[Consent To The Episiotomy About 331 Cases At The Health Reference Center Of The "Commune I" Of The District Of...

Episiotomy is a surgical act performed during childbirth to widen the vaginal opening; like any other medical procedure, its benefits and risks must be made known to patients in accordance with the legal and regulatory provisions of each country.The principle of immunity of the human body makes that the consent in the care is the keystone of the doctor-patient relationship, this consent is the first legitimization of the medicalact. The consent has to «be free and lit» as far as the decision of the patient must be taken without any constraint or pressure having obtained all the necessary information. This practice is not respected most of the time in our countries in spite of the fact that it's not observance engages the responsibility of the practitioner.

Study the consent of women who have undergone an episiotomy at the reference health center of "commune I" in the District of Bamako.

This is a prospective cross-sectional study conducted at the Obstetric Gynecology Department of the "Commune I" Health Center of the Bamako District from March 1, 2010 to February 29, 2012, involving 331 patients. We conducted the history and physical examination of women seen in post natal consultation who had undergone an episiotomy, a survey sheet was completed for each of them meeting our criteria. Data capture and analysis was done on SPSS 18; the texts and tables were processed on Microsoft Word Office 2007 software; Graphic representations were processed on Microsoft Excel Office 2007.

Women were informed of the study's objectives and interests; Confidential and anonymous insurance.

In our study the practice of the episiotomy concerned 32, 19 % of the cases of assisted childbirths. The average age of the patients was of 25 years with extremes going of 14-46 years, the rigidity of the perineum was the main indication of the episiotomy in 41.1% of cases. Only 32.02% of the participants were previously informed prior to the practice of episiotomy. The information given was well understood in the same proportions is 32, 02% of cases and the assent lit with the episiotomy was obtnained in 29.31%. of cases. The information given was well understood in the same proportions of 32.02% of cases and informed consent to episiotomy was obtained in 29.31% of cases.

In our study, the majority of our women have undergone episiotomy without any consent; the respect of the fundamental rights of the sick by health personnel, through the search for free and informed consent throughout the process of care, any breach of this duty constitutes a violation of the legal and ethical provisions.