Mario Lumbreras Marquez: Pleased to Share Our Publication Episiotomy Decision-Making and Perceived Consequences
Mario Lumbreras Marquez, Editorial Board Member of AJOG MFM, shared a post on LinkedIn about a paper he co-authored published in BIRTH:
“Pleased to share our recent publication in BIRTH: Issues in Perinatal Care:
Episiotomy Decision-Making and Perceived Consequences: A Qualitative Study From Two Public Hospitals in Mexico
Episiotomy remains a common obstetric procedure in many settings, despite longstanding international recommendations favoring a restrictive approach. Changing this pattern requires more than disseminating guidelines—it requires understanding how decisions are actually made in real-world clinical environments.
In this two-phase qualitative study, we explored maternal healthcare professionals’ perspectives on episiotomy decision-making, performance, and perceived consequences across two public hospitals in Mexico. We then engaged frontline providers in collaboratively designing behavioral science–informed interventions for a planned pilot study aimed at promoting restrictive, evidence-based, and respectful maternity care.
Participants described episiotomy decisions as guided primarily by clinical and preventive reasoning, but also shaped by non-clinical factors, including training traditions and productivity pressures. Notably, despite the absence of formal institutional monitoring of episiotomy rates, professionals expressed strong interest in receiving feedback on their practice and participating in quality-improvement efforts.
Improving maternal health is not only about preventing morbidity and mortality; it is also about ensuring that women receive care that is evidence-based, respectful, and dignified throughout childbirth. Evidence alone rarely changes practice—understanding behavior, context, and health systems is often the first step toward meaningful and sustainable improvement.
My thanks to all co-authors, collaborators, participating hospitals/institutions, and the healthcare professionals who made this work possible.”
Title: Episiotomy Decision-Making and Perceived Consequences: A Qualitative Study From Two Public Hospitals in Mexico
Authors: Ithandehui Jaimes-Jiménez, Erika Sofia Valtierra-Gutiérrez, Rodrigo A. González-De Ita, Luis Ernesto Caballero-Torres, Arturo González-Ledesma, Liliana Dominguez-Hernandez, Juan Manuel Mimiaga-Morales, Mario I. Lumbreras-Marquez, Gregorio T. Obrador, Lilia Elena Monroy-Ramírez de Arellano
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