Episiotomy practices and associated factors in central Vietnam

This study highlights a very high episiotomy rate in Central Vietnam, especially among primiparous women despite recommendations from the World Health Organization and the Vietnam Ministry of Health. Several modifiable maternal and neonatal factors are linked to episiotomy use in multiparous women. While one year may not be sufficient to fully assess the restrictive policy's effect, the results of our study also suggest that the policy has not had a significant impact on reducing the episiotomy rate after one year. This indicates that, in addition to the policy, further support and interventions are needed to reduce episiotomy rate.