keyword
https://read.qxmd.com/read/37427859/repair-of-episiotomy-and-obstetrical-perineal-lacerations-first-fourth
#21
REVIEW
Payton C Schmidt, Dee E Fenner
Perineal injury after vaginal delivery is common, affecting up to 90% of women. Perineal trauma is associated with both short- and long-term morbidity, including persistent pain, dyspareunia, pelvic floor disorders, and depression, and may negatively affect a new mother's ability to care for her newborn. The morbidity experienced after perineal injury is dependent on the type of laceration incurred, the technique and materials used for repair, and the skill and knowledge of the birth attendant. After all vaginal deliveries, a systematic evaluation including visual inspection and vaginal, perineal, and rectal exams is recommended to accurately diagnose perineal lacerations...
August 18, 2022: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/37385009/perineal-massage-and-warm-compresses-randomised-controlled-trial-for-reduce-perineal-trauma-during-labor
#22
RANDOMIZED CONTROLLED TRIAL
Silvia Rodrigues, Paulo Silva, Fátima Rocha, Ligia Monterroso, João Neves Silva, Natacha Quintal de Sousa, Ramon Escuriet
OBJECTIVE: The aim of this study is to evaluate the effect of perineal massage and warm compresses technique on the perineum integrity during second stage of labor. DESIGN AND SETTING: A single-center, prospective, randomized controlled trial was conducted between March 1st, 2019, and December 31st, 2020, at Hospital of Braga. PARTICIPANTS: Women with 18 years or older, between 37 weeks and 41 weeks pregnant, in whom a vaginal birth of a fetus in the cephalic presentation was planned were recruited...
September 2023: Midwifery
https://read.qxmd.com/read/37329513/predictive-factors-for-obstetric-anal-sphincter-injury-in-primiparous-women-systematic-review-and-meta-analysis
#23
REVIEW
B Packet, A-S Page, L Cattani, J Bosteels, J Deprest, J Richter
OBJECTIVES: The primary objective was to perform a systematic review of predictive factors for obstetric anal sphincter injury (OASI) occurrence at first vaginal delivery, with the diagnosis made by ultrasound (US-OASI). The secondary objective was to report on incidence rates of sonographic anal sphincter (AS) trauma, including trauma that was not clinically reported at childbirth, among the studies providing data for our primary objective. METHODS: We conducted a systematic search of MEDLINE, EMBASE, Web of Science, CINAHL, The Cochrane Library and ClinicalTrials...
October 2023: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/37180459/risk-factors-associated-with-severe-perineal-lacerations-during-vaginal-delivery-a-10-year-propensity-score-matched-observational-study
#24
JOURNAL ARTICLE
Valentina Laurita Longo, Emmanuel N Odjidja, Bruno A Zanfini, Stefano Catarci, Brigida Carducci, Gaetano Draisci, Antonio Lanzone, Elisa Bevilacqua
BACKGROUND: Severe perineal lacerations are rare obstetrical complications in high-income countries. However, the prevention of obstetric anal sphincter injuries is crucial because of their long-term consequences on a woman's digestive function, sexual-mental health, and well-being. The probability of obstetric anal sphincter injuries can be predicted by assessing antenatal and intrapartum risk factors. OBJECTIVE: This study aimed to assess the incidence of obstetric anal sphincter injuries at a single institution for 10 years and to identify women more at risk by evaluating the relationship between antenatal and intrapartum risk factors and severe perineal tears...
May 2023: AJOG global reports
https://read.qxmd.com/read/37094636/evidence-based-labor-management-postpartum-care-after-vaginal-delivery-part-6
#25
REVIEW
Fabrizio Zullo, Daniele Di Mascio, Vincenzo Berghella
In the setting of postpartum care after vaginal delivery: Rooming in is associated with a higher rate of exclusive breastfeeding rate at hospital discharge, but there is insufficient evidence to support or refute rooming in order to increase breastfeeding at 6 months. Education and support for breastfeeding is a valuable intervention to promote initiation of breastfeeding whether it is offered by a healthcare professional, a non-healthcare professional or a peer. A combined intervention, a professional provider led intervention, having a protocol available for the provider training program, and implementation during both the prenatal and postnatal periods, increased the rate of exclusive breastfeeding for 6 months...
