The Philadelphia Episiotomy Intervention Study.


Journal Article

OBJECTIVE: To lower the episiotomy rate through physician education and documentation of indication when episiotomy was performed. STUDY DESIGN: The intervention consisted of an evidence-based lecture recommending limited usage of episiotomy and requesting documentation of any episiotomy's indication. Data 3 months prior to the intervention were compared to those of the year following. Adjusted comparisons of episiotomy rates were completed using multivariate logistic regression models. RESULTS: For all vaginal deliveries, there was a 17% decrease in the rate of episiotomy, from 46.9% to 38.8%. For spontaneous vaginal deliveries, there was a 25% decrease in the episiotomy rate, from 40.8% to 30.8%. The most common indications for episiotomy reported were routine/elective, 41.0%; vacuum, 18.6%; forceps, 16.4%; and nonreassuring fetal heart tracing, 10.9%. CONCLUSION: Episiotomy rates may be effectively reduced through physician education and documentation of procedure indication.

Full Text

Cited Authors

  • Goldberg, J; Purfield, P; Roberts, N; Lupinacci, P; Fagan, M; Hyslop, T

Published Date

  • August 2006

Published In

Volume / Issue

  • 51 / 8

Start / End Page

  • 603 - 609

PubMed ID

  • 16967628

Pubmed Central ID

  • 16967628

International Standard Serial Number (ISSN)

  • 0024-7758


  • eng

Conference Location

  • United States