Perineal techniques during the second stage of labour for reducing perineal trauma

Aasheim, Vigdis; Nilsen, Anne Britt Vika; Reinar, Liv Merete; Lukasse, Mirjam

doi:10.1002/14651858.cd006672.pub3

Cited by 184 publications

(146 citation statements)

References 72 publications

Supporting

Mentioning

121

Contrasting

Unclassified

Order By: Relevance

“…An episiotomy is often performed to prevent severe perineal tears [43,45]. However, literature supports other methods to reduce the rate of third or fourth degree tears which do not have adverse effects [46][47][48].…”

Section: Interpretation and Further Researchmentioning

confidence: 99%

Regional variations in childbirth interventions and their correlations with adverse outcomes, birthplace and care provider: A nationwide explorative study

Seijmonsbergen-Schermers

Zondag

Nieuwenhuijze

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

Background Variations in childbirth interventions may indicate inappropriate use. Most variation studies are limited by the lack of adjustments for maternal characteristics and do not investigate variations in adverse outcomes. This study aims to explore regional variations in the Netherlands and their correlations with referral rates, birthplace, interventions, and adverse outcomes, adjusted for maternal characteristics. Methods In this nationwide retrospective cohort study, using a national data register, intervention rates were analysed between twelve regions among single childbirths after 37 weeks' gestation in 2010-2013 (n = 614,730). These were adjusted for maternal characteristics using multivariable logistic regression. Primary outcomes were intrapartum referral, birthplace, and interventions used in midwife-and obstetrician-led care. Correlations both between primary outcomes and between adverse outcomes were calculated with Spearman's rank correlations.

show abstract

Section: Interpretation and Further Researchmentioning

confidence: 99%

Regional variations in childbirth interventions and their correlations with adverse outcomes, birthplace and care provider: A nationwide explorative study

Seijmonsbergen-Schermers

Zondag

Nieuwenhuijze

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Aasheim V et al published in Cochrane review that moderate-quality evidence suggests that warm compresses, and massage, may reduce third-and fourthdegree tears but the impact of these techniques on other outcomes was unclear or inconsistent. 12 Poor-quality evidence suggests hands-off techniques may reduce episiotomy, but this technique had no clear impact on other outcomes. There were insufficient data to show whether other perineal techniques result in improved outcomes.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of complications during third stage of labour among women delivering at tertiary care center

Agrawal¹,

Kalra²,

Suryavanshi³

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: The common complications occurring during third stage of labor are PPH Retained Placenta, Morbid adherent placenta- placenta accreta, placenta increta, percreta, perineal tears, uterine inversion increasing the maternal morbidity and mortality. The objective of the present study was to evaluate percentage and spectrum of obstetrics complication occurring during third stage of labor.Methods: An observational study was done at Department of Obstetrics and Gynecology, People’s College of Medical Sciences and Research Center, Bhopal from January 2016 to December 2017. All women delivering vaginally including instrumental deliveries were included. The medio-lateral episiotomy was given to all primigravida and for multigravida decision was case based as big size babies, instrumental deliveries, rigid perineum. Active management of third stage of labor was practiced.Results: 899 women delivered vaginally during the study period of 2 years (Jan -Dec 2016 Jan -Dec 2017). Among these 6.45% (58 women) had various complications during third stage of labor . 55% were primigravida. Complications which were observed to occur during third stage of labor were perineal tear 4% (37/899 deliveries). Atonic PPH occurred in 0.5% (9/899 deliveries) Traumatic PPH was in 1.44% (13/899 deliveries and 0.3% cases had retained placenta. Associated condition in perineal tear cases were 92% had big size babies 5% cases were preterm labor and in 3% cases ventouse application was done.Conclusions: Common complications were 1st and 2nd degree perineal tears occurred in 4% deliveries and traumatic PPH were in 1.44% of cases.

show abstract

“…related to activities of midwifery assisted birth, for which no evidence has been provided so far, e.g. vaginal seeding [18] or "hands-off" perineal protection [19]).…”

Section: Implications For Curricular Teachingmentioning

confidence: 99%

Academisation of the Midwifery Profession and the Implementation of Higher Education in the Context of the New Requirements for Licensure

Graf

Simoes

Blaschke

et al. 2020

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

The academization of the midwifery profession poses great challenges for Germany, especially due to the tight timelines: Corresponding courses of study can in principle be offered at both universities and technical colleges – although contrary to the recommendations of the Science Council. This means that there is a heterogeneity in midwifery qualifications and promotes a discussion regarding coherent study concepts. This process must be accompanied with great care so that midwifery courses of study are not designed to be of poorer quality than other courses of study due to a lack of financial resources. First concepts are already available and will be discussed and examined below.

show abstract

Perineal techniques during the second stage of labour for reducing perineal trauma

Cited by 184 publications

References 72 publications

Regional variations in childbirth interventions and their correlations with adverse outcomes, birthplace and care provider: A nationwide explorative study

Regional variations in childbirth interventions and their correlations with adverse outcomes, birthplace and care provider: A nationwide explorative study

Evaluation of complications during third stage of labour among women delivering at tertiary care center

Academisation of the Midwifery Profession and the Implementation of Higher Education in the Context of the New Requirements for Licensure

Contact Info

Product

Resources

About