Episiotomy in Southern Brazil: prevalence, trend, and associated factors
Rev. saúde pública (Online)
; 56: 1-9, 2022. tab, graf
Artigo
em Inglês
| LILACS, BBO - Odontologia
| ID: biblio-1377231
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT OBJECTIVE To identify and analyze the prevalence, trend, and factors associated with episiotomy in Rio Grande, in the state of Rio Grande do Sul, Southern Brazil. METHODS A single, standardized questionnaire was applied to all pregnant women, residents in the municipality of Rio Grande, who had children in local hospitals between January 1 and December 12 of the years 2007, 2010, 2013, 2016 e 2019. Demographic and socioeconomic characteristics were investigated, as well as the assistance received during pregnancy and delivery. Chi-square test was used to compare proportions and Poisson regression with robust variance adjustment was used for multivariable analysis. Prevalence ratio (PR) was used as effect measure. RESULTS Among the 12,645 births that occurred in the five years, 5,714 (45.2%) were vaginal delivery. Of these mothers, 2,930 (51.3%; 95%CI 50.0%-52.6%) underwent episiotomy. Over this period, the episiotomy rate decreased from 70.9% (68.4-73.5) in 2007 to 19.4% (17.1-21.7) in 2019. Adjusted analysis showed a high PR of episiotomy occurrence among women who were young (PR = 2.23; 95%CI 1.89-2.63), had higher education (PR = 1.21; 95%Cl 1.03-1.42), had a higher family income (PR = 1.25; 95%CI 1.10-1.41), were primiparous (PR = 3.41; 95%CI 2.95-3.95), had prenatal care in the private sector (PR = 1.25; 95%CI 1.07-1.46), had oxytocin-induced labor (PR = 1.18; 95%CI1.09-1.27), underwent forceps (PR = 1.32; 95%CI 1.16-1.50), and whose newborn weighed 4,000 g or more (PR = 1.43; 95%CI 1.14-1.80). CONCLUSION Although the prevalence of episiotomy fell sharply within the studied period, its occurrence is more likely among women at lower risk of birth complications.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Meta 3.1 Reduzir a Mortalidade Materna
Problema de saúde:
Objetivo 11 Desigualdades e iniquidades na saúde
/
Cuidado Materno
Base de dados:
BBO - Odontologia
/
LILACS
Assunto principal:
Cuidado Pré-Natal
/
Episiotomia
Tipo de estudo:
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Aspecto:
Equidade e iniquidade
Limite:
Criança
/
Feminino
/
Humanos
/
Masculino
/
Recém-Nascido
/
Gravidez
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Rev. saúde pública (Online)
Assunto da revista:
Sa£de P£blica
Ano de publicação:
2022
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal do Rio Grande/BR
/
Universidade do Oeste de Santa Catarina/BR