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Créée le : 17 Feb 2004
Modifiée le : 02 Dec 2007

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Notice bibliographique (sans auteurs) :

Routine perineal shaving on admission in labour (Cochrane Review). The Cochrane Library, Issue 1, 2004

Auteur·e(s) :

Basevi V, Lavender T.

Année de publication :

2004

URL(s) :

http://www.cochrane.org/cochrane/revabstr/AB001236…

Résumé (français)  :

Abstract (English)  :

Background: Pubic or perineal shaving is a procedure performed before birth in order to lessen the risk of infection if there is a spontaneous perineal tear or if an episiotomy is performed.

Objectives: To assess the effects of routine perineal shaving on admission in labour on maternal and neonatal outcomes, according to the best available evidence.

Search strategy: We searched the Cochrane Pregnancy and Childbirth Group trials register (November 2003).

Selection criteria: All controlled trials (including quasi-randomised) that compare perineal shaving versus no perineal shaving.

Data collection and analysis: We evaluated trials under consideration for methodological quality and appropriateness for inclusion without consideration of their results.

Main results: Only two trials fulfilled the prespecified criteria. In the earlier trial, 389 women were alternately allocated to receive either skin preparation and perineal shaving (control) or clipping of vulval hair only (experimental). In the second trial, which included 150 participants, perineal shaving was compared with the cutting of long hairs for procedures only. The primary outcome for both trials was maternal febrile morbidity. No differences were found (combined odds ratio (OR) 1.26, 95% confidence interval (CI) 0.75 to 2.12).In the smaller trial, fewer women who had not been shaved had Gram-negative bacterial colonisation compared with women who had been shaved (OR 0.43, 95% CI 0.20 to 0.92).

Reviewers’ conclusions: There is insufficient evidence to recommend perineal shaving for women on admission in labour.

Sumário (português)  :

Resumen (español)  :

Remarques :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Mots-clés :

➡ médecine factuelle ; déchirures ; épisiotomie ; morbidité

Auteur·e de cette fiche :

Cécile Loup — 17 Feb 2004