The relationship between midwife job stress and selective episiotomy in nulliparous women

Mina Ghalenovi,1,* Zahra abedian,2

1. master of midwifery, faculty member of sabzevar university of medical sciences, hran
2. Master of Midwifery, Faculty member of Mashhad University of Medical Sciences, Iran



Episiotomy is a common cause of maternal trauma in nulliparous women. many studies have confirmed the selective episiotomy. one of the reasons for occupational stress and burnout among midwives is due to traumas that occur during delivery to patients. deciding whether or not to perform episiotomy is ultimately done by the perpetrators of childbirth. the aim of this study was to determine the relationship midwife job stress and selective episiotomy in nulliparous women. .


This was a descriptive correlation study performed in maternity hospitals in mashhad in 1394. at first, the 60 midwife working at the maternity hospital, who was satisfied to participate in the study, provided the coudron job stress questionnaire. this questionnaire consists of four sections of job stress, health stress life, the stress of personal life, individual person stress. as well as demographic information and midwifery job information, then information about 120 pregnant (for each midwife, two maternity care items were controlled); nulliparous, cephalic, singleton and abnormal body delivered by midwives was collected. episiotomy information was collected by a checklist containing episiotomy indications , the reasons for the midwife to perform episiotomy and etcetra prepared by the researcher. data were analyzed by spss software 16. mann-whitney nonparametric test was used for non-normalization of two variables.


Findings showed that comparing the mean of job stress (p= 0/22), health stress life(p= 0/53), the stress of personal life(p= 0/44) and individual person stress(p= 0/1) in two groups (selective and non-selective episiotomy) showed no significant difference. job stress score in the selected group was 23.7 ± 3.2 and in the non-selective group was 23 ± 1.2, and the test showed no significant difference between the two groups (p = 0.085).


The present study showed that there is no significant relationship between the midwife job stress and selective episiotomy in nulliparous women. therefore, it is suggested that studies with more samples, other psychological skills, and even the training of these skills on the performance of midwives.


Episiotomy, midwife, job stress, nulliparous