Inpatient postpartum recovery following episiotomy: secondary outcomes of a prospective observational study
Primary result · ObsQoR score, SVDResult — go to the resultMean difference −11.2 95% CI −18.4 to −4.0Authors' conclusion
Episiotomy negatively impacts inpatient postpartum recovery after SVD. Pain and maternal discomfort are key factors adversely affecting recovery across all delivery modes.
Study context
- Population
- Women with term deliveries of healthy neonatesavailable for analysis
- Participants
- 325 women
- Comparison
- Spontaneous vaginal delivery (SVD) with vs without episiotomy
- Primary endpoint
- Postpartum recovery score (ObsQoR-10-Heb) after SVD with vs without episiotomy
- Follow-up
- 24-48 h postpartum
Methodological detailssurvey within 24-48 h postpartum
- Survey within 24-48 h postpartum
Primary result
ObsQoR score, SVD
Mean difference
−11.2
95% CI −18.4 to −4.0
P < 0.001
By group
SVD without episiotomy
80.58
mean · SD 12.15
SVD with episiotomy
69.38
mean · SD 13.59
SVD with episiotomy vs SVD without episiotomy
mean difference −11.2 (95% CI −18.4 to −4.0); P < 0.001
As reported in the abstract
Secondary outcomes
| Outcome | Values | Mean difference (95% CI) | P value | |
|---|---|---|---|---|
| ObsQoR score, OVDOVD with episiotomy vs OVD without episiotomy | OVD without episiotomy mean 72.22 (SD 19.41) · OVD with episiotomy mean 68.00 (SD 15.57) | −4.2 (−19.7 to 11.2) | P = 0.970 | |
| −20−1001020Difference (linear scale) |
| Outcome | Values |
|---|---|
| ObsQoR score, CD | elective CD mean 68.61 (SD 16.28) · emergency CD mean 55.63 (SD 16.89) |
ObsQoR score, cesarean delivery (CD)
- Emergency CD reflecting the poorest recovery
ObsQoR items
- Pain and discomfort ranked lowest for all delivery modes, contributing most to reduced recovery score
Original publication
Inpatient postpartum recovery following episiotomy: secondary outcomes of a prospective observational study. Int J Obstet Anesth. Published 12 October 2025. doi:10.
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