Intrapartum interventions and risk of perineal trauma

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11140%2F17%3A10367540" target="_blank" >RIV/00216208:11140/17:10367540 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1007/978-3-319-14860-1_5" target="_blank" >http://dx.doi.org/10.1007/978-3-319-14860-1_5</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/978-3-319-14860-1_5" target="_blank" >10.1007/978-3-319-14860-1_5</a>

Result language

angličtina

Original language name

Intrapartum interventions and risk of perineal trauma

Original language description

Investigating interventions to reduce perineal trauma faces several challenges including the wide variation in clinical practice and inadequate documentation of the actual interventions adopted by the obstetrician or midwife, like manual perineal protection (MPP), hence limiting the feasibility of properly assessing such interventions retrospectively. Several clinical interventions to reduce risk of perineal trauma at birth have been advocated with varying degrees of efficacy. Antenatal perineal massage, performed by the pregnant woman herself, reduces the need of episiotomy during delivery, but has no effect on spontaneous lacerations on the perineum. Selective use of non-midline episiotomy is associated with a decreased prevalence of OASIS, especially in operative and first vaginal deliveries. Perineal warm compresses during crowning/second stage of labour reduced perineal trauma in general, however the effect on risk of OASIS was non-significant. MPP has been shown to be an effective intervention in reducing the risk of OASIS in several large non-randomised studies. It is important to recognise that these methods will probably have no real impact on incidence of perineal trauma when applied on ad hoc bases. However, the introduction of a standardised and structured management protocol at the time of birth that is uniformly adopted by the entire multiprofessional maternity staff has been shown to significantly reduce the occurrence of OASIS. Indeed, combining MPP with slowing the expulsion of the baby&apos;s head (using two hands) and simultaneously coaching the mother not to push has reduced the incidence of OASIS by 50-70 % in large population based observational studies. (C) Springer International Publishing Switzerland 2016. All rights reserved.

Czech name

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Czech description

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Type

C - Chapter in a specialist book

CEP classification

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OECD FORD branch

30214 - Obstetrics and gynaecology

Project

<a href="/en/project/LO1503" target="_blank" >LO1503: BIOMEDIC</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Book/collection name

Perineal Trauma at Childbirth

ISBN

978-3-319-14859-5

Number of pages of the result

14

Pages from-to

83-96

Number of pages of the book

191

Publisher name

Springer International Publishing

Place of publication

Cham

UT code for WoS chapter

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