Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study

Conclusion: Interventions, with the exception of episiotomies, did not have an influence on the occurrence of perineal trauma, but they do need to be carefully assessed. Deliveries in a horizontal position were associated with a higher likelihood of performing an episiotomy.Resumen Objetivo: Identificar las asociaciones entre el resultado perineal en prim íparas y las intervenciones ocurridas durante el trabajo de parto, parto, peso y APGAR del recién nacido. Método: Estudio documental, correlacional, retrospectivo, cuantitativo, llevado a cabo en una maternidad terciaria en el estado de Ceará, entre julio de 2017 y enero de 2018. Las variables independientes fueron inducción del parto, amniotomía, métodos no farmacológicos de alivio del dolor, fórceps, episiotomía, maniobra de Kristeller, posición en el período expulsivo, distocia de hombro, peso y APGAR del recién nacido, y la variable dependiente fue el resultado perineal. Se emplearon las pruebas de Chi cuadrado de Pearson y la exacta de Fisher. Resultados: Participaron 226 primíparas de riesgo habitual que parieron por vía vaginal. Se verificó asociación entre la posición horizontal en el período expulsivo del parto y episiotomía, y entre la no realización de episiotomía y laceración perineal. La otras variables de trabajo de parto, parto y neonatal no interfirie...
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research

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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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