April 22, 2023: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/37091272/continuous-non-locking-vs-interrupted-suturing-techniques-for-the-repair-of-episiotomy-or-second-degree-perineal-tears-a-single-blind-randomized-controlled-trial
#26
JOURNAL ARTICLE
Shahla Faal Siahkal, Parvin Abedi, Mina Iravani, Parvin Esfandiarinezhad, Maryam Dastoorpoor, Shahla Bakhtiari, Mahin Najafian, Foruzan Sharifipour, Zaynab Mohaghegh
OBJECTIVE: Perineal trauma is a serious and frequent problem after childbirth which is experienced by millions of women worldwide. The technique used for perineal repair may have an impact on pain and wound healing. The aim of the present study was to compare the continuous non-locking technique with interrupted suturing for the repair of episiotomy or second-degree perineal tears. METHODS: A single-blind randomized-controlled trial was conducted from October 2021 to August 2022 in Sina Hospital, Ahvaz, Iran...
2023: Frontiers in Surgery
https://read.qxmd.com/read/37087835/diagnosis-of-maternal-birth-trauma-by-pelvic-floor-ultrasound
#27
REVIEW
H P Dietz
Maternal somatic birth trauma due to vaginal delivery is more common than generally assumed and an important cause of future morbidity. Maternal birth trauma may involve both psychological and somatic morbidity, some of it long-term and permanent. Somatic birth trauma is now understood to encompass not just episiotomy, perineal tears and obstetric anal sphincter injuries (OASI), but also trauma to the levator ani muscle, termed 'avulsion'. This review will focus on recent developments in the imaging diagnosis of maternal birth trauma, discuss the most important risk factors and strategies for primary and secondary prevention...
June 2023: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/37085090/implementation-of-episcissors-60-for-prevention-of-obstetric-anal-sphincter-injuries-oasis-in-a-centre-with-low-episiotomy-rates
#28
JOURNAL ARTICLE
Maria Giroux, Ethan Emslie, Erwin Karreman, Corrine Jabs
OBJECTIVE: The purpose of this study was to determine whether introduction of Episcissors-60 into a labour and birth unit would decrease the incidence of obstetric anal sphincter injuries (OASIS). METHODS: A before and after quality improvement study was conducted between April 1, 2020, and March 31, 2021. All patients who had a vaginal delivery were included in this study. All healthcare providers who perform vaginal deliveries were offered an educational session...
June 2023: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/36939318/informed-consent-in-episiotomy-co-analysis-with-midwives-and-distillation-of-best-practice
#29
JOURNAL ARTICLE
Jennifer MacLellan, Sara S Webb, Carmen Byrne, Emily Brace, Elizabeth Glyn-Jones, Elizabeth Edwards, Tracey Hunter, Jacqueline Longton, Jane Cleary, Katie Christie, Lorna Dow, Jo Gould
BACKGROUND: Performing an episiotomy where clinically indicated is a key intervention in the Obstetric Anal Sphincter Injury Care Bundle (OASI-CB) implemented across England and Wales to reduce the risk and increase the detection of severe perineal trauma after birth. Standards of consent provided to people in maternity care generally and for episiotomy specifically have been reported as suboptimal. Compromising birthing people's personal autonomy or sense of control has been linked to a dissatisfying birth experience, negative psychological sequelae, and litigation...
March 20, 2023: Birth
https://read.qxmd.com/read/36836068/risk-factors-for-anal-continence-impairment-following-a-second-delivery-after-a-first-traumatic-delivery-a-prospective-cohort-study
#30
JOURNAL ARTICLE
Gabriel Marcellier, Axelle Dupont, Agnes Bourgeois-Moine, Arnaud Le Tohic, Celine De Carne-Carnavalet, Olivier Poujade, Guillaume Girard, Amélie Benbara, Laurent Mandelbrot, Laurent Abramowitz
Postpartum anal incontinence is common. After a first delivery (D1) with perineal trauma, follow-up is advised to reduce the risk of anal incontinence. Endoanal sonography (EAS) may be considered to evaluate the sphincter and in case of sphincter lesions to discuss cesarean section for the second delivery (D2). Our objective was to study the risk factors for anal continence impairment following D2. Women with a history of traumatic D1 were followed before and 6 months after D2. Continence was measured using the Vaizey score...
