Fatores Relacionados Às Lesões Perineais Ocorridas Em Partos Vaginais

Abstract

Fatores relacionados às lesões perineais ocorridas em partos vaginais Factors related to perineal lesions in vaginal deliveries

Diagnósticos de enfermagem em puérperas fundamentados na teoria da consecução do papel materno: estudo transversal

“…The author argues that cesarean section should be reserved for situations of a real need to decrease the incidence of this nursing diagnosis, as a less traumatic postpartum period promotes maternal well-being and interaction with the newborn (2,12) . In contemporary obstetric practice based on evidence, preventive resources for perineal lacerations are employed, such as allowing women the freedom to choose the most comfortable delivery position, usually the upright position, perineal massage with vegetable oil, and warm perineal compress during the expulsive phase (13)(14) . Wor-king together with the physiological process of delivery, avoiding the Valsalva maneuver and abolishing the Kristeller maneuver, which has been banned in obstetrics, facilitates slow fetal descent, allowing gradual perineal distension and preventing injuries (13)(14) .…”

“…In contemporary obstetric practice based on evidence, preventive resources for perineal lacerations are employed, such as allowing women the freedom to choose the most comfortable delivery position, usually the upright position, perineal massage with vegetable oil, and warm perineal compress during the expulsive phase (13)(14) . Wor-king together with the physiological process of delivery, avoiding the Valsalva maneuver and abolishing the Kristeller maneuver, which has been banned in obstetrics, facilitates slow fetal descent, allowing gradual perineal distension and preventing injuries (13)(14) . The fact that this nursing diagnosis is not present in all postpartum women may be associated with adopting these resources and the multiparity profile of the sample, as a woman who has had one or more vaginal deliveries experiences a reduced risk of perineal lacerations (13) .…”