ABSTRACT Objectives: To study the epidemiological aspects, indications and short and medium
term prognosis of episiotomy in the health district of Bogodogo in Ouagadougou,
Burkina Faso.Materials and Method: It was a descriptive prospective studyover 4
months from 1 July 2016 to 30 October 2016. It was conducted in 4 health
facilities in the health district of Bogodogo in the city of Ouagadougou. The
study concerned the patients who gave birth after 28 gestational age (GA) and
more, vaginally with episiotomy, in the 4 health facilities and who were
reviewed at the appointment of the 9th day and the 3rd month. The data were
collected using a questionnaire developed for the purposes of the study, seized
with a laptop, then analyzed using the Epi-info software in its 3.5.1 version
of the Atlanta C.D.C.Statistical comparisons were made using the Pearson chi-square test, with
a significance level of p <0.05. Results: The overall episiotomy rate was 22%. For follow-up, 248 patients
were reviewed on the 9th day and 109 patients on the 3rd month. The average age
of our patients was 23.1 years. The average number of pregnancies was 1.7 with
nulliparous women predominating (60.5% of cases). Excision was associated with
episiotomy in 92.3% of cases, with perineal narrowing in 82.5% of patients. The
mediolateral episiotomy was the most performed, in 76.6% of patients. Vulvo-perineal
stricture was the main indication (75% of cases). The experience during the
episiotomy and the evolution following the immediate layer was marked by pain. Dyspareunia
was the main difficulty in resuming sexual intercourse.Conclusion:The
episiotomy rate in our study was 22%. A program of continuous improvement of
the quality of care concerning episiotomy encompassing various actions (audits,
training) could reduce the use of episiotomies.
Cite this paper
Adama, O. , Natacha, L. , Smaila, O. , Alexis, S. , Francoise, M. , Charlemagne, O. , Ali, O. and Blandine, T. (2018) Episiotomy: Epidemiological Aspects, Indications and Prognosis in the Bogodogo Health District. Open Journal of Obstetrics and Gynecology, 8, 1354-1363. doi: 10.4236/ojog.2018.813137.
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