The effects of perineal trauma on immediate self-reported birth experience in first-time mothers

CONCLUSIONS: Perineal trauma may affect a woman's birth experience. Experiencing an episiotomy should not be overlooked as a potential contributor, especially during instrumental birth and in the absence of involved decision making. Further research is needed to disentangle the effects of episiotomy on birth experience, to explore the care needs of women with different degrees of perineal trauma and to explore how a negative birth experience may contribute to poor psychological health in the longer term.PMID:34008474 | DOI:10.1080/0167482X.2021.1923689
Source: Journal of Psychosomatic Obstetrics and Gynaecology - Category: OBGYN Authors: Source Type: research

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CONCLUSIONS: A single dose of paracetamol may improve perineal pain relief following vaginal birth, and may reduce the need for additional pain relief. Potential adverse effects for both women and neonates were not appropriately assessed. Any further trials should also address the gaps in evidence concerning maternal outcomes such as satisfaction with postnatal care, maternal functioning/well-being (emotional attachment, self-efficacy, competence, autonomy, confidence, self-care, coping skills) and neonatal drug adverse effects.PMID:34559424 | DOI:10.1002/14651858.CD008407.pub3
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Source Type: research
CONCLUSION: Aquatic aerobic exercise during pregnancy had no effect on the use of epidural analgesia during labour, whereas pain perception was lower after aquatic exercise compared to usual care in pregnancy. The intervention was safe for pregnant women and their newborns.PMID:34352600 | DOI:10.1016/j.midw.2021.103105
Source: Midwifery - Category: Midwifery Authors: Source Type: research
Some things you might want to know about.   If I see something on Twitter I think you ought to know about, I (@knockels) retweet it with#whatsnewinmidwifery.  Those things may well not be listed on the blog.First asystematic review of whether cold gel or ice packs have an effect on episiotomy pain.Then, a Dutch cohort study ofwhether excision of cervical intraepithelial neoplasia can lead to preterm birth.And then, a systematic review of theefficacy and safety of non-pharmacological interventions to manage labour pain.And two items from the news, both from the Guardian:About the Commons Health Committee...
Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs
Conclusion: Both xylocaine alone and xylocaine with MgSO4 provide adequate perineal pain relief during episiotomy repair. MgSO4 improves the analgesic effect of xylocaine at 2 h after episiotomy repair without any significant side effect.
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
The pain and discomfort caused by episiotomy affect the quality of life of the mothers, so rapid and complete repair of the episiotomy is very important. Due to the effective ingredients of Verbascum Thapsus, it ...
Source: BMC Complementary and Alternative Medicine - Category: Complementary Medicine Authors: Tags: Research Source Type: research
Ann Ital Chir. 2021;92:190-195.ABSTRACTOBJECTIVES: To investigate the clinical effects of different anesthesia methods in lateral episiotomy. Providing the guidance of choosing the appropriate anesthesia method in clinical operation.METHODS: A total of 300 primiparas with vaginal delivery were enrolled into this study. These primiparas were divided into three groups (n=100, each), according to the different methods of anesthesia: group A (pudendal nerve block anesthesia + stepwise dissection and incisional local anesthesia), group B (bilateral pudendal nerve block anesthesia), and group C (pudendal nerve block anesthesia +...
Source: Annali Italiani di Chirurgia - Category: Surgery Authors: Source Type: research
CONCLUSIONS: Perineal trauma may affect a woman's birth experience. Experiencing an episiotomy should not be overlooked as a potential contributor, especially during instrumental birth and in the absence of involved decision making. Further research is needed to disentangle the effects of episiotomy on birth experience, to explore the care needs of women with different degrees of perineal trauma and to explore how a negative birth experience may contribute to poor psychological health in the longer term.PMID:34008474 | DOI:10.1080/0167482X.2021.1923689
Source: Journal of Psychosomatic Obstetrics and Gynaecology - Category: OBGYN Authors: Source Type: research
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