Surgical repair versus non-surgical management of spontaneous perineal tears

Elharmeel, Suzan M. A.; Chaudhary, Yasmin; Tan, Stéphanie; Scheermeyer, Elly; Hanafy, Ashraf; Driel, Mieke van

doi:10.1002/14651858.cd008534

Cited by 1 publication

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, most lacerations were not sutured, following a tendency to adopt natural healing, which seems to contribute to the reduction of pain (25) . However, more evidence is needed to support this practice (26) . The rate of 3 rd and 4 th degree lacerations was equivalent to that of other national studies (8)(9)(10) and below the rate of other countries (3,10,27) .…”

Section: Discussionmentioning

confidence: 99%

Obstetric practices in planned home births assisted in Brazil

Koettker¹,

Brüggemann

Freita

et al. 2018

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: To describe obstetric practices in planned home births, assisted by qualified professionals in Brazil. Method: This is a descriptive study, with data collected in an online bank maintained by 49 professionals from December 2014 to November 2015, in which the target population was women and newborns assisted in home births. Data were analyzed through descriptive statistics. Results: A total of 667 women and 665 newborns were included. Most of the women gave birth at home (84.4%), in a nonlithotomic position (99.1%); none underwent episiotomy; 32.3% had intact perineum; and 37.8% had first-degree lacerations, some underwent amniotomy (5.4%), oxytocin administration (0.4%), and Kristeller’s maneuver (0.2%); 80.8% of the women with a previous cesarean section had home birth. The rate of transfer of parturients was 15.6%, of puerperal women was 1.9%, and of neonates 1.6%. The rate of cesarean section in the parturients that started labor at home was 9.0%. Conclusion: The obstetric practices taken are consistent with the scientific evidence; however, unnecessary interventions are still performed. The rates of cesarean sections and maternal and neonatal transfers are low. Home can be a place of birth option for women seeking a physiological delivery.

show abstract