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.



Episiotomy, Education, Midwifery, Kurdistan


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.


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How to Cite

Ahmed, H. M. (2015). Post episiotomy care instructions among midwives in Kurdistan region, Iraq. Zanco Journal of Medical Sciences (Zanco J Med Sci), 19(2), 1005–1010.



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