Episiotomy Rates Around the World: An Update
Episiotomy, the unkindest cut of all, persists despite clinical practice guidelines recommending its restrictive use. The purpose of this paper was to compile international statistics on the use of this practice and examine whether current guidance on the restrictive use of episiotomy was being foll...
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Veröffentlicht in: | Birth (Berkeley, Calif.) Calif.), 2005-09, Vol.32 (3), p.219-223 |
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creator | Graham, Ian D. Carroli, Guillermo Davies, Christine Medves, Jennifer Mary |
description | Episiotomy, the unkindest cut of all, persists despite clinical practice guidelines recommending its restrictive use. The purpose of this paper was to compile international statistics on the use of this practice and examine whether current guidance on the restrictive use of episiotomy was being followed. Methods: We searched government websites and the Internet, contacted colleagues for references, and checked the references of retrieved citations. Results: Statistics from around the world revealed overall high rates of episiotomy with a decreasing trend in some countries. Considerable variation occurs in the use of the operation by country, within countries, and even within the same professional provider group. Conclusions: Greater efforts are needed than currently in place to reduce the episiotomy rate, particularly in the developing world. |
doi_str_mv | 10.1111/j.0730-7659.2005.00373.x |
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The purpose of this paper was to compile international statistics on the use of this practice and examine whether current guidance on the restrictive use of episiotomy was being followed. Methods: We searched government websites and the Internet, contacted colleagues for references, and checked the references of retrieved citations. Results: Statistics from around the world revealed overall high rates of episiotomy with a decreasing trend in some countries. Considerable variation occurs in the use of the operation by country, within countries, and even within the same professional provider group. Conclusions: Greater efforts are needed than currently in place to reduce the episiotomy rate, particularly in the developing world.</description><identifier>ISSN: 0730-7659</identifier><identifier>EISSN: 1523-536X</identifier><identifier>DOI: 10.1111/j.0730-7659.2005.00373.x</identifier><identifier>PMID: 16128977</identifier><language>eng</language><publisher>Oxford, UK; Malden, USA: Blackwell Science Inc</publisher><subject>Clinical guidelines ; Episiotomy ; Episiotomy - utilization ; Female ; Global Health ; Guideline Adherence ; Humans ; Parity ; Practice Guidelines as Topic ; Pregnancy ; Rates ; Restrictions ; Reviews ; Statistics</subject><ispartof>Birth (Berkeley, Calif.), 2005-09, Vol.32 (3), p.219-223</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5343-46df8948cee595c87839779865e540b6fd0a46b3a83a44677d407390116e7a263</citedby><cites>FETCH-LOGICAL-c5343-46df8948cee595c87839779865e540b6fd0a46b3a83a44677d407390116e7a263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.0730-7659.2005.00373.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.0730-7659.2005.00373.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30977,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16128977$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Graham, Ian D.</creatorcontrib><creatorcontrib>Carroli, Guillermo</creatorcontrib><creatorcontrib>Davies, Christine</creatorcontrib><creatorcontrib>Medves, Jennifer Mary</creatorcontrib><title>Episiotomy Rates Around the World: An Update</title><title>Birth (Berkeley, Calif.)</title><addtitle>Birth</addtitle><description>Episiotomy, the unkindest cut of all, persists despite clinical practice guidelines recommending its restrictive use. The purpose of this paper was to compile international statistics on the use of this practice and examine whether current guidance on the restrictive use of episiotomy was being followed. Methods: We searched government websites and the Internet, contacted colleagues for references, and checked the references of retrieved citations. Results: Statistics from around the world revealed overall high rates of episiotomy with a decreasing trend in some countries. Considerable variation occurs in the use of the operation by country, within countries, and even within the same professional provider group. Conclusions: Greater efforts are needed than currently in place to reduce the episiotomy rate, particularly in the developing world.</description><subject>Clinical guidelines</subject><subject>Episiotomy</subject><subject>Episiotomy - utilization</subject><subject>Female</subject><subject>Global Health</subject><subject>Guideline Adherence</subject><subject>Humans</subject><subject>Parity</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Rates</subject><subject>Restrictions</subject><subject>Reviews</subject><subject>Statistics</subject><issn>0730-7659</issn><issn>1523-536X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkE1PwkAQhjdGI4j-BdOTXmyddj9m18QDGkUTgoaoeNss7RKLhWK3RPj3LkLwps5lJ9nnnZk8hAQxRLGv83EESCFEwVWUAPAIgCKNFjukGfOEhpyK113S3EINcuDcGACQMbFPGrGIE6kQm-TsZpa7vKzLyTLom9q6oF2V82kW1G82GJRVkV0E7WnwPMv85yHZG5nC2aPN2yLPtzdP13dh96Fzf93uhimnjIZMZCOpmEyt5YqnEiX1u5QU3HIGQzHKwDAxpEZS4-9BzJi_VEEcC4smEbRFTtdzZ1X5Mbeu1pPcpbYozNSWc6dRME-BVJ48-ZUUkidKMvwT5AioGAMPyjWYVqVzlR3pWZVPTLXUMeiVfD3WK6965VWv5Otv-Xrho8ebHfPhxGY_wY1tD1yugc-8sMt_D9ZX9_0n3_l8uM7nrraLbd5U71ogRa4HvY5-6QzwtveYaKRfqhueRg</recordid><startdate>200509</startdate><enddate>200509</enddate><creator>Graham, Ian D.</creator><creator>Carroli, Guillermo</creator><creator>Davies, Christine</creator><creator>Medves, Jennifer Mary</creator><general>Blackwell Science Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200509</creationdate><title>Episiotomy Rates Around the World: An Update</title><author>Graham, Ian D. ; Carroli, Guillermo ; Davies, Christine ; Medves, Jennifer Mary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5343-46df8948cee595c87839779865e540b6fd0a46b3a83a44677d407390116e7a263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Clinical guidelines</topic><topic>Episiotomy</topic><topic>Episiotomy - utilization</topic><topic>Female</topic><topic>Global Health</topic><topic>Guideline Adherence</topic><topic>Humans</topic><topic>Parity</topic><topic>Practice Guidelines as Topic</topic><topic>Pregnancy</topic><topic>Rates</topic><topic>Restrictions</topic><topic>Reviews</topic><topic>Statistics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graham, Ian D.</creatorcontrib><creatorcontrib>Carroli, Guillermo</creatorcontrib><creatorcontrib>Davies, Christine</creatorcontrib><creatorcontrib>Medves, Jennifer Mary</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Birth (Berkeley, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graham, Ian D.</au><au>Carroli, Guillermo</au><au>Davies, Christine</au><au>Medves, Jennifer Mary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Episiotomy Rates Around the World: An Update</atitle><jtitle>Birth (Berkeley, Calif.)</jtitle><addtitle>Birth</addtitle><date>2005-09</date><risdate>2005</risdate><volume>32</volume><issue>3</issue><spage>219</spage><epage>223</epage><pages>219-223</pages><issn>0730-7659</issn><eissn>1523-536X</eissn><abstract>Episiotomy, the unkindest cut of all, persists despite clinical practice guidelines recommending its restrictive use. 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source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Clinical guidelines Episiotomy Episiotomy - utilization Female Global Health Guideline Adherence Humans Parity Practice Guidelines as Topic Pregnancy Rates Restrictions Reviews Statistics |
title | Episiotomy Rates Around the World: An Update |
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