Prevalence and its Associated Factors of Episiotomy Practice Among Mothers Who Gave Birth in Debre Tabor Town Northwest Ethiopia: An Institutional Based -Cross-Sectional Study.

EPISIOTOMY; MOTHERS; INFERENTIAL statistics; STATISTICS; CONFIDENCE intervals; CROSS-sectional method; MULTIPLE regression analysis; INTERVIEWING; DISEASE prevalence; PUBLIC hospitals; DESCRIPTIVE statistics; SECOND stage of labor (Obstetrics); FETAL presentation; PARITY (Obstetrics); PHYSICIAN practice patterns; STATISTICAL sampling; DATA analysis software; ODDS ratio; LABOR complications (Obstetrics)

Background: An episiotomy is a surgical technique that widens the perineum during the second stage of childbirth. Therefore, the goal of this study was to assess the prevalence of episiotomy and the variables that affect it among women who gave birth in the town of Debre Tabor, in 2021. Methods: In the Debre Tabor municipality's four designated health center regions, 402 women who gave birth were included in a cross-sectional study. Systematic random selection was used to choose the study subjects. In SPSS version 23, data were entered, cleaned up, and analyzed using descriptive and inferential statistics. The use of binary and multivariable logistic regression models allowed the researchers to identify characteristics related to episiotomy magnitude. Using a 0.05 p value, the level of statistically significant variables was also calculated. Result: Out of a total of 402 deliveries for this inquiry, the magnitude of the episiotomy was calculated to be 35.1% of those deliveries. About 127 women, or the bulk of respondents, were between the ages of 25 and 29 (33.1%). Face presentation was 4.7 times more common among primiparous women than breech and vertex presentation, and midwifery professionals and midwifery students were 5.5 times higher than internship medicine and health officer students. The odds of performing an episiotomy were 3.7 times higher among primiparous women compared to multiparous women (AOR = 3.754 (1.382–15.108)). Conclusion: The magnitude of episiotomy in this study was somewhat larger than the World Health Organization's recommendation of 10%.Instrumental delivery, neonatal presentation, experts allocated to the delivery ward, and the mother's parity were all shown to be strongly linked with the practice of episiotomy. [ABSTRACT FROM AUTHOR]

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