From: Knowledge, attitude and experience of episiotomy use among obstetricians and midwives in Viet Nam
Attitudes to episiotomy | Obstetricians | Midwives | P-value |
---|---|---|---|
N = 69 | N = 79 | ||
n (%) | n (%) | ||
Episiotomy rate (of 86%) is | |||
Too low | 0 ( 0.0) | 1 ( 1.3) | 0.35 |
About right | 36 (52.2) | 63 (79.7) | <0.01 |
Too high | 33 (47.8) | 14 (18.0) | <0.01 |
Routine episiotomy is appropriate for nulliparae | 49 (71.0) | 77 (97.5) | <0.01 |
Routine episiotomy is appropriate for multiparae | 6 ( 8.7) | 10 (12.7) | 0.44 |
Other obstacles to reducing episiotomy rates?* | |||
Not trained to minimize tears/keep perineum intact | 39 (56.5) | 29 (36.7) | 0.02 |
No time to wait for the perineum to stretch | 34 (49.3) | 21 (26.6) | <0.01 |
Hard to change traditional practice | 24 (34.8) | 19 (24.1) | 0.15 |
Women expect an episiotomy | 3 ( 4.4) | 14 (17.7) | 0.01 |
Other | 10 (14.5) | 18 (22.8) | 0.20 |