Table 4. Reasons for episiotomy intervention decisions (n=384)

Variables Frequency (%)
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)
CTG, cardiotocography.