Red flags for episiotomy in a midwife-led birth: Using co-production with midwives to capture clinical experience

Gould, Jo; Webb, Sara; Byrne, Carmen; Brace, Emily; Cleary, Jane; Dow, Lorna; Edwards, Elizabeth; Glyn-Jones, Elizabeth; Hunter, Tracey; Longton, Jacqueline; Tibble, Katie; MacLellan, Jennifer

doi:10.1016/j.wombi.2022.06.009

Cited by 1 publication

(3 citation statements)

References 19 publications

(18 reference statements)

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Section: Introductionmentioning

confidence: 99%

“…Known as an episiotomy, this intervention has been used as a policy of routine care during deliveries in some countries. [2][3][4][5][6][7][8] Lacerations and episiotomy are serious procedures that require surgical sutures. [2][3][4] While episiotomy affects the body image and sexual life of the woman, it also affects the comfort of the mother with perineal pain in the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

“…6 Midwives accompanying pregnant women at all stages of labor use non-pharmacological methods and various techniques to help reduce genital tract trauma rates after vaginal delivery. 7,8 The factor that increases the satisfaction in the labor process is related to the comfort provided to the pregnant woman. 9 According to the studies, it was stated that less analgesia can be used when the effectiveness of relaxing applications is applied to the woman during the birth process.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Virtual Reality Glasses Applied During the Episiotomy On Pain and Satisfaction: A Single Blind Randomized Controlled Study

ORHAN¹,

Bülez²

2023

JPR

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Objective The research was conducted as a randomized controlled study to determine the effect of virtual reality glasses on the mother’s pain and satisfaction during episiotomy. Methods The sample consisted of 50 pregnant women determined by randomization among primiparous pregnant women. Data were collected with the Mother Information Form and Visual Analog Scales Pain and Satisfaction Evaluation forms. 5 mL of lidocaine was administered to mothers in the intervention and control groups during episiotomy repair. Only the mothers in the intervention group watched a video with virtual reality glasses for an average of 10 minutes during the episiotomy procedure. SPSS 22.0 was used in the analysis. Results In the comparison between the groups, it was found that the mean pain score measured during episiotomy inner and episiotomy skin suturing was statistically significantly lower in the intervention group than in the control group; there was no significant difference between the intervention and control groups in the mean pain scores measured before and after episiotomy repair. It was determined that the mean satisfaction score of the intervention group was higher than that of the control group. Conclusion Virtual reality glasses reduced pain during episiotomy and increased satisfaction. According to the results, it is recommended to be used by midwives because it is an easily applicable non-pharmacological method and increases the mother’s birth satisfaction.

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Section: Introductionmentioning

confidence: 99%