Episiotomy dataset.

IntroductionMaternal morbidity and mortality has remained a major public health concern worldwide. Basic emergency obstetric care is the primary intervention to prevent obstetric complications and maternal death. Episiotomy is one of the basic obstetrical procedures used to facilitate vaginal delivery, shorten the second stage of labor and prevent complications. However, there is a paucity of evidence on the prevalence and factors associated with episiotomy among women who gave birth in eastern Ethiopia.ObjectiveThis study aimed to determine the prevalence of episiotomy and its associated factors among women who gave birth at public health facilities in Jigjiga town, eastern Ethiopia.MethodsA facility-based cross-sectional study was conducted among women who gave birth vaginally from May 1 to June 30, 2022. A total of 422 study participants were recruited using systematic random sampling. Data were collected using structured questionnaires through a face-to-face interview supported with standard observational checklist and reviewing medical records. A logistic regression analysis was carried out to examine the association between explanatory variables and episiotomy. An adjusted odds ratio (AOR) at a 95% confidence interval (CI) at a P-value ResultsThe prevalence of episiotomy among women was 52.6% (95% CI: 47.8%, 57.0%). Obstetric complications during current pregnancy (AOR:3.92, 95% CI: 1.59, 9.68), birth weight ≥4000 gm (AOR: 4.30, 95% CI: 1.53, 12.04), induction of labor (AOR: 3.10, 95% CI: 1.62, 5.93), meconium-stained amniotic fluid (AOR:2.10, 95% CI: 1.14, 3.88), duration of the second stage of labor ≥90 minutes (AOR:3.09, 95% CI: 1.53, 6.23), instrumental delivery (AOR: 2.69, 95%, CI: 1.39, 5.19), and female genital mutilation (AOR: 2.91, 95% CI: 1.83, 4.64) were factors significantly associated with episiotomy.ConclusionSlightly more than half of the women who gave birth at public health facilities in the study area underwent episiotomies. In addition to the common obstetric factors, having a female genital mutilation scar increased the risk of women’s experiencing episiotomies. Therefore, intervention should be tailored to address the identified obstetric risk factors and avoid female genital mutilation in the community to reduce women’s experiences of episiotomies in the future.引言：孕产妇发病率与死亡率仍是全球范围内亟待解决的重大公共卫生问题。基本产科急诊护理是预防产科并发症、降低孕产妇死亡的核心干预措施。会阴切开术（episiotomy）是辅助阴道分娩、缩短第二产程并预防并发症的基础产科操作之一。然而，目前针对埃塞俄比亚东部地区分娩女性会阴切开术的流行率及相关影响因素的研究证据仍较为匮乏。 研究目的：本研究旨在明确埃塞俄比亚东部吉吉加镇公立卫生机构分娩女性的会阴切开术流行率及其相关影响因素。 研究方法：本研究于2022年5月1日至6月30日期间，针对经阴道分娩的女性开展了一项基于医疗机构的横断面研究。采用系统随机抽样方法，共纳入422名研究对象。通过结构化问卷开展面对面访谈，并结合标准化观察清单与病历查阅的方式收集研究数据。采用逻辑回归分析检验解释变量与会阴切开术之间的关联，以校正比值比（adjusted odds ratio, AOR）、95%置信区间（confidence interval, CI）及P值进行结果报告。 研究结果：本研究中女性会阴切开术的总体流行率为52.6%（95% CI：47.8%，57.0%）。本次妊娠期间合并产科并发症（校正比值比：3.92，95% CI：1.59，9.68）、新生儿出生体重≥4000克（校正比值比：4.30，95% CI：1.53，12.04）、引产（校正比值比：3.10，95% CI：1.62，5.93）、羊水胎粪污染（校正比值比：2.10，95% CI：1.14，3.88）、第二产程时长≥90分钟（校正比值比：3.09，95% CI：1.53，6.23）、器械助产（校正比值比：2.69，95% CI：1.39，5.19）以及女性生殖器切割（female genital mutilation）（校正比值比：2.91，95% CI：1.83，4.64）均与会阴切开术存在显著统计学关联。 研究结论：本研究区域公立卫生机构的分娩女性中，略超半数接受了会阴切开术。除常见产科危险因素外，存在女性生殖器切割瘢痕会显著提升女性接受会阴切开术的风险。因此，应制定针对性干预策略，针对已明确的产科危险因素进行防控，并在社区中杜绝女性生殖器切割行为，以未来降低女性接受会阴切开术的比例。