Factors related to perineal trauma in childbirth

Albers, Leah L.; Anderson, Deborah J.; Cragin, Leslie; Daniels, Susan Moore; Hunter, Christine; Sedler, Kay D.; Teaf, Dusty

doi:10.1016/0091-2182(96)00042-0

Cited by 65 publications

(52 citation statements)

References 13 publications

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“…By contrast, the declining incidence of episiotomy with increasing age and parity suggest a selective use of episiotomy in multigravid women and older women. the association of younger age with episiotomy may also reflect an interaction between younger age at first birth and a high rate of episiotomy at first birth, as other studies have reported (10,11). The other factors influencing the practice of episiotomy in this study were operative vaginal deliveries, breech vaginal delivery, occipitoposterior positioning of the foetal head, and vaginal birth after a previous caesarean section.…”

Section: Discussionmentioning

confidence: 57%

Factors Influencing The Use Of Episiotomy During Vaginal Delivery In South Eastern Nigeria

Chigbu¹,

Onwere²,

Aluka³

et al. 2008

E Af Med Jrnl

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Background: Given considerable evidence that routine episiotomy increases maternal morbidity and without evidence to support maternal or neonatal benefit, has episiotomy use changed among health care providers? To date, very limited information exists relating to the past and current practice of episiotomy in many developing countries. Results: There were 1877 episiotomies, for an episiotomy rate of 45%. Ninety per cent of the primigravid parturients had episiotomy. Women undergoing episiotomy were younger (mean age 24.7 years; range 16-37) than women without episiotomy (mean age 28.5 years, range 20-43). When controlled for parity and maternal age, other risk factors were occipito-posterior position, vacuum extraction, forceps delivery, vaginal breech delivery, and a history of Caesarean section. Episiotomy use was also associated with major perineal lacerations and increased length of hospital stay. Conclusion: The episiotomy rate of 45 per 100 vaginal deliveries in this study is obviously higher than evidence-based recommendations for optimal patient care. A policy of systematic reduction in the incidence of episiotomy can be pursued in this hospital. Greater attention needs to be paid to selection of women to undergo episiotomy.

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Section: Discussionmentioning

confidence: 57%

Factors Influencing The Use Of Episiotomy During Vaginal Delivery In South Eastern Nigeria

Chigbu¹,

Onwere²,

Aluka³

et al. 2008

E Af Med Jrnl

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“…For instance, perineal warm packs and warm compresses have been shown to reduce genital trauma and increase the woman_s comfort in the second stage of labor. 22,23 A survey in 210 maternity units in England demonstrated that one-third of the deliveries were performed using perineal warm compresses. 21 Because management and protection of the perineum are the main goals during vaginal delivery, and a limited number of studies have been conducted on thermotherapy and prevention of perineal damages in Iran, this study made use of warm packs in 7-to 8-cm and 10-cm dilatation.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Warm Compress Bistage Intervention on the Rate of Episiotomy, Perineal Trauma, and Postpartum Pain Intensity in Primiparous Women with Delayed Valsalva Maneuver Referring to the Selected Hospitals of Shiraz University of Medical Sciences in 2012-2013

Akbarzadeh

Vaziri

Farahmand

et al. 2016

Advances in Skin &Amp; Wound Care

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“…Afirma, ainda, que o tônus da musculatura da vagina depende mais do exercício e da consciência da mulher, de sua contração e relaxamento do que de cirurgias de rotina (5) . Em estudos relacionados à opção da mulher pela posição no parto, evitando a posição litotômica, foi encontrada prevalência de períneo íntegro no parto em posição lateral esquerda, com diferença estatisticamente significante em comparação com a posição litotômica associada ao aumento de lacerações no períneo (10,(15)(16) . Ainda como fatores relacionados ao parto ou ao feto, que podem estar associados às lacerações perineais, vale destacar a duração do período expulsivo, a variedade de posição no desprendimento do pólo cefálico, o tipo de puxo realizado pela parturiente, a presença de circular de cordão umbilical e o peso do recém-nascido.…”

Section: Introductionunclassified

Fatores relacionados ao trauma perineal no parto normal em nulíparas

Scarabotto¹,

Riesco

2006

Rev. esc. enferm. USP

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Inúmeros estudos têm sido realizados com a finalidade de contribuir para a prevenção do trauma perineal no parto normal. O objetivo do presente estudo foi relacionar a altura do períneo, duração do período expulsivo, variedade de posição no desprendimento cefálico, tipo de puxo, presença de circular de cordão, peso do recém-nascido e ardor na vulva ao urinar com a ocorrência de lacerações perineais. A pesquisa foi realizada em 2003, no Centro de Parto Normal do Amparo Maternal, com uma amostra de 67 parturientes sem partos vaginais anteriores. Os resultados mostraram que não houve diferença estatisticamente significante em relação às variáveis analisadas.

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Factors related to perineal trauma in childbirth

Cited by 65 publications

References 13 publications

Factors Influencing The Use Of Episiotomy During Vaginal Delivery In South Eastern Nigeria

Factors Influencing The Use Of Episiotomy During Vaginal Delivery In South Eastern Nigeria

The Effect of Warm Compress Bistage Intervention on the Rate of Episiotomy, Perineal Trauma, and Postpartum Pain Intensity in Primiparous Women with Delayed Valsalva Maneuver Referring to the Selected Hospitals of Shiraz University of Medical Sciences in 2012-2013

Fatores relacionados ao trauma perineal no parto normal em nulíparas

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