keyword
https://read.qxmd.com/read/36503437/conservative-non-pharmacological-interventions-in-women-with-pelvic-floor-dysfunction-a-systematic-review-of-qualitative-studies
#21
JOURNAL ARTICLE
Ana Carolina Nociti Lopes Fernandes, Domingo Palacios-Ceña, Caroline Caetano Pena, Thaiana Bezerra Duarte, Aura Maria Paternina de la Ossa, Cristine Homsi Jorge
BACKGROUND: Women's adherence is essential to physiotherapeutic treatment of pelvic floor dysfunction, but its related factors are not usually considered in the development of treatment approaches. This study aims to understand how women with pelvic floor dysfunction experience pelvic floor conservative non-pharmacological treatment options. METHODS: A systematic review of qualitative studies. The electronic search was performed in MEDLINE/PubMed, CINAHL, Lilacs, SCOPUS, and Web of Science databases...
December 12, 2022: BMC Women's Health
https://read.qxmd.com/read/36442355/effects-of-perineal-massage-during-childbirth-on-maternal-and-neonatal-outcomes-in-primiparous-women-a-systematic-review-and-meta-analysis
#22
REVIEW
Yuxuan Li, Chongkun Wang, Hong Lu, Linlin Cao, Xiu Zhu, Aihua Wang, Ruiyang Sun
BACKGROUND: Perineal massage during childbirth has been recommended as an effective measure to prevent perineal injury. However, the overall effects of perineal massage during childbirth on maternal and neonatal outcomes in primiparous women remain inconclusive. Particularly, the effects of perineal massage begun during different stages of labor need to be further investigated. OBJECTIVES: To comprehensively review the effects of perineal massage during childbirth on primiparous health outcomes, including perineal-related outcomes, duration of labor, hemorrhage and postpartum perineal pain, and neonatal outcomes, including Apgar scores and neonatal complications, and to further explore the effects of perineal massage begun during different stages of labor...
February 2023: International Journal of Nursing Studies
https://read.qxmd.com/read/36315057/women-know-about-perineal-trauma-risk-but-do-not-know-how-to-prevent-it-knowledge-attitude-and-practice
#23
JOURNAL ARTICLE
Edna Jéssica Lima Gondim, Mayle Andrade Moreira, Amene Cidrão Lima, Priscila de Souza de Aquino, Simony Lira do Nascimento
OBJECTIVE: To evaluate the knowledge, attitude, and practice (KAP) of pelvic floor muscle (PFM) preparation for birth among postpartum women, and its related factors. METHODS: Cross-sectional study conducted in a maternity unit among Brazilian women aged 14 years or older during the first 72 h postpartum, who desired and had vaginal birth. Sociodemographic, clinical, and obstetric data were collected using a standardized form from medical charts. A 15-question questionnaire was used to measure the KAP of PFM preparation for birth...
May 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/36295645/perineal-massage-during-pregnancy-for-the-prevention-of-postpartum-urinary-incontinence-controlled-clinical-trial
#24
JOURNAL ARTICLE
María Álvarez-González, Raquel Leirós-Rodríguez, Lorena Álvarez-Barrio, Ana F López-Rodríguez
Background and objectives : Urinary incontinence is any involuntary loss of urine. It may result in anxiety, depression, low self-esteem and social isolation. Perineal massage has spread as a prophylactic technique for treating complications during labor. Acknowledged effects of perineal massage are reduction of incidence and severity of perineal tear and use of equipment directly related to the intrapartum perineal trauma. The aim of this study was to determine the effectiveness of massage in urinary incontinence prevention and identification of possible differences in its form of application (self-massage or by a physiotherapist), with the previous assumption that it is effective and that there are differences between the different forms of application...
