Post episiotomy care instructions among midwives in Kurdistan region, Iraq

  • Hamdia Mirkhan Ahmed Department of Maternity Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
Keywords: Episiotomy, Education, Midwifery, Kurdistan

Abstract

Background and objective: One of the main responsibilities of midwives is the provision of post episiotomy care instructions for women who have episiotomy before discharge from the hospital after delivery. This study aimed to assess the post episiotomy care instructions provided by midwives and compare the instructions of midwives of the three main cities of Kurdistan region.   

Methods: This cross-sectional study was conducted between July 1st, 2013 and July 10th, 2014 in the three governorates of Kurdistan Region of Iraq (Erbil, Dohuk and Suleimanya). All the midwives (n=53) working in the delivery room of the three maternity teaching hospitals were included in the study. A questionnaire was designed for the purpose of the study. Data were collected through interview with midwives. ANOVA and Chi-square test were used for data analysis.   

Results: The midwives in Erbil didn’t provide post episiotomy care instructions at all. Most of midwives of Duhok and Sulemanyia didn't provide proper instructions to mothers who have episiotomy, and there was highly significant difference between their instructions regarding some topics.

Conclusion: Midwives do not properly instruct the mothers who have episiotomy regarding care during postpartum period. The practice of midwives was different in the three cities of Kurdistan region. Hospital policy and the job descriptions of midwives regarding post episiotomy instruction should be reevaluated.

References

Dahlen H. Midwifery prepration for practice. In: Pairman S, Tracy S, Thorogood C, Pincombe J. 2nd ed. Sydney: Elsevir; 2010. P. 543-63

Pillitteri A. Maternal and child health nursing: care of the childbearing and childrearing family. 5th ed. Philadelphia: Adele Pillitteri; 2007.

Inyang-Etoh EC, Umoiyoho AJ. The practice of episiotomy in a university teaching hospital in Nigeria: How satisfactory? Int J Med Biomed Res 2012; 1(1):68-72

Garham ID, Carroli G, Davies C, Medves JM. Episotomy rates around the world: an update. Birth 2005; 32(3):219-23

Onwuhafua PI. Childbirth in Germany and Nigeria compared. Niger J Med 2006;15(4): 387-92.

Fernandes S, Benjamin EE, Edwards G. Using evidence to reduce the rate of episiotomy in a Dubai hospital. Evidence Based Midwifery 2009; 7(2):60-3

McKinney ES, James SR, Murray SS, Ashwill JW. Maternal-child nursing. 3rd ed. Canada: Suanders; 2009.

Dutta DC. Text book of obstetrics. India: New Cenral Book Agency; 2006.

Lowdermilk DL, Perry SE. Maternity and women's health care. 8th ed. USA: Mosby; 2004.

Teckla N, Omoni G, Mwaura J, Omuga B. Evaluation of evidence-based episiotomy practice by midwives. AJM 2010; 4(2):80-7.Midwifery Care Measures in the Second Stage of Labor and Reduction of Genital Tract Trauma at Birth: A Randomized Trial Midwifery Care Measures in the Second Stage of Labor and Reduction of Genital Tract Trauma at Birth: A Randomized Trial

International Confederation of Midwives (ICM). Essential competencies for basic midwifery practice, 2002. (Accessed July 10, 2014, at www.ckpa.cz/source/file/zahranicni okenko/009.pdf.

American College of Midwives. Midwifery: Evidence-based practice. A summary of research on midwifery practice in the United States, 2012. (Accessed June 27, 2014, at www.mass.gov/eohhs/.../nursing-american-college-nurse-midwives.doc)

International Confederation of Midwives (ICM). Scope of practice ,2014. (Accessed July 12, 2014 at http://www.internationalmidwives.org/who-we-are/policy-and-practice/icm-international-definition-of-the-midwife/.

Khaier MG. Assessment of Midwifery and nursing care for patients with episiotomy in Albanjadeed Teaching Hospital. University of Medical Science and Technology, 2006. (Accessed June 14, 2014, at http://www.rcru.org/j/index.php/edit-news-pages/item/69-assessment-of-midwifery-and-nursing-care-for-patients-with-episiotomy-in-albanjadeed-teaching-hospital-during-the-perid-form-28th-of-april-to-the-5th-of-may-2006)

Mohamed HE, El-Nagger NS. Effect of Self Perineal Care Instructions on Episiotomy Pain and Wound Healing of Postpartum Women. AJS 2012;8(6): 640-50

Jacob A. A comprehensive textbook of midwifery. New delhi: Annamma Jacob; 2005

Littleton L, Engebretson J. Maternal, neonatal and women's health nursing. Australia: Delmar; 2002.

Published
2018-09-24
How to Cite
Ahmed, H. (2018). Post episiotomy care instructions among midwives in Kurdistan region, Iraq. Zanco Journal of Medical Sciences (Zanco J Med Sci), 19(2), 1005 - 1010. https://doi.org/10.15218/zjms.2015.0024
Section
Original Articles