Episiotomy preferences, indication, and classification – a survey among Nordic doctors
Abstract Introduction Episiotomy performance impacts perineal health and rates of obstetric anal sphincter injuries ( OASIS ). Our objective was to assess self‐reported episiotomy practice and opinions on clinical indication for episiotomy among Nordic physicians and to investigate potential misclas...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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crwiley:10.1111/aogs.12856 2024-09-30T14:37:29+00:00 Episiotomy preferences, indication, and classification – a survey among Nordic doctors Fodstad, Kathrine Staff, Anne C. Laine, Katariina Universitetet i Oslo 2016 http://dx.doi.org/10.1111/aogs.12856 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Faogs.12856 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.12856 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Acta Obstetricia et Gynecologica Scandinavica volume 95, issue 5, page 587-595 ISSN 0001-6349 1600-0412 journal-article 2016 crwiley https://doi.org/10.1111/aogs.12856 2024-09-11T04:16:31Z Abstract Introduction Episiotomy performance impacts perineal health and rates of obstetric anal sphincter injuries ( OASIS ). Our objective was to assess self‐reported episiotomy practice and opinions on clinical indication for episiotomy among Nordic physicians and to investigate potential misclassification. Material and methods A survey was conducted among doctors attending the 2012 Nordic obstetrical and gynecological conference. Participants were asked to draw an episiotomy on a photo of a perineum with a crowning fetal head similarly to their clinical practice if an episiotomy was clinically indicated, and to name the technique drawn. Differences in outcome measures were compared by country of practice and seniority. Results The majority of the 297 participants (47%) drew a lateral episiotomy according to our classification by incision point and angle, but as many as 64% of these 138 doctors misclassified this as mediolateral episiotomy. Only 20% drew a mediolateral episiotomy, the great majority classifying it accurately, but 8% misclassified their mediolateral cut as a lateral episiotomy. One‐third of episiotomies were nonclassifiable. In general, doctors in Finland, Sweden, and Norway more often favored lateral episiotomies compared with doctors in Denmark and Iceland. There were significant differences between Finnish and Norwegian vs. Danish and Swedish doctors in perception of clinical indications for episiotomy. Conclusions The great variation in self‐reported episiotomy performance between Nordic physicians and large misclassification rates indicate that educational programs are warranted. Use of uniform classification and appropriate techniques may be crucial to investigate the role of episiotomies in preventing OASIS . Article in Journal/Newspaper Iceland Wiley Online Library Norway Acta Obstetricia et Gynecologica Scandinavica 95 5 587 595 |
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English |
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Abstract Introduction Episiotomy performance impacts perineal health and rates of obstetric anal sphincter injuries ( OASIS ). Our objective was to assess self‐reported episiotomy practice and opinions on clinical indication for episiotomy among Nordic physicians and to investigate potential misclassification. Material and methods A survey was conducted among doctors attending the 2012 Nordic obstetrical and gynecological conference. Participants were asked to draw an episiotomy on a photo of a perineum with a crowning fetal head similarly to their clinical practice if an episiotomy was clinically indicated, and to name the technique drawn. Differences in outcome measures were compared by country of practice and seniority. Results The majority of the 297 participants (47%) drew a lateral episiotomy according to our classification by incision point and angle, but as many as 64% of these 138 doctors misclassified this as mediolateral episiotomy. Only 20% drew a mediolateral episiotomy, the great majority classifying it accurately, but 8% misclassified their mediolateral cut as a lateral episiotomy. One‐third of episiotomies were nonclassifiable. In general, doctors in Finland, Sweden, and Norway more often favored lateral episiotomies compared with doctors in Denmark and Iceland. There were significant differences between Finnish and Norwegian vs. Danish and Swedish doctors in perception of clinical indications for episiotomy. Conclusions The great variation in self‐reported episiotomy performance between Nordic physicians and large misclassification rates indicate that educational programs are warranted. Use of uniform classification and appropriate techniques may be crucial to investigate the role of episiotomies in preventing OASIS . |
author2 |
Universitetet i Oslo |
format |
Article in Journal/Newspaper |
author |
Fodstad, Kathrine Staff, Anne C. Laine, Katariina |
spellingShingle |
Fodstad, Kathrine Staff, Anne C. Laine, Katariina Episiotomy preferences, indication, and classification – a survey among Nordic doctors |
author_facet |
Fodstad, Kathrine Staff, Anne C. Laine, Katariina |
author_sort |
Fodstad, Kathrine |
title |
Episiotomy preferences, indication, and classification – a survey among Nordic doctors |
title_short |
Episiotomy preferences, indication, and classification – a survey among Nordic doctors |
title_full |
Episiotomy preferences, indication, and classification – a survey among Nordic doctors |
title_fullStr |
Episiotomy preferences, indication, and classification – a survey among Nordic doctors |
title_full_unstemmed |
Episiotomy preferences, indication, and classification – a survey among Nordic doctors |
title_sort |
episiotomy preferences, indication, and classification – a survey among nordic doctors |
publisher |
Wiley |
publishDate |
2016 |
url |
http://dx.doi.org/10.1111/aogs.12856 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Faogs.12856 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.12856 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Acta Obstetricia et Gynecologica Scandinavica volume 95, issue 5, page 587-595 ISSN 0001-6349 1600-0412 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/aogs.12856 |
container_title |
Acta Obstetricia et Gynecologica Scandinavica |
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95 |
container_issue |
5 |
container_start_page |
587 |
op_container_end_page |
595 |
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1811640325238685696 |