October 19, 2022: Medicina
https://read.qxmd.com/read/36268587/the-effect-of-sacral-massage-on-meconium-stained-amniotic-fluid-and-the-duration-of-fetal-descent-in-labor-a-randomized-controlled-trial
#25
RANDOMIZED CONTROLLED TRIAL
Hasan Ulubasoglu, Rahime Bedir Fındık, Hüseyin Levent Keskin, Damla Özcan, Ozlem Moraloglu Tekin, Jale Karakaya
OBJECTIVE: The aim of this study was to investigate the effect of sacral massage on the presence of meconium-stained amniotic fluid and the duration of fetal descent during labor in pregnant women. METHODS: A total of 220 nulliparous women with singleton low-risk pregnancies in the vertex position at term were recruited. Eligible women were randomly assigned to either massage group or a control group. The massages were performed with friction and tapotement protocol...
January 2023: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/36107230/pfmt-relevant-strategies-to-prevent-perineal-trauma-a-systematic-review-and-network-meta-analysis
#26
JOURNAL ARTICLE
Xiao Cao, Qiuyu Yang, Qi Wang, Shasha Hu, Liangying Hou, Mingyao Sun, Honghao Lai, Cailiang Wu, Yu Wu, Lin Xiao, Xiaofeng Luo, Jinhui Tian, Long Ge, Chenling Luo
BACKGROUND: Most women suffer from perineal trauma during childbirth, whether it is natural tears or episiotomy. OBJECTIVES: To perform a systematic review and network meta-analysis investigating the effectiveness of different PFMT relevant strategies in the prevention of perineal trauma. SEARCH STRATEGY: PubMed, Embase, the Cochrane Library, CINAHL, CNKI, CBM, WANFANG DATABASE, and ClinicalTrials.gov were searched for citations published in any language from inception to 1 July 2021...
August 2023: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/35872935/effect-of-prenatal-perineal-massage-on-postpartum-perineal-injury-and-postpartum-complications-a-meta-analysis
#27
JOURNAL ARTICLE
Qiuxia Chen, Xiaocui Qiu, Aizhen Fu, Yanmei Han
BACKGROUND: The efficacy of perineal massage is controversial. The study was aimed at comparing the effects of perineal massage on perineal injury and complications. METHODS: PubMed, Embase, the Cochrane Library, and ISI Web of Science were searched for literature on the relationship between prenatal perineal massage and postpartum perineal injury and complications until April 2022. Indicators included postpartum perineal tears, perineotomy, postpartum perineal pain, natural labour, and postpartum incontinence...
2022: Computational and Mathematical Methods in Medicine
https://read.qxmd.com/read/35537683/evidence-based-labor-management-third-stage-of-labor-part-5
#28
REVIEW
Ana M Angarita, Vincenzo Berghella
During the third stage of labor: oxytocin and tranexamic acid (TXA), or oxytocin and misoprostol, or oxytocin and methylergometrine, or carbetocin are recommended for the prevention of postpartum hemorrhage after vaginal delivery. Intravenous oxytocin (10 international units, IU) immediately after delivery of the neonate (either after anterior shoulder or whole body), and before delivery of the placenta is recommended. If oxytocin and TXA combination is chosen, intravenous TXA (1gram) in addition to intravenous oxytocin (10 IU) immediately after delivery of the neonate and before placental delivery are recommended...
May 7, 2022: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/35063897/combined-perineal-massage-and-warm-compress-compared-to-massage-alone-during-active-second-stage-of-labour-in-nulliparas-a-randomised-trial
#29
RANDOMIZED CONTROLLED TRIAL
Jesrine Gek Shan Hong, Nadiah Abdullah, Rajeev Kumar Rajaratnam, Suriyanti Ahmad Shukri, Sze Ping Tan, Mukhri Hamdan, Boon Kiong Lim
OBJECTIVE: To evaluate the effect of combined perineal massage and warm compress to the perineum (MassComp) compared to perineal massage alone during pushing in the second stage of labour in reducing perineal trauma requiring suturing in nulliparas. STUDY DESIGN: A randomised trial was performed in a University hospital, Malaysia from June 2020 to May 2021. 281 term nulliparas who were about to start pushing in the second stage of labour were randomised to combined perineal massage and warm compress or perineal massage alone to the perineum...
