Prevalencia de episiotomía y factores asociados en primíparas, periodo 2019, Hospital Vicente Corral Moscoso. Cuenca. 2021

Abstract

Background: episiotomy in 1920 was performed routinely, in 1983 it was determined that it should be performed selectively. The WHO recommends that a percentage of less than 10% of episiotomies is acceptable, while international studies indicate high prevalences of episiotomy. Objective: determine the prevalence of episiotomy and associated factors in primiparous women in the 2019 period at the Vicente Corral Moscoso Hospital. Methodology: a retrospective, analytical, cross-sectional study was carried out. The universe consisted of 1119 medical records obtained with the ICD-10 O80.9, of which 294 medical records formed the sample. The Epi Info version 23, Microsoft Excel 2019, SPSS Statics 25 programs were used in order to obtain, tabulate and correlate variables, Pearson's Chi-square determined the statistical significance of the correlation of variables. Results: the prevalence of episiotomy in primiparous women at the Vicente Corral Moscoso Hospital in 2019 was 76%. There was a statistical association between age less than 19 years, newborn weight between 2501-3000gr, and term gestational age. In addition, 6.3% presented tears. Conclusions: according to the data obtained, the use of episiotomy at the Vicente Corral Moscoso Hospital is similar to statistical data obtained in different countries, showing that its use must be individualized according to the particular needs of each pregnant woman and the fetus.