The study aimed to examine the prevalence of episiotomy in Ecuadorian hospitals over 14 years and its relation to various maternal and neonatal factors.
A total of 11,862 vaginal delivery records showed an overall episiotomy rate of 36.69%, with a noted decrease in frequency from 2019 to 2022.
The findings highlighted that younger maternal age, previous cesarean sections, and certain neonatal conditions were positively associated with episiotomy, while having had previous vaginal births showed a negative association, leading to recommendations for improved clinical guidelines.