February 15, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36825260/maternal-position-during-the-second-stage-of-labor-and-maternal-neonatal-outcomes-in-nulliparous-women-a-retrospective-cohort-study
#31
JOURNAL ARTICLE
Alessandra Familiari, Caterina Neri, Elvira Passananti, Giulia Di Marco, Francesca Felici, Elisa Ranieri, Maria Elena Flacco, Antonio Lanzone
BACKGROUND: The existing evidence is insufficient to draw conclusions about the association between maternal position in labor and obstetrical outcomes. OBJECTIVE: This study aimed to evaluate the effects of different maternal positions during the second stage of labor among women with and those without epidural analgesia on important obstetrical outcomes including perineal damage. STUDY DESIGN: In this retrospective cohort study, we collected data of women who delivered vaginally over a 2-year period...
February 2023: AJOG global reports
https://read.qxmd.com/read/36808391/efficacy-of-perineal-massage-during-the-second-stage-of-labor-for-the-prevention-of-perineal-injury-a-systematic-review-and-meta-analysis
#32
REVIEW
Andrea Marcos-Rodríguez, Raquel Leirós-Rodríguez, Pablo Hernandez-Lucas
BACKGROUND: Numerous interventions to reduce perineal trauma during childbirth have been studied in recent years, including perineal massage. OBJECTIVE: To determine the efficacy of perineal massage during the second stage of labor to prevent perineal damage. SEARCH STRATEGY: Systematic search in PubMed, Pedro, Scopus, Web of Science, ScienceDirect, BioMed, SpringerLink, EBSCOhost, CINAHL, and MEDLINE with the terms Massage, Second labor stage, Obstetric delivery, and Parturition...
September 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/36661310/assessment-of-perineal-scars-on-translabial-pelvic-floor-ultrasound-a-pilot-study
#33
JOURNAL ARTICLE
Susanne Housmans, Moshe Gillor, Ka Lai Shek, Hans Peter Dietz
OBJECTIVE: We aimed to describe a method for identifying and evaluating perineal scars using translabial pelvic floor ultrasound. We hypothesized that translabial ultrasound can identify a perineal scar and can differentiate episiotomies from spontaneous tears. METHODS: This pilot study is a secondary analysis of data obtained in the Epi-No® trial. Perineal integrity was assessed using volumes acquired on pelvic floor muscle contraction according to the method previously described for anal sphincter imaging...
August 11, 2022: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/36569262/perineal-massage-for-prevention-of-perineal-trauma-and-episiotomy-during-labor-a-systematic-review-and-meta-analysis
#34
REVIEW
Vijayakumar Venugopal, Boopalan Deenadayalan, Kuppusamy Maheshkumar, Cithamparam Yogapriya, Anandhan Akila, Muthupandi Pandiaraja, Shanmugam Poonguzhali, Ravi Poornima
Objective: Vaginal births are associated with a certain degree of trauma to the genital tract, with significant short-term and long-term morbidity. Awareness of morbidity following perineal trauma has led to application of different interventions during the late first stage and second stage of labour to prevent severe perineal trauma. This includes techniques such as perineal massage, warm and cold compresses, and perineal management techniques. Objective of this meta-analysis is to evaluate the effect of perineal massage during the late first stage and second stage of labour on the rate of episiotomy and risk of perineal trauma...
September 2022: Journal of Family & Reproductive Health
https://read.qxmd.com/read/36540434/a-review-of-episiotomy-and-modalities-for-relief-of-episiotomy-pain
#35
REVIEW
Rutuja G Choudhari, Surekha A Tayade, Shreya V Venurkar, Vaishnavi P Deshpande
Episiotomy is a surgically planned incision of the perineum and the posterior vaginal wall in the second stage of labour. It is one of the most commonly performed surgical procedures in the world. In episiotomy, the vaginal orifice is made larger to facilitate the birth of a baby. The postnatal period is very crucial in every mother's life, especially those who had a vaginal delivery and underwent episiotomy. Maternal benefits of episiotomy include reduced risk of perineal trauma, subsequent pelvic floor dysfunction and prolapse, urinary incontinence, faecal incontinence, and sexual dysfunction...
