Prevalência e fatores associados à prática da episiotomia em maternidade escola do Recife, Pernambuco, Brasil

Carvalho, Cynthia Coelho Medeiros de; Souza, Alex Sandro Rolland; Filho, Olímpio Barbosa Moraes

doi:10.1590/s0104-42302010000300020

Cited by 33 publications

(44 citation statements)

References 20 publications

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“…As an independent variable, low maternal age was associated with increased episiotomy, such that mean maternal age was 25.79 years in episiotomy group and 28.4 years in non-episiotomy group. In agreement with the present study, a study by Carvalho et al in Brazil showed mean age of mothers 24.7 years in episiotomy group and 24.7 years in non-episiotomy group (11). Other studies have also shown a relationship between younger maternal age and increased risk of episiotomy (5,12,13).…”

Section: Discussionsupporting

confidence: 93%

“…In separate studies in Brazil by Christianson et al (12) and Braga et al (14), a significant relationship was found between inducing labor with oxytocin and increased frequency of episiotomy, which disagreed with Carvalho et al study (11). In the present study, birth weight was 3132 ± 458 g in episiotomy group and 3135 ± 537g in non-episiotomy group, with no significant difference between them (P = 0.935), which is in agreement with Carvalho et al (11) and disagreement with Izuka et al studies (15). In the present study, mean first minute Apgar score was (8.21 ± 0.77) in episiotomy group and (8.86 ± 1.09) in non-episiotomy group, with significant difference between them (P = 0.0001).…”

Section: Discussionmentioning

confidence: 83%

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Prevalence and Factors Associated With Episiotomy in Shahroud City, Northeast of Iran

Rasouli¹,

Keramat²,

Khosravi³

et al. 2016

IJWHR

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 83%

Prevalence and Factors Associated With Episiotomy in Shahroud City, Northeast of Iran

Rasouli¹,

Keramat²,

Khosravi³

et al. 2016

IJWHR

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“…These findings show that the practice of episiotomy is carefully and selectively used, diverging from other studies that presented rates of 16% and 29.1% of episiotomies. [31][32] Regarding the neonatal data found in this study, mean gestational age calculated by the baby remained above 39 weeks, the firstminute Apgar ranged from 8 to 9 and in the fifth minute from 9 to 10, and the mean weight was 3,240 kg. These perinatal outcomes characterize the usual risk or lowrisk care performed by the obstetric nurse.…”

mentioning

confidence: 93%

Manejo não farmacológico de alívio da dor em partos assistidos por enfermeira obstétrica

Lehugeur

Strapasson

Fronza

2017

Rev enferm UFPE on line.

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Objective: to characterize a delivery assisted by an obstetric nurse regarding non-pharmacological methods of pain relief in the parturition process. Method: this is a quantitative, transversal, descriptive, retrospective study with 232 records of parturients with vaginal delivery assisted by an obstetric nurse. Data collection was carried out in patients' records and data analyzed using the SPSS Program version 21.0, presented in figures and tables. Results: there were 98.3% of patients using some non-pharmacological method of pain relief, such as: ambulation (79.2%), bath (73.1%), massage (60.0%), position variety (58.8%), aromatherapy (46.9%), ball (42%), among others. Conclusion: new studies can be performed focusing on the efficacy of nonpharmacological management of pain in the parturition process. Descriptors: Natural Childbirth; Pain; Labor Pain; Obstetric Nursing. RESUMOObjetivo: caracterizar os partos assistidos por enfermeira obstétrica quanto aos métodos não farmacológicos de alívio da dor no processo de parturição. Método: estudo quantitativo, transversal, descritivo e retrospectivo com 232 prontuários de parturientes com parto vaginal assistido por enfermei ra obstétrica. A coleta das informações foi realizada em prontuários de pacientes, e os dados foram analisados usando o programa SPSS, versão 21.0, sendo apresentados em uma figura e quatro tabelas. Resultados: 98,3% utilizaram algum método não farmacológico de alívio da dor, a saber: deambulação (79,2%), banho (73,1%), massagem (60,0%), variedade de posição (58,8%), aromaterapia (46,9%), bola (42%), entre outros. Conclusão: novos estudos podem ser realizados com enfoque na eficácia do manejo não farmacológico da dor no processo de parturição. Descritores: Parto Normal; Dor; Dor do Parto; Enfermagem Obstétrica. RESUMENObjetivo: caracterizar a los partos asistidos por uma enfermera obstétrica sobre los métodos no farmacológicos de alivio del dolor, en el proceso de parturición. Método: estudio cuantitativo, transversal, descriptivo, retrospectivo con 232 prontuarios de parturientes con parto vaginal asistido por uma enfermera obstétrica. La recolección de las informaciones fue realizada en prontuarios de pacientes y los datos analizados usando el Programa SPSS versión 21.0, presentados en figura y tablas. Resultados: 98,3% utilizaron algún método no farmacológico de alivio del dolor, entre ellos: deambulación (79,2%), baño (73,1%), masaje (60,0%), variedad de posición (58,8%), aromaterapia (46,9%), bola (42%), entre otros. Conclusión: nuevos estudios pueden ser realizados con enfoque en la eficacia del manejo no farmacológico del dolor, en el proceso de parturición. Descriptors: Parto Normal; Dolor; Dolor de Parto; Enfermería Obstétrica.

