Prevalencia de episiotomía y factores asociados, en pacientes del Centro Obstétrico del Hospital Vicente corral Moscoso, Cuenca Ecuador

Abstract

OBJECTIVE: To determine the prevalence of episiotomy in primigravida patients and their relation to factors such as maternal age, maternal size, newborn weight, cephalic perimeter of the newborn, in patients who attend at Hospital Vicente Corral Moscoso Hospital in Cuenca, Province of Azuay during the year 2014; and evaluate if there is a decrease in this obstetric intervention after the implementation of the Ministry of Public Health regulations to restrict episiotomy. METHODOLOGY: An analytical prevalence study was carried out in a universe of 3,798 parturient women. The sample consisted of 580 primigravida patients who came to the obstetrical center of the Vicente Corral Moscoso Hospital, data collection forms were used to collect the information. The obtained data were analyzed in the statistical package SPSS 21 and Microsoft Excel 14.4.8. RESULTS: The prevalence of episiotomy was 35.5%. A statistical significance was found in the age less than 19 years, the newborn weight superior than 3000 grams and the cephalic perimeter of the newborn is greater than 33 centimeters; no statistical significance was found between maternal size, which is less than 145 centimeters, and the performance of episiotomy. CONCLUSION: The prevalence of episiotomy at the Vicente Corral Moscoso Hospital was 35.5%, lower than the data at the Isidro Ayora Gynecological-Obstetric Hospital in Quito (42.6%) and other studies worldwide; it is higher than recommended by the World Health Organization (20%).