Episiotomy at delivery | |
Yes | 208 (54.2) |
No | 176 (45.8) |
Reasons for performing episiotomy (n=208) | |
Tight perineum | 74 (35.6) |
Primiparity | 33 (15.9) |
Fetal distress, CTG category II | 22 (10.6) |
Instrumental vaginal delivery | 22 (10.6) |
Edematous perineum | 12 (5.8) |
Ineffective maternal pushing | 10 (4.8) |
Lack of time for observation by the birth attendant | 9 (4.3) |
Rapid labor | 7 (3.4) |
History of cesarean section | 7 (3.4) |
Aesthetic request from the patient | 4 (1.9) |
Maternal medical conditions | 2 (1.0) |
Suspected large fetal weight | 2 (1.0) |
Inexperienced birth attendant | 2 (1.0) |
Posterior fetal presentation | 1 (0.5) |
Preterm birth | 1 (0.5) |
Reasons for not performing episiotomy (n=176) | |
Good perineal elasticity | 77 (43.8) |
Favorable labor progression | 39 (22.2) |
Multiparity | 35 (19.9) |
“No reason for episiotomy” | 12 (6.8) |
Suspected small fetal weight | 11 (6.2) |
Rapid labor, insufficient time for episiotomy | 2 (1.1) |