4.1 Outlook
Episiotomy rates vary globally from 9.7% in Sweden to 100% in
Taiwan[6]. Some countries have succeeded in dropping their
episiotomy rates in the early 21st century, for instance, the United
States managed to reduce episiotomy rates from 60.9% in 1979 to 24.5%
in 2004[3]. In 2003, the incidence of episiotomy was 13% in
England, and 16.3% in Scotland[6]. It appears that episiotomy rates
are particularly high in the Middle East, the region of our study. Oman
has an episiotomy rate of 66%[7], while in Lebanon, the rate was
found to be 73.3% in 2014[8]. In Nigeria the episiotomy rate was
46.6% in 1998[10].