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Created on : 02 Aug 2014
Modified on : 01 Nov 2018

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Bibliographical entry (without author) :

A Comparison of the “Hands-Off” and “Hands-On” Methods to Reduce Perineal Lacerations: A Randomised Clinical Trial - The Journal of Obstetrics and Gynecology of India - ISBN: 0971-9202, 0975-6434 - p.1-5

Author(s) :

Rezaei, Rozita; Saatsaz, Sussan; Chan, Yiong Huak; Nia, Hamid Sharif

Year of publication :

2014

URL(s) :

http://link.springer.com/article/10.1007/s13224-01…
https://doi.org/10.1007/s13224-014-0535-2

Résumé (français)  :

Abstract (English)  :

Objective
The objective of the current study was to compare the “Hands-off” and “Hands-on” methods to reduce perineal lacerations.

Method
We conducted a randomized controlled trial to compare the effectiveness of two techniques for perineum protection during spontaneous delivery. Study participants included 600 nulliparous expectant mothers, who were divided equally between the “hands off” and “hands on” groups (n_300 per group).

Findings
A total of 147 (49 %) women in the “Hands-on” and 143 women (47.7 %) in the “Hand -off” groups encountered perineal trauma (p = 0.74). In the “Hands-on” group, 8 women (2.7 %) experienced a third degree trauma compared with (0.3 %) that in the “Hands-off” method (p = 0.1). Episiotomy was performed on 38 women (12.7 %) from the “Hands-on” and 17 (5.7 %) women from the “Hands-off” (p = 0.003) groups. In addition, 28 women (9.3 %) from the “Hands-on” group and 47 women (15.7 %) from the “Hands-off” group experienced periurethral tears (p = 0.01) that did not need mending.

Conclusion
Application of the “Hands-off” method for vaginal delivery has a positive effect on the mother’s health because of the reduction of episiotomy and third degree tearing. Therefore, we conclude that the “Hands-off” method offers a safer alternative for perineal control during labor.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

L’application de la méthode dite des « mains libres » lors de l’accouchement vaginal a un effet positif sur la santé de la mère en raison de la réduction de l’épisiotomie et des déchirures du troisième degré. Par conséquent, nous concluons que la méthode « mains libres » offre une alternative plus sûre pour le contrôle périnéal pendant le travail.

Argument (English):

Application of the “Hands-off” method for vaginal delivery has a positive effect on the mother’s health because of the reduction of episiotomy and third degree tearing. Therefore, we conclude that the “Hands-off” method offers a safer alternative for perineal control during labor.

Argumento (português):

A aplicação do método “Hands-off” para o parto vaginal tem um efeito positivo na saúde da mãe, devido à redução da episiotomia e do terceiro grau de dilaceração. Portanto, concluímos que o método “Hands-off” oferece uma alternativa mais segura para o controle perineal durante o trabalho de parto.

Argumento (español):

Keywords :

➡ guidelines ; obstetric and gynecologic violence obstetric violence, obstetrical violence ; episiotomy ; deontology ; informed consent

Author of this record :

Import 02/08/2014 — 02 Aug 2014
➡ latest update : Bernard Bel — 01 Nov 2018