EPISIOTOMY PRACTICE AND ASSOCIATED FACTORS AMONG LABORING MOTHERS IN GELEMSO GENERAL HOSPITAL AND HEALTH CENTER , OROMIA REGIONAL STATE, EASTERN ETHIOPIA. DOES CIRCUMCISION MATTER IN THE ERA OF “NO MORE EPISIOTOMY”?

Abstract

Background: -. Reducing the risk of severe perineal laceration is an important clinical goal Because severe laceration are associated with significant morbidity. However, there is scarcity of literatures that shows practice of episiotomy, indication, proper procedure and complication even if episiotomy is common emergencies observed in low income countries like Ethiopia. Objectives: The objective of this study was to the prevalence of Episiotomy Practice and Associated Factors among Laboring Mothers in Gelemso General hospital and health center ,Oromia Regional State, Eastern Ethiopia from march 10/2015 to April 5 /2015. Method- : Institutional based cross sectional study design was conducted among randomly selected 406 laboring mothers visiting Gelemso General Hospital . Data were collected using structured questionnaire through interviews and checklist. Then data were coded, entered, cleaned and analyzed using SPSS version 16.1.Bivariate -analyses were employed to assess the relationship between independent variables and dependent variable - Odds ratio along with the 95% confidence interval was estimated using multivariable logistic regression to identify factors associated with episiotomy practice. Level of statistical significance was declared at P- value less or equal to 0.05. Result- The prevalence of episiotomy was 40.9 %, 95%CI (9.57(2.75,3 3.3),1.31(1.14,165) and 1.017(1.002,1.024). Results of multivariate analysis showed that History of having circumcision [AOR=9.57 95% CI (2.75,33.3)] ,rural residence AOR=[1.31 95 % CI (1.14,165)] being primigravida AOR=1.01795 % CI (1.002,1.024) ] were independently associated with episiotomy practice Conclusion -: The prevalence of episiotomy practice was high in Gelemso General hospital and health center. Laboring mothers who has history of circumcision, mothers who come from Rural area and primigravida mothers were the independent predictors of episiotomy practice. Providing health education to decrease Or stop Circumcision and making internal assessment of the episiotomy practice of the health professional will be the way to decrease the prevalence of episiotomy practice.