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Revista Matronas

Revista Matronas

ENERO 2016 N° 1 Volumen 4

Restrictive use of episiotomy at University Hospital of La Ribera, Alzira, Valencia, Spain

Section: Originales

Authors

1 Francisca Camacho Morell, 1 Inés García Barba, 2 Alba López Simó, 3 Ermelinda Abarca Cañada

Position

1 Matrona del paritorio del Hospital Universitario de La Ribera (Alzira, Valencia).2 Residente de matrona de la Unidad Docente de Matronas de la Comunidad Valenciana.3 Supervisora del paritorio del Hospital Universitario de La Ribera (Alzira, Valencia).

Abstract

ntroduction: routine use of episiotomy began to be called into question in the United States in the mid-20th century, but the recommendation for a restrictive use was not generally adopted until the beginning of the 21st century, with all professional societies and agencies making unanimous recommendations on it. Since then, such a recommendation has been included in normal birth care.
Purpose: to asses whether or not a reduction in episiotomy rate has occurred at University Hospital of La Ribera resulting from the application of present recommendations on restrictive use. Moreover, the time course of non-damaged perineum rates and perineal tear rates in normal births not using episiotomy was evaluated.
Methods: a descriptive, cross-sectional, retrospective study was performed. Data from all pregnant women having normal births at University Hospital of La Ribera from 2011 to 2015 were collected.
Results: episiotomy rate fell from 33% in 2011 to 17% in 2015. At the same time, the number of non-damaged perinea increased from 33% to 44% and a decreased rate of grade III-IV perineal tears was observed (from 0.68% at the beginning of study period to 0.30% at present).
Discussion: selective use of episiotomy at La Ribera, based on a midwives consensus, has resulted in a reduction of episiotomy rate to below the rate recommended by World Health Organization. This is due to a number of factors, including women demands, change of normal birth care, and midwives interest in providing the highest quality in childbirth care and satisfaction for both midwives and women.
Conclusions: certainly, a reduction has occurred in episiotomy use rate in normal births at University Hospital of La Ribera since the paradigm change was introduced. A high rate of non-damaged perinea has been achieved in normal births without episiotomy, with a very low rate of grade III-IV perineal tears.

Keywords:

exclusive breastfeeding; basic knowledge; men population; information; involvement

Versión en Español

Título:

Episiotomía restrictiva en el Hospital Universitario de La Ribera (Alzira, Valencia)

Artículo completo no disponible en este idioma / Full article is not available in this language

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