Vše

Co hledáte?

Vše
Projekty
Výsledky výzkumu
Subjekty

Rychlé hledání

  • Projekty podpořené TA ČR
  • Významné projekty
  • Projekty s nejvyšší státní podporou
  • Aktuálně běžící projekty

Chytré vyhledávání

  • Takto najdu konkrétní +slovo
  • Takto z výsledků -slovo zcela vynechám
  • “Takto můžu najít celou frázi”

Intrapartum interventions and risk of perineal trauma

Identifikátory výsledku

  • Kód výsledku v 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>

  • Výsledek na webu

    <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>

Alternativní jazyky

  • Jazyk výsledku

    angličtina

  • Název v původním jazyce

    Intrapartum interventions and risk of perineal trauma

  • Popis výsledku v původním jazyce

    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.

  • Název v anglickém jazyce

    Intrapartum interventions and risk of perineal trauma

  • Popis výsledku anglicky

    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.

Klasifikace

  • Druh

    C - Kapitola v odborné knize

  • CEP obor

  • OECD FORD obor

    30214 - Obstetrics and gynaecology

Návaznosti výsledku

  • Projekt

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

  • Návaznosti

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

Ostatní

  • Rok uplatnění

    2017

  • Kód důvěrnosti údajů

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

Údaje specifické pro druh výsledku

  • Název knihy nebo sborníku

    Perineal Trauma at Childbirth

  • ISBN

    978-3-319-14859-5

  • Počet stran výsledku

    14

  • Strana od-do

    83-96

  • Počet stran knihy

    191

  • Název nakladatele

    Springer International Publishing

  • Místo vydání

    Cham

  • Kód UT WoS kapitoly