November 2022: Curēus
https://read.qxmd.com/read/36524142/the-relationship-between-perineal-trauma-and-striae-gravidarum-a-systematic-review-and-meta-analysis
#36
REVIEW
Fatemeh Khademol Khamseh, Samira Ebrahimzadeh Zagami, Vahid Ghavami
BACKGROUND: Perineal trauma is a common problem seen after vaginal delivery, which has negative effects on different aspects of women's lives. Poor skin elasticity has been introduced as a predictor of perineal trauma, and the appearance of striae gravidarum is associated with poor skin elasticity. This review aimed to determine the association between perineal trauma and striae gravidarum through a systematic review and meta-analysis. MATERIALS AND METHODS: We searched with MeSH terms ("Perineum" AND "Lacerations" OR "Rupture" AND "Striae Distensae") and their equivalents in databases PubMed, Scopus, Science direct, Web of Science, ProQuest, Scientific Information Database (SID), Magiran, and Google Scholar search engine without time and language restrictions from the beginning of May until the beginning of September 2020...
2022: Iranian Journal of Nursing and Midwifery Research
https://read.qxmd.com/read/36320077/prophylactic-antibiotic-use-during-labor-and-delivery-in-china-a-nationwide-multicenter-hospital-based-cross-sectional-study
#37
MULTICENTER STUDY
Qiguo Lian, Tao Zheng, Xiaona Huo, Jun Zhang, Lin Zhang
BACKGROUND: Prophylactic antibiotic use during delivery is common in routine obstetric practice to prevent infection globally, especially in low- and middle-income countries. In China, however, little is currently known about the national estimates for prophylactic antibiotic use during delivery. Therefore, we aimed to describe the prevalence of prophylactic antibiotic use and guideline adherence using national data in China. METHODS: This cross-sectional study analyzed a national dataset from the China Labor and Delivery Survey in 2015-2016...
November 2, 2022: BMC Medicine
https://read.qxmd.com/read/36319196/lubricant-for-reducing-perineal-trauma-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#38
JOURNAL ARTICLE
Qiuyu Yang, Xiao Cao, Shasha Hu, Mingyao Sun, Honghao Lai, Liangying Hou, Qi Wang, Cailiang Wu, Yu Wu, Lin Xiao, Xiaofeng Luo, Jinhui Tian, Long Ge, Lei Shi
AIM: To assess the effect of lubricants on reducing perineal trauma during vaginal delivery. METHODS: PubMed, Embase, the Cochrane Library, CINAHL, China National Knowledge Infrastructure, China Biology Medicine disc, WanFang databases, and ClinicalTrials.gov, were searched for literature up to 25 June 2021. Randomized controlled trials published in English or Chinese that compared the vaginal application of lubricant with standard care for women were included. Two reviewers independently performed study screening, data extraction, risk of bias assessment, and certainty of evidence assessment...
November 2022: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/36289493/perineal-stress-as-a-predictor-of-performing-episiotomy-in-primiparous-women-a-prospective-observational-study
#39
JOURNAL ARTICLE
Binbin Xu, Qi Luo, Rongrong Wu, Ying Lu, Hongjun Ying, Yanan Xu, Zhaie Lu
BACKGROUND: Episiotomy is a surgical solution to relieve perineal stress, resulting in an easily repairable incision, in comparison to the risks of serious vaginal trauma during delivery. The midwife typically adopts such a clinical decision, on experience and subjective judgment. However, the association between perineal stress and episiotomy is poorly characterized. Our aim was to identify a threshold value for perineal stress leading to episiotomy, which eventually may be employed as a clinical tool for assessing whether an episiotomy is required or not...
October 26, 2022: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/36268344/the-clinical-characteristics-of-perineal-tears-a-study-carried-out-on-14-pregnant-women-in-a-tertiary-center-case-series
#40
JOURNAL ARTICLE
Hugues Cakwira, Marcelin Mukengere, Baraka Lucien, Abdullahi Tunde Aborode, Leonard Sironge, Meni Vhosi Michael, Aymar Akilimali
Background: The sheer quality of the female genital tract is not always respected at the time of childbirth because no protocol for the management of perineal tears exists in our services these days. The management remains dependent on a gynecologist and obstetrician. The study aimed to describe the characteristics of perineal tears. Methods: Our cross-sectional, retrospective, and descriptive study focused on patients admitted for childbirth and hospitalized in the obstetrics department of the Saint Luc Tertiary Clinic for a period from March 2021 to March 2022...
October 2022: Annals of Medicine and Surgery
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