Midwives' approach to the prevention and repair of obstetric perineal trauma in Spain
ConclusionsThere is a significant variability in Spanish midwives' practices for preventing and repairing perineal tears. Moreover, the restrictive use of episiotomy is associated with midwives attending home births, working in teaching hospitals and having recent professional training.Patient or Public ContributionNo patient or public contribution. (Source: Nursing Open)
Source: Nursing Open - April 25, 2024 Category: Nursing Authors: Est íbaliz Laderas Díaz, Julián Rodríguez‐Almagro, Rafael Picón Rodríguez, Juan Miguel Martínez Galiano, Sandra Martínez Rodríguez, Antonio Hernández‐Martínez Tags: EMPIRICAL RESEARCH QUANTITATIVE Source Type: research

Shroud waving self-determination: A qualitative analysis of the moral and epistemic dimensions of obstetric violence in the Netherlands
The objective of this qualitative research is to gain insight into the working and normalization of obstetric violence by focusing on the moral and epistemic injustices that both facilitate obstetric violence and make it look acceptable. Following the study design of Responsive Evaluation, interviews, homogenous, and heterogenous focus groups were done in three phases, with thirty-one participants, consisting of ten mothers, eleven midwives, five doulas and five midwives in training. All participants were already critically engaged with the topic, which was a selection criterion to b e able to bring the existing depth of k...
Source: PLoS One - April 22, 2024 Category: Biomedical Science Authors: Rodante van der Waal Source Type: research

Comparative study of postpartum sexual function: Second-degree tears versus episiotomy outcomes
ConclusionDyspareunia negatively affects various aspects of sexual function. When comparing episiotomy and second-degree tears, their impacts on postpartum sexual function were similar. However, episiotomy delays the resumption of sexual activity. Sociodemographic factors significantly influence postpartum sexual health. These findings highlight the importance of individualised interventions and support for new mothers during the postpartum period to address potential sexual health concerns. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - April 13, 2024 Category: OBGYN Source Type: research

Quality of maternal and newborn health services and their impact on maternal-neonatal outcome at a primary health center
CONCLUSION: PHCs are the first point of contact of mothers and healthcare delivery system. Assessment of quality of services is an important tool for quality assurance. Inclusion of evidence-based practices like skin-to-skin contact and early initiation of breastfeeding is important to improve the maternal and newborn well-being.PMID:38605802 | PMC:PMC11006057 | DOI:10.4103/jfmpc.jfmpc_843_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Himanshu Vyas Odayjakkal J Mariam Pankaj Bhardwaj Source Type: research

Quality of maternal and newborn health services and their impact on maternal-neonatal outcome at a primary health center
CONCLUSION: PHCs are the first point of contact of mothers and healthcare delivery system. Assessment of quality of services is an important tool for quality assurance. Inclusion of evidence-based practices like skin-to-skin contact and early initiation of breastfeeding is important to improve the maternal and newborn well-being.PMID:38605802 | PMC:PMC11006057 | DOI:10.4103/jfmpc.jfmpc_843_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Himanshu Vyas Odayjakkal J Mariam Pankaj Bhardwaj Source Type: research

Quality of maternal and newborn health services and their impact on maternal-neonatal outcome at a primary health center
CONCLUSION: PHCs are the first point of contact of mothers and healthcare delivery system. Assessment of quality of services is an important tool for quality assurance. Inclusion of evidence-based practices like skin-to-skin contact and early initiation of breastfeeding is important to improve the maternal and newborn well-being.PMID:38605802 | PMC:PMC11006057 | DOI:10.4103/jfmpc.jfmpc_843_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Himanshu Vyas Odayjakkal J Mariam Pankaj Bhardwaj Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cancer Control - April 10, 2024 Category: Cancer & Oncology Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Midwife continuity of care models versus other models of care for childbearing women
CONCLUSIONS: Women receiving midwife continuity of care models were less likely to experience a caesarean section and instrumental birth, and may be less likely to experience episiotomy. They were more likely to experience spontaneous vaginal birth and report a positive experience. The certainty of some findings varies due to possible risks of bias, inconsistencies, and imprecision of some estimates. Future research should focus on the impact on women with social risk factors, and those at higher risk of complications, and implementation and scaling up of midwife continuity of care models, with emphasis on low- and middle-...
Source: Cochrane Database of Systematic Reviews - April 10, 2024 Category: General Medicine Authors: Jane Sandall Cristina Fernandez Turienzo Declan Devane Hora Soltani Paddy Gillespie Simon Gates Leanne V Jones Andrew H Shennan Hannah Rayment-Jones Source Type: research

Reported maternal satisfaction following an obstetric anal sphincter injury a decade after delivery
Currently, the long-term psychological consequences of sustaining an obstetric anal sphincter injury (OASI) are unknown. Furthermore, parsing out the unique effect of an OASI on the maternal childbirth experience is challenging because these injuries often occur within the broader physical trauma of a vaginal birth, an operative vaginal delivery (OVD), or an episiotomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: B Ha, K Voegtline, S Olson, V Handa Source Type: research

Risk factors for postpartum urinary retention: a case-control study
Postpartum urinary retention (PUR) is rare, with incidence estimates ranging from 1.7% to 17.9%. Though usually a temporary condition, unrecognized urinary retention may result in considerable morbidity, such as bladder distension injury, long-term voiding dysfunction and bladder rupture. Factors associated with PUR include prolonged second stage of labor, assisted vaginal delivery, perineal laceration or episiotomy, use of systemic narcotics, epidural anesthesia, cesarean delivery, higher birth weight and nulliparity. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Warner, GA Avery, S Battula, A Esparza, A Pinto, CA Heisler Source Type: research

Factors associated with perineal pain on the first postnatal day after vaginal delivery: a cross-sectional study of primiparous women
Nagoya J Med Sci. 2024 Feb;86(1):52-63. doi: 10.18999/nagjms.86.1.52.ABSTRACTMany women report postpartum perineal pain due to perineal trauma after vaginal delivery. Perineal pain after giving birth declines over time; however, perineal trauma and pain negatively impact on the women's quality of life and their ability to care for their children. The degree of perineal trauma and instrument delivery with episiotomy are associated with perineal pain. Nevertheless, no studies have examined factors related to postpartum perineal pain, including weight changes during pregnancy as well as the course of delivery so far. We aimed...
Source: Nagoya Journal of Medical Science - March 20, 2024 Category: International Medicine & Public Health Authors: Akiko Yamada Yuki Takahashi Masami Hirose Yurika Usami Saho Maruya Koji Tamakoshi Source Type: research