Implementation of care practices to prevent and repair perineal trauma in childbirth.

Autor:	Santos RC; Universidade Federal do Amapá (UFAP), Departamento de Ciências Biológicas e da Saúde. Macapá, Amapá, Brasil., Riesco ML; Universidade de São Paulo (USP), Departamento de Enfermagem Materno-Infantil e Psiquiátrica. São Paulo, São Paulo, Brasil.
Jazyk:	Portuguese; English
Zdroj:	Revista gaucha de enfermagem [Rev Gaucha Enferm] 2017 Apr 06; Vol. 37 (spe), pp. e68304. Date of Electronic Publication: 2017 Apr 06.
DOI:	10.1590/1983-1447.2016.esp.68304
Abstrakt:	Objective: To implement care practices for perineal trauma prevention and repairing in normal birth. Method: Quasi-experimental study conducted at Hospital da Mulher Mãe-Luzia, in Macapá, AP, Brazil. Seventy-four (74) nurses and obstetricians and 70 post-partum women were interviewed and the records of 555 patients were analyzed. The study was conducted in three stages: pre-audit and baseline audit (phase 1); educational intervention and implementation of best practices (phase 2); post-implementation audit (phase 3). Data was analyzed by comparison of the results of phases 1 and 3. Results: Following the educational intervention, a lower number of health professionals encouraged directed pushing, performed episiotomies and repaired first-degree lacerations; more women reported lithotomy position; more patient records indicated the use of Vicryl™ to suture the perineal mucosa and skin. Conclusion: The educational intervention improved birth care and perineal outcomes. Nevertheless, gaps were identified in the implementation of evidence, as well as inappropriate perineal care management.
Databáze:	MEDLINE
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