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Episiotomy practice and associated factors among mothers who gave birth at public health facilities in Metema district, northwest Ethiopia.

Reprod Health · 2021 · PMC8252291 · PMID 34215256

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a decreasing trendno p-value reported
Even though episiotomy practice is with a decreasing trend in some developed countries, but still statistics revealed that an overall high rates of episiotomy practice around the world.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.