Knowledge,attitude and experience of episiotomy practice among obstetricians and midwives in Jordan |
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| Affiliation: | 1. Faculty of Nursing, Mutah University, Jordan;2. School of Medicine, University Centre for Rural Health, The University of Sydney, NSW Australia;1. Faculty of Medicine-Benha University, El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;2. Madinet Kafr Shokr, Kafr Shokr, Al Qalyubia Governorate, Egypt;3. El-Shaheed Farid Nada, Qism Banha, Banha, Al Qalyubia Governorate, Egypt;4. Research coordinator at the Faculty of Egyptian Society of Royal College of Obstetrics and Gynaecology, (ERC-RCOG), 42 Abdel Monem Road, Mohandseen, Cairo, 11231, Egypt;1. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health. 1 W. Wilson St., Madison, WI, 53704, United States;2. Department of History and Social Sciences, Faculty of Liberal Arts, Universidad Adolfo Ibáñez, Diagonal Las Torres, Peñalolén, Santiago, 2640, Chile;3. Birth Place Lab., University of British Columbia, BC Women’s Hospital Shaughnessy Building E418 4500 Oak Street, Vancouver, BC V6H 3N1, Canada;1. Edith Cowan University, Perth, Western Australia, Australia;2. Charles Darwin University, Darwin, Northern Territory, Australia;3. King Edward Memorial Hospital, Perth, Western Australia, Australia;1. School of Nursing, Queen’s University, Kingston, ON, Canada;2. Community Midwives of Kingston, Kingston, ON, Canada;3. Family Midwifery Care, Guelph, ON, Canada;4. Department of Family Medicine, Guelph, ON, Canada;5. Department of Psychology, University of New Brunswick, Fredericton, NB, Canada;6. Department of Psychology, Queen’s University, Kingston, ON, Canada |
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| Abstract: | IntroductionEpisiotomy is still performed routinely by clinicians in many countries. The aim of this study was to determine the knowledge of, attitudes towards and experience of episiotomy practice among clinicians working in public hospitals in Jordan.MethodsA cross-sectional study, using a self-administered survey questionnaire, was conducted among midwives and obstetricians in three public hospitals in Jordan.Results112 (87.5%) clinicians responded to the questionnaire. Low knowledge level of evidence about overuse and risk of episiotomy was identified among participants with a significant difference among obstetricians and midwives (P < 0.05). Results revealed that both obstetricians and midwives have limited access to evidence which is not emphasised in their learning, practice, or hospital policy. The majority of obstetricians (80%) and midwives (79%) thought an episiotomy rate of 81% is about right. The most common reason for performing episiotomy identified by both obstetricians (83.1%) and midwives (75.5%) was to reduce the risk of 3rd and 4th degree perineal laceration. The most common obstacle to reducing episiotomy rate reported by obstetricians (78.0%) was lack of training on preventing perineal tears, while the most common obstacles reported by midwives were insufficient time to wait for the perineum to stretch (56.6%) and difficulty changing the conventional practices in the labour ward (52.8%).ConclusionThis study identifies that obstetricians and midwives in Jordan rely on non evidence-based beliefs to guide their practice on performing an episiotomy. Training, continuing education, and developing evidence based clinical policies and guidelines for surgical procedures, such as in an episiotomy, are needed. |
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| Keywords: | Knowledge Attitude Episiotomy Obstetricians Midwives |
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