Selective versus routine use of episiotomy for vaginal births in Shanghai hospitals, China: a comparison of policies.

ABSTRACT:

Background

To assess the effects of policy of selective versus routine episiotomy on mother and baby for women delivering vaginally in Shanghai and whether the hospital type has any effect on the outcomes.

Method

This was a multi-center retrospective cohort study in Shanghai between March 2015 and May 2017. The study population were vaginal births with selective or routine episiotomy (n = 5478) in 20 secondary or tertiary hospitals. Main Outcome Measure was the incidence of severe perineal lacerations. The adjusted odds ratios (aOR) and 95% confidence intervals (CI) were estimated by logistic regression and presented as the effect sizes. All models were stratified by the utilization of level (secondary and tertiary) and type (general and Obstetric) of hospital.

Results

SUBMITTER: Gu S 

PROVIDER: S-EPMC9188710 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature