title: Prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, wound healing 3 weeks postpartum, in Turkey: A prospective follow-up study.
abstract: BACKGROUND
  Despite current recommendations against routine use of episiotomy, its incidence is still high in Turkey. The study aimed to identify the prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, and wound healing 3 weeks postpartum.
  
  
  METHODS
  This study was designed as a prospective follow-up study. Data were collected via a questionnaire form between March 2007 and February 2009 in Aydın Government Hospital, Turkey. Three hundred ninety-six primiparas were included in the study by convenience sampling.
  
  
  RESULTS
  It was determined that 56.3% of the women had episiotomies. The results of the study revealed that the probability of receiving an episiotomy was decreased in women with lack of legal marriage and unplanned pregnancies, and increased in women who had ineffective pushing efforts approximately four times, miscellaneous two times and baby's head circumference 1.27 times. Moreover, the results of the study demonstrated that an episiotomy increased the number of the suture materials used by approximately five-fold, as well as the prevalence of pain on the first postpartum day. On the third postpartum week evaluation, it was determined that the probability of problems with wound healing and experiencing pain was approximately two times higher among women who received episiotomies than those who did not receive episiotomies.
  
  
  CONCLUSIONS
  The study revealed that episiotomies in primiparas increased the number of suture materials used and the probability of having perineal pain on the first postpartum day, as well as perineal pain and wound-healing problems during the third postpartum week.
authors: Department of Midwifery, Aydın, School of Health, Adnan Menderes University, Aydın, Turkey.
authors: Zekiye
authors: Z
authors: Karaçam
authors: Hatice
authors: H
authors: Ekmen
authors: Hüsniye
authors: H
authors: Calişır
authors: Sibel
authors: S
authors: Seker
keywords: Episiotomy; pain; perineum; prevalence; wound healing
references: Birth. 2009 Dec;36(4):283-8
references: 20002420
references: Int J Gynaecol Obstet. 2009 Mar;104(3):241-2
references: 19159878
references: J Midwifery Womens Health. 2005 Sep-Oct;50(5):365-72
references: 16154062
references: J Perinat Educ. 2007 Summer;16(3):29-34
references: 18566651
references: Eur J Obstet Gynecol Reprod Biol. 2008 Feb;136(2):178-83
references: 17459568
references: BJOG. 2012 Apr;119(5):522-6
references: 22304364
references: J Obstet Gynaecol. 2008 Jul;28(5):469-73
references: 18850416
references: Midwifery. 2007 Dec;23(4):392-403
references: 17196714
references: Arch Gynecol Obstet. 2009 Nov;280(5):781-6
references: 19263062
references: Midwifery. 2007 Jun;23(2):196-203
references: 17125892
references: Cochrane Database Syst Rev. 2009 Jan 21;(1):CD000081
references: 19160176
references: MCN Am J Matern Child Nurs. 2007 May-Jun;32(3):158-64
references: 17479052
references: Cochrane Database Syst Rev. 2007 Oct 17;(4):CD000947
references: 17943747
references: JAMA. 2005 May 4;293(17):2141-8
references: 15870418
references: Obstet Gynecol Clin North Am. 2005 Jun;32(2):307-21, x
references: 15899363
references: Birth. 1997 Jun;24(2):121-3
references: 9271979
references: Acta Obstet Gynecol Scand. 2004 Apr;83(4):364-8
references: 15005784
references: Cochrane Database Syst Rev. 2010 Jun 16;(6):CD000006
references: 20556745
references: Cochrane Database Syst Rev. 2011 Dec 07;(12):CD006672
references: 22161407
references: Int J Gynaecol Obstet. 2009 Jul;106(1):27-9
references: 19358988
references: Am J Nurs. 1999 Dec;99(12):22
references: 10738379
references: Obstet Gynecol. 2004 Apr;103(4):669-73
references: 15051557
references: J Adv Nurs. 2003 Aug;43(4):384-94
references: 12887357
references: West Afr J Med. 2008 Jul;27(3):148-51
references: 19256318