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
Hauptverfasser: Graham, Ian D., Carroli, Guillermo, Davies, Christine, Medves, Jennifer Mary
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container_issue 3
container_start_page 219
container_title Birth (Berkeley, Calif.)
container_volume 32
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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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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