study showed UA-S/D ratio and UA-RI>2SD are significant predictors of perinatal deaths and immediate neonatal resuscitation in preeclampsia. Acute fetal distress in labour or neonatal nursery admission could not be predicted.

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