March 2022: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/34871779/evidence-based-labor-management-second-stage-of-labor-part-4
#30
REVIEW
Alexis C Gimovsky, Vincenzo Berghella
Several interventions during the second stage of labor have been identified and investigated. Prophylactic intrapartum betamimetics should be avoided, as their usage is associated with an increase in operative vaginal deliveries. Women without epidural anesthesia are recommended to give birth in any upright or lateral position. The best position for giving birth in women with epidural anesthesia is insufficiently studied, and neither recumbent nor upright positions can therefore be recommended. The routine use of maternal stirrups in the second stage of labor is not recommended...
March 2022: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/34791947/neonatal-fournier-s-gangrene-pattern-and-predisposing-factors-in-a-tertiary-health-facility-in-southern-nigeria
#31
JOURNAL ARTICLE
Okoro Philemon E, Igwe Promise W, Alinnor Ezioma A, Okoro Chinwendu A, Nwiwu Princewill
Fournier's gangrene (FG), a necrotizing fasciitis of the genital and perineal region, is a serious and debilitating multi-infective pathological condition. More commonly seen in adults, its occurrence in neonates is uncommon. We share our experience with neonatal FG (NFG), highlighting potential factors which may predispose neonates to it.Ours is a five year retrospective review of cases of NFG in our service. Data obtained included health facility of birth, mode of delivery, symptoms and duration, investigation results, treatment and outcome...
January 2022: Tropical Doctor
https://read.qxmd.com/read/34768453/prevalence-of-perineal-tear-peripartum-after-two-antepartum-perineal-massage-techniques-a-non-randomised-controlled-trial
#32
JOURNAL ARTICLE
María Álvarez-González, Raquel Leirós-Rodríguez, Lorena Álvarez-Barrio, Ana F López-Rodríguez
Perineal massage increases elasticity of myofascial perineal tissue and decreases the burning and perineal pain during labour, thus optimising child birth, although an application protocol has not been standardised yet. The objective of this study is to determine the efficiency of massage in perineal tear prevention and identification of possible differences in massage application. Total of 90 pregnant participants were divided into three groups: perineal massage and EPI-NO® device group, applied by an expert physiotherapist, self-massage group, where women were instructed to apply perineal massage in domestic household, and a control group, which received ordinary obstetric attention...
October 25, 2021: Journal of Clinical Medicine
https://read.qxmd.com/read/34704473/-anorectal-and-perineal-pain
#33
JOURNAL ARTICLE
André Kugener, Philippe Baumann
Anorectal and perineal pain Abstract. Anorectal pain is a common clinical challenge in the outpatient office. Anal fissures, anal venous thrombosis, proctitis or neoplasms are frequent etiologies for proctalgia. After exclusion of somatic disorders by diagnostic imaging and endoscopy, functional anorectal pain or pathologies like interstitial cystitits, chronic prostatitis, coccycodynia or pudendal neuralgia should be considered. The Rome IV criteria distinguish proctalgia fugax, a sharp paroxysmal pain lasting for maximum 30 minutes, and the levator ani syndrom...
2021: Therapeutische Umschau. Revue Thérapeutique
https://read.qxmd.com/read/34703032/-update-on-the-effectiveness-and-evidence-of-ante-natal-perineal-massage
#34
REVIEW
E Azón, E Mir, J Hernández, J J Aguilón, A M Torres, P J Satústegui
The impact and morbidity generated by perineal trauma during vaginal delivery justifies the need to find strategies to minimize it. Ante-natal perineal massage (APM) is proposed as a technique that increases the elasticity of the perineum and that could reduce damage to the pelvic floor. This review set out to discover the effectiveness and the scientific evidence that supports this procedure. The Medline, Cochrane, Tripdatabase and Cuiden databases for the last six years were consulted, in Spanish and English...
December 27, 2021: Anales del Sistema Sanitario de Navarra
https://read.qxmd.com/read/34485073/the-effectiveness-and-safety-of-complementary-health-approaches-to-managing-postpartum-pain-a-systematic-review-and-meta-analysis
#35
REVIEW
Caroline A Smith, Emma Hill, Anna Denejkina, Charlene Thornton, Hannah G Dahlen
BACKGROUND: Women experience pain from a number of causes during the postpartum period. Although pharmacological pain relief has shown to be effective, the efficacy of non-pharmacological methods of pain relief will be of interest to breastfeeding women. The aim of this systematic review was to examine the efficacy and safety of complementary approaches to manage postpartum pain. METHODS: A search of English language databases from their inception to 2020 was undertaken for randomised controlled trials and included primiparous and multiparous women who experienced postpartum pain up to two weeks post birth...