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“…Similarly, a study performed on a referral center in the state of Pernambuco in order to analyze the prevalence and factors associated with episiotomy in 495 women undergoing vaginal delivery showed that primiparous and women with no previous vaginal delivery presented ten times greater risk of being subjected to the procedure than pregnant women in general. 15 It was not objective of this study to evaluate the the episiotomy rate in pregnant adolescents in a university hospital, although, in a similar study, which the objective was to evaluate the prevalence and the intensity of pain in 303 puerperal women in Collective Accommodation Unit of a University Hospital in the city of São Paulo, was found the episiotomy rate of over 70%, with relation between the fact and the practical teaching at the institution. 16 Thus, it is believed that the episiotomy rates higher than those recommended by the Ministry of Health and WHO can be found at the mentioned institution, however it is recommended that quantitative studies should be conducted.…”

Section: Discussionmentioning

confidence: 92%

Episiotomy: perceptions from adolescent puerperae

et al. 2015

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Article linked to the research: Percepção de puérperas adolescentes relacionada à prática da episiotomia. Conflicts of interest: none.Received date: August 28, 2014. Objective. To identify the perception of the teenager puerperas regarding the practice of episiotomy. Methodology. This is a study with qualitative nature developed with 11 teenage puerperas in the Obstetrics Unit of one hospital located in the metropolitan region of São Paulo, Brazil. Results. Teens knew of the existence of episiotomy, but they unaware the reasons for its realization. Pain, discomfort and burning were negative repercussions presented, but most of them believe that assisted procedure in their delivery showing confidence in the professional who carried it out. Conclusion. Adolescents have different perceptions on the practice of the episiotomy, ranging from resignation to outrage.Key words: episiotomy; pregnancy in adolescence; humanizing delivery; obstetrical nursing. Percepciones de las puérperas adolescentes sobre la episiotomíaObjetivo. Identificar la percepción de puérperas adolescentes con relación a la práctica de la episiotomía. Metodología. Estudio cualitativo en el que se hicieron entrevistas semiestructuradas a 11 puérperas adolescentes en la Unidad de Obstetricia de un hospital localizado en la región metropolitana de São Paulo, Brasil. Los datos fueron sometidos a la técnica de análisis de contenido. Resultados. Las adolescentes sabían de la existencia de la episiotomía pero desconocían los motivos para su realización. Aunque el dolor, la incomodidad y el ardor representaron repercusiones negativas, manifestaron que el procedimiento ayudó al nacimiento y que tuvieron confianza en el profesional que lo llevó a cabo. Conclusión. Los adolescentes tenían diferentes percepciones sobre la práctica de la episiotomía, que van desde la resignación a las repercusiones físicas a las de indignación.Palabras clave: episiotomía; embarazo en adolescencia; parto humanizado; enfermería obstétrica. • Invest Educ Enferm. 2015;33(2)Episiotomia: percepções de puérperas adolescentes Objetivo. Identificar a percepção de puérperas adolescentes com relação à prática da episiotomia. Metodologia. Estudo de natureza qualitativa desenvolvido com 11 puérperas adolescentes em Unidade de Obstetrícia de hospital localizado na região metropolitana de São Paulo, Brasil. Resultados. As adolescentes sabia da existência da episiotomia, porém desconhecia os motivos de sua realização. Dor, incômodo e ardência foram as repercussões negativas apresentadas, porém grande parte acredita que o procedimento auxiliou em seu parto demonstrando confiança no profissional que o realizou. Conclusão. As adolescentes apresentaram percepções diversas diante da prática da episiotomia, variando do conformismo à indignação.Palavras-chave: episiotomia; gravidez na adolescência; parto humanizado; enfermagem obstétrica.

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Prevalência e fatores associados à prática da episiotomia em maternidade escola do Recife, Pernambuco, Brasil

Cited by 33 publications

References 20 publications

Prevalence and Factors Associated With Episiotomy in Shahroud City, Northeast of Iran

Prevalence and Factors Associated With Episiotomy in Shahroud City, Northeast of Iran

Manejo não farmacológico de alívio da dor em partos assistidos por enfermeira obstétrica

Episiotomy: perceptions from adolescent puerperae

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