Evolution of Episiotomy Incidence and Obstetric Anal Sphincter Injury Over 10 Years: A Mixed-Methods Study.

ABSTRACT:

Objective

To assess the association between the decrease in the use of episiotomy and the incidence of obstetric anal sphincter injuries (OASIS) over a 10-year period and understand their reasons by interviewing obstetricians and midwives.

Design

Mixed-methods study.

Setting

A tertiary university public maternity hospital, Paris, France.

Population

All patients who delivered vaginally between January 2012 and December 2021 in the maternity hospital and 20 interviews with obstetrician-gynaecologists and midwives.

Methods

Quantitative data analysis using a multivariate logistic regression model, stratifying on the mode of delivery. Semi-structured interview with 20 obstetricians and midwives, with an interview guide.

Main outcome measures

Obstetric

SUBMITTER: Cormier J 

PROVIDER: S-EPMC11794053 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature