Volume 5, Issue 6, November 2017, Page: 42-45
Women’s Involvement in Decision Making: Episiotomy Procedure
Phat Prapawichar, Faculty of Nursing Science, Assumption University, Bangkok, Thailand
Patcharee Juntaruksa, Faculty of Nursing Science, Assumption University, Bangkok, Thailand
Received: Sep. 5, 2017;       Accepted: Dec. 4, 2017;       Published: Jan. 25, 2018
DOI: 10.11648/j.ja.20170506.11      View  1622      Downloads  68
Background: Involving patient in decision making for their care can enhance satisfaction and promote health outcomes in particular in the nursing fields. As The World Health Organization Principles of Perinatal Care has recommended that care should involve women in decision making. This principle strongly endorses for improving effective perinatal care. Decision making regard to treatment options is a concept that has increased widespread appeals to healthcare providers and users in recent year. Evidently, patient involvement in decision making has not always been implemented in clinical practice in particular during intrapartum period. Objective: The aim of this study was to investigate the involvement of women in decision making on episiotomy procedure during labor. Methods: A descriptive quantitative approach was conducted using self-administered survey questionnaires in two government hospitals, Bangkok, Thailand. Participating hospitals were identified by convenience and remained anonymous. The Participant, eligible women included those who have reached 37 to 42 weeks of gestation, experienced vaginal birth, have a live baby, and admitted in the postpartum units. An appropriate sample size was assigned based on a 95 percent confidence level. A sample size was drawn from two hospitals based on a binomial probability distribution. There were 400 postpartum women participated in this study. Anonymous patient’s data were analyzed using frequencies and percentages. Results: The results revealed that 80% of all women experienced episiotomy. The finding demonstrated that decision making on having this procedure made by health care providers and relatives 73.8%, 3.2%, respectively. 23% of them had a chance to make a decision on having episiotomy. There were 23.8% of women received information about risks and benefits of episiotomy procedure and 76.2% did not get information. Conclusion: The findings of this study demonstrated that women have less opportunity to make a decision on having episiotomy during labor and received less information about this procedure. Therefore, health care providers should be clearly discussed about risks and benefits of episiotomy before performing the procedure. The factors influencing patient involvement in decision making should be investigated to promote good experiences of women during delivery and increase satisfaction toward their care.
Patient Involvement, Decision Making, Intrapartum Care, Episiotomy
To cite this article
Phat Prapawichar, Patcharee Juntaruksa, Women’s Involvement in Decision Making: Episiotomy Procedure, International Journal of Anesthesia and Clinical Medicine. Vol. 5, No. 6, 2017, pp. 42-45. doi: 10.11648/j.ja.20170506.11
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Adams, J., Chi-Wai, L., Sibbritt, D., Broom, A., Wardle, J., & Homer, C. (2011). Attitudes and referral practices of maternity care professionals with regard to complementary and alternative medicine: an integrative review. Journal of Advanced Nursing, 67 (3), 472-483.
Airey, R., Farrar, D., Wilkinson, K., Walker, J., & Tuffnell, D. (2009). Improving the quality of maternity service provision. British Journal of Midwifery, 17 (3), 182-185.
Altaweli, R. F., McCourt, C., & Baron, M. (2014). Childbirth care practices in public sector facilities in Jeddah, Saudi Arabia: a descriptive study. Midwifery, 30 (7), 899-909.
Bayes, S., White, C., & Osbourne, A. (2011). Use of the lithotomy position for low-risk women in Perth, Australia. British Journal of Midwifery, 19 (5), 285-289.
Chalmers, B., Kaczorowski, J., O'Brien, B., & Royle, C. (2012). Rates of Interventions in Labor and Birth across Canada: Findings of the Canadian Maternity Experiences Survey. Birth: Issues in Perinatal Care, 39 (3), 203-210.
Chang, A. K., Park, Y.-H., Fritschi, C., & Kim, M. J. (2015). A Family Involvement and Patient-Tailored Health Management Program in Elderly Korean Stroke Patients' Day Care Centers. Rehabilitation Nursing, 40 (3), 179-187.
Coulm, B., Ray, C., Lelong, N., Drewniak, N., Zeitlin, J., & Blondel, B. (2012). Obstetric Interventions for Low-Risk Pregnant Women in France: Do Maternity Unit Characteristics Make a Difference? Birth: Issues in Perinatal Care, 39 (3), 183-191.
Dhital, S. R., Dhital, M. K., & Aro, A. R. (2015). Clients' Perspectives on the Quality of Maternal and Neonatal Care in Banke, Nepal. Health Science Journal, 9 (2), 1-6.
Draper, H., & Ives, J. (2013). Men's involvement in antenatal care and labour: Rethinking a medical model. Midwifery, 29 (7), 723-729.
