Escolha sua fonte:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 Português 
 Français 
 English 
 Español 

[Valid RSS] RSS
bar

Banco de dados - (CIANE)

Descrição deste banco de dados documental (Site da CIANE)
Atualmente 3111 fichas
Canal do YouTube (tutorial)

https://ciane.net/id=2916

Criado em : 06 Mar 2018
Alterado em : 25 Jul 2018

 Modificar esta ficha
Siga este link somente se você tiver um palavra chave de editor!


Compartilhar: Facebook logo   Tweeter logo   Fácil

Nota bibliográfica (sem autor) :

Posterior Perineral Injuries - Midwives’ Management and Experiences of the Second Stage of Labour in Relation to Perineal Outcome.

Autores :

Edqvist, Malin

Ano de publicação :

2017

URL(s) :

https://gupea.ub.gu.se/handle/2077/51746

Résumé (français)  :

Abstract (English)  :

Women commonly sustain some form of perineal and vaginal injury when giving birth. Posterior perineal injuries have short- and long-term consequences for women which may lead to reduced quality of life.

AIM: The aim of this thesis was to investigate midwives’ management and experiences of the second stage of labour in relation to perineal injuries of different severity. Furthermore, the aim was to evaluate whether an intervention based on woman-centred care reduces second-degree tears in primiparous women.

METHODS: Study I, a population-based cohort study of planned home births in four Nordic countries (n=2992). The aim was to assess whether birth positions with flexibility in the sacro-iliac joints defined as flexible- or non-flexible sacrum positions were associated with perineal trauma. To explore midwives’ experiences of a birth where the woman sustains severe perineal trauma (Study II), in-depth interviews were conducted with 13 midwives. A phenomenological reflective lifeworld design was used. Study III is an experimental intervention study using a cohort design to reduce second-degree tears, in which 597 primiparous women participated. A multifactorial intervention consisting of 1) spontaneous pushing, 2) flexible sacrum positions, and 3) a two-step head-to-body birth was compared to standard care. Study IV explores the relationship between directed practices used during the second stage of labour and perineal trauma, using data from 704 primiparous women participating in the intervention study. For the quantitative studies (I, III, IV) bivariate analysis and multivariable logistic regression adjusting for risk factors were used to analyze the data.

RESULTS: The majority (65.2%) of women in Study I gave birth in flexible sacrum positions and these positions were not associated with severe perineal trauma. The experience of being a midwife when the woman sustains severe perineal trauma (Study II) was expressed as being caught between an accepted truth and a more complex belief. The accepted truth is that a skilled midwife can prevent severe perineal trauma while the more complex belief suggests that these injuries cannot always be avoided. Balancing between the two created a deadlock for the midwives which was difficult to resolve. The results from Study III showed that fewer women in the intervention group sustained a second-degree tear. The intervention remained protective even after adjusting for potential confounders and known risk factors (adj. OR 0.53; CI 95% 0.33–0.84). The most common practices used in Study IV were directed pushing (57.1%) and digital stretching of the vagina (29.8%). None of the practices used were associated with perineal trauma.

CONCLUSIONS: Flexible sacrum positions were not associated with severe perineal trauma in the home birth setting. A multifactorial woman-centered intervention reduced second-degree tears in primiparous women and was possible to implement without having negative side effects for women and their babies. Moreover, the directed practices midwives use during the second stage of labour were not associated with perineal trauma. Midwives experience various conflicting emotions when the woman suffers severe perineal trauma.

Sumário (português)  :

Resumen (español)  :

Texto completo (public) :

Comentários :

Argument (français) :

Les pratiques dirigées utilisées par les sages-femmes au cours du deuxième stade du travail n’étaient pas associées à un traumatisme périnéal. Les sages-femmes éprouvent diverses émotions contradictoires lorsque la femme souffre d’un traumatisme périnéal grave.

Argument (English):

The directed practices midwives use during the second stage of labour were not associated with perineal trauma. Midwives experience various conflicting emotions when the woman suffers severe perineal trauma.

Argumento (português):

As práticas direcionadas das parteiras durante o segundo estágio do trabalho de parto não foram associadas ao trauma perineal. As parteiras experimentam várias emoções conflitantes quando a mulher sofre traumatismo perineal grave.

Argumento (español):

Palavras-chaves :

➡ parto domiciliar ; rasgaduras

Autor da esta ficha :

Alison Passieux — 06 Mar 2018
➡ última atualização : Bernard Bel — 25 Jul 2018

Discussão (exibir apenas português)
 
➡ Reservado para usuários identificados



 Li a carta de discussões e aceito as condições (leia as diretrizes)

barre

Efectuar uma nova consulta especialista --- Outro pedido simples

Criação de uma ficha --- Importar registros

Gerenciamento de usuários --- Fazer backup do banco de dados --- Contato

bar

Esta base de dados criada pela Alliance francophone pour l'accouchement respecté (AFAR) é gerida
pela Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
Ele é alimentado pelas contribuições de voluntários interessados ​​em compartilhar informações científicas.
Se você aprovar este projeto, você pode nos ajudar de várias maneiras:
(1) tornar-se um colaborador com base nisso, se você tem um pouco experiência na literatura científica
(2) ou apoio financeiro CIANE (veja abaixo)
(3) ou tornar-se um membro da outra associação afiliada à CIANE.
Faça login ou crie uma conta para seguir as alterações ou se tornar um editor.
Contato bibli(arobase)ciane.net para mais informações.

Valid CSS! Valid HTML!
Doar para a CIANE (clique em “Faire un don”) nos ajudará a manter e desenvolver sites e bancos de dados
públicos para o apoio das decisões informadas dos pais e cuidadores com relação ao parto