Prevalence of episiotomy and associatedfactors in a highly complex institutionin Cali, Colombia, 2022
Prevalencia de la episiotomía y factores asociados en una institución de alta complejidad en Cali, Colombia, 2022
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Introduction: episiotomy is a common but not routine obstetric procedure during delivery care, which over the years has increased.
Objective: to determine the prevalence
of episiotomy and associated factors in a high complexity institution. Methods: crosssectional study with analytical component, including pregnant women with delivery care during the first semester of the year 2022 in a high complexity clinic in Cali, Colombia.
Random sampling was performed with an N 343 deliveries and an error of 4.1%. Relative frequencies were estimated with a 95% CI and measures of central tendency and dispersion according to the distribution of the variable. To evaluate the association and
adjust for confounding factors, multiple logistic regression was performed.
Results: the prevalence of episiotomy was 37.4% (95% CI: 32.4% - 42.6%), 13.3% (IC 95%: 8.5% -
19.7%) in multiparous women and 54.5% (IC 95%: 47.6% - 61.3%) in nulliparous women.
The risk factors were: nulliparity OR 8.56 CI 95% (4.6 - 15.9), while protective factors
were identified as: low birth weight OR 0.21 CI 95% (0.05 - 0.82), grade I tear OR 0.08
CI 95% (0.03 - 0.22) and grade II tear OR 0.17 CI 95% (0.08 - 0.034).
Conclusion: the rate of episiotomy was 37.4%, which is outside the parameters established by the
World Health Organization, so it is necessary to carry out educational interventions for
health professionals to reduce these figures.
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