Fox, D., Chu, L., Kelly, E. L. T., Raes, A., Siti Ihdinaa, R., Pua Siew, K., & Chong Yap, S. (2013). One-to-one midwifery care in Singapore -- the first 100 births. British Journal of Midwifery, 21 (10), 701-707.
Graham, I. D., Carroli, G., Davies, C., & Medves, J. M. (2005). Episiotomy rates around the world: an update. Birth: Issues in Perinatal Care, 32 (3), 219-223.
Grassley, J. S., & Sauls, D. J. (2012). Evaluation of the Supportive Needs of Adolescents during Childbirth Intrapartum Nursing Intervention on Adolescents' Childbirth Satisfaction and Breastfeeding Rates. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 41 (1), 33-44.
Harriott, E. M., Williams, T. V., & Peterson, M. R. (2005). Childbearing in U. S. military hospitals: dimensions of care affecting women's perceptions of quality and satisfaction. Birth: Issues in Perinatal Care, 32 (1), 4-10.
Healy, S., Humphreys, E., & Kennedy, C. (2015). Midwives' and obstetricians' perceptions of risk and its impact on clinical practice and decision-making in labour: An integrative review. Women Birth. 29 (2), 107-116.
Jacobson, C. H., Zlatnik, M. G., Kennedy, H. P., & Lyndon, A. (2013). Nurses' Perspectives on the Intersection of Safety and Informed Decision Making in Maternity Care. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing, 42 (5), 577-587.
Nkuoh, G. N., Meyer, D. J., & Nshom, E. M. (2013). Women's Attitudes Toward Their Partners' Involvement in Antenatal Care and Prevention of Mother-to-Child Transmission of HIV in Cameroon, Africa. Journal of Midwifery & Women's Health, 58 (1), 83-91.
Nolan, M. (2015). Perceptions of risk: How they influence women's and health professionals' choices. British Journal of Midwifery, 23 (8), 547-551.
Oweis, A. (2009). Jordanian mother's report of their childbirth experience: findings from a questionnaire survey. International Journal of Nursing Practice, 15 (6), 525-533.
Rance, S., McCourt, C., Rayment, J., Mackintosh, N., Carter, W., Watson, K., & Sandall, J. (2013). Women's safety alerts in maternity care: is speaking up enough? BMJ Quality & Safety, 22 (4), 348-355.
Rudman, A., El-Khouri, B., & Waldenström, U. (2007). Women's satisfaction with intrapartum care -- a pattern approach. Journal of Advanced Nursing, 59 (5), 474-487.
Schantz, C., Sim, K. L., Ly, E. M., Barennes, H., Sudaroth, S., & Goyet, S. (2015). Reasons for routine episiotomy: A mixed-methods study in a large maternity hospital in Phnom Penh, Cambodia. Reproductive Health Matters, 23 (45), 68-77.
Stevens, G., & Miller, Y. D. (2012). Overdue Choices: How Information and Role in Decision-Making Influence Women's Preferences for Induction for Prolonged Pregnancy. Birth: Issues in Perinatal Care, 39 (3), 248-257.
Sutcliffe, K., Caird, J., Kavanagh, J., Rees, R., Oliver, K., Dickson, K., Thomas, J. (2012). Comparing midwife-led and doctor-led maternity care: a systematic review of reviews. Journal of Advanced Nursing, 68 (11), 2376-2386.
Sutherland, G., Yelland, J., & Brown, S. (2012). Social Inequalities in the Organization of Pregnancy Care in a Universally Funded Public Health Care System. Maternal & Child Health Journal, 16 (2), 288-296.
Stevens, G., & Miller, Y. D. (2012). Overdue Choices: How Information and Role in Decision-Making Influence Women's Preferences for Induction for Prolonged Pregnancy. Birth: Issues in Perinatal Care, 39 (3), 248-257.
Tingstig, C., Gottvall, K., Grunewald, C., & Waldenström, U. (2012). Satisfaction with a Modified Form of In-Hospital Birth Center Care Compared with Standard Maternity Care. Birth: Issues in Perinatal Care, 39 (2), 106-114.
Trinh, A. T., Khambalia, A., Ampt, A., Morris, J. M., & Roberts, C. L. (2013). Episiotomy rate in Vietnamese-born women in Australia: support for a change in obstetric practice in Viet Nam. Bulletin of the World Health Organization, 91 (5), 350-356.
Waldenström, U., Hildingsson, I., Rubertsson, C., & Rådestad, I. (2004). A negative birth experience: prevalence and risk factors in a national sample. Birth: Issues in Perinatal Care, 31 (1), 17-27.
Browse journals by subject