Perineal tears and episiotomy
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چکیده
NURSING STANDARD PERINEAL WOUNDS commonly occur in women during labour (Albers et al 2005). A cross-sectional survey of 101 randomly selected NHS trusts in the UK in the mid-1990s revealed that 83% of low risk primigravidae experienced some form of perineal trauma (Williams et al 1998). Many women also experience labial tears, grazes or vulval varicosities which are painful (Steen 2007). Perineal wounds sustained during childbirth can cause acute pain and distress (Wenderlein and Merkle 1983, Verspyck et al 2006). The intensity of the pain varies from mild to severe (Kettle 2001, Steen 2007) and appears to be related to the extent of injury (Kenyon and Ford 2004). Interventions used during labour for delivery and pain relief that are thought to increase the risk of perineal injury and pain include (MacArthur and MacArthur 2004):
منابع مشابه
The outcomes of midline versus medio-lateral episiotomy
BACKGROUND Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. During the 1970s, it was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears and easier subsequent repair. However, there are no data availabl...
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BACKGROUND Women frequently suffer perineal trauma while giving birth. Interventions to increase the possibility for an intact perineum are needed. OBJECTIVES To evaluate the effectiveness of antenatal perineal massage in increasing the likelihood of delivering with an intact perineum. METHODS This single blinded prospective controlled trial included 234 nulliparous women with a singleton f...
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OBJECTIVE To evaluate the prevalence of obstetrical anal sphincter injuries (OASIS), which include third and fourth degree perineal tears in primigravida in routine versus selective mediolateral episiotomy. Secondly, to determine the rate of episiotomy in local settings. METHODS This randomized control trial was carried out in the labor ward of a tertiary hospital of the Universiti Kebangsaan...
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More than 85% of women in the United Kingdom (UK) sustain some form of perineal trauma during childbirth1. In the majority of instances, only the perineal skin, vaginal epithelium and superficial muscles are involved, and such tears are only rarely associated with serious sequelae. Tears involving the anal sphincter, however, can have long-term impact on a woman’s quality of life. Sultan2 origi...
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متن کاملWest Berkshire perineal management trial JENNIFER SLEEP
One thousand women were allocated at random to one of two perineal management policies, both intended to minimise trauma during spontaneous vaginal delivery. In one the aim was to restrict episiotomy to fetal indications; in the other the operation was to be used more liberally to prevent perineal tears. The resultant episiotomy rates were 10% and 51% respectively. An intact perineum was more c...
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