March 2022: Integrative Medicine Research
https://read.qxmd.com/read/34147194/uterine-artery-embolization-for-primary-postpartum-hemorrhage
#36
REVIEW
Matthew Brown, Michael Hong, Jonathan Lindquist
Postpartum hemorrhage (PPH) is a common source of morbidity and mortality for delivering mothers worldwide, resulting in greater than 100,000 deaths per annum. Pathologic postpartum hemorrhage is defined as blood loss greater than 500 mL for vaginal deliveries and 1,000 mL for caesarean births, which occurs in up to 10% of deliveries. Severe postpartum hemorrhage can progress to shock, disseminated intravascular coagulation (DIC) and death. PPH is further characterized by time of onset; primary PPH occurs within 24 hours of parturition, and secondary PPH beyond that...
March 2021: Techniques in Vascular and Interventional Radiology
https://read.qxmd.com/read/34128615/obstetric-lacerations-prevention-and-repair
#37
REVIEW
Michael J Arnold, Kerry Sadler, KelliAnn Leli
Obstetric lacerations are a common complication of vaginal delivery. Lacerations can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved, with fourth-degree lacerations disrupting the anal sphincter and the underlying rectal mucosa and first-degree lacerations having no perineal muscle involvement. Late third-trimester perineal massage can reduce lacerations in primiparous women; perineal support and massage and warm compresses during the second stage of labor can reduce anal sphincter injury...
June 15, 2021: American Family Physician
https://read.qxmd.com/read/33886910/non-pharmacological-therapies-applied-in-pregnancy-and-labor-an-integrative-review
#38
REVIEW
Camilla Benigno Biana, Diana Cecagno, Adrize Rutz Porto, Susana Cecagno, Vanessa de Araujo Marques, Marilu Correa Soares
OBJECTIVE: To identify non-pharmacological therapies applied during pregnancy and labor. METHOD: Integrative review conducted in the databases: PubMed, ScieLO and PEDro, searching for articles from 2008 in English, Spanish and Portuguese. The descriptors used were: pregnancy, childbirth, physiotherapy, alternative and complementary medicine, alternative therapy, non-pharmacological therapy, biomechanical therapy. RESULTS: Forty-one articles were analyzed and subdivided into ten categories of nonpharmacological therapies: massage, perineal massage, hot bath, supportive care, childbirth preparation group, breathing techniques, pelvic floor exercises, transcutaneous electrostimulation, Swiss ball and spontaneous pushing...
2021: Revista da Escola de Enfermagem da U S P
https://read.qxmd.com/read/33684531/documenting-perineal-and-obstetrical-anal-sphincter-injury-care-at-childbirth-a-cross-sectional-study
#39
JOURNAL ARTICLE
Merry Gong, Gurkiran K Mann, Nicole Koenig, Roxana Geoffrion
OBJECTIVE: This study evaluates whether maternity care providers document guideline-based recommendations for the prevention and care of obstetrical anal sphincter injuries (OASIS) for their labour and delivery patients. METHODS: We performed a cross-sectional study, aiming for a convenience sample of 60 primiparous women, over 19 years of age, equally representative of patients who experienced severe (third- and fourth-degree) and minimal (intact or first-degree) tears during vaginal birth...
October 2021: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/33607061/current-resources-for-evidence-based-practice-march-2021
#40
JOURNAL ARTICLE
Marit L Bovbjerg
An extensive review of new resources to support the provision of evidence-based care for women and infants. The current column includes a discussion of men's experiences of pregnancy loss and commentaries on reviews focused on the effects of perineal massage on perineal trauma and air pollution and heat exposure on birth outcomes.
February 16, 2021: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
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