Alternative model of birth to reduce the risk of assisted vaginal delivery and perineal trauma
| Autor: | Carolina Walker, Ana Herranz, Tania Rodríguez, Montserrat Espuña-Pons, Emília Sánchez, José Angel Espinosa |
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| Rok vydání: | 2011 |
| Předmět: |
Episiotomy
Adult medicine.medical_specialty Urología Salud de la mujer Urology medicine.medical_treatment Patient positioning Perineum Lacerations Patient Positioning law.invention Labor Presentation Randomized controlled trial law Labor Stage Second Pregnancy Odds Ratio Medicine Humans Gynecology business.industry Parturition Obstetrics and Gynecology Extraction Obstetrical Odds ratio medicine.disease Labor presentation Assisted Vaginal Delivery Ginecología Analgesia Epidural Parity Logistic Models Obstetricia Multivariate Analysis Female business Muscle Contraction |
| Zdroj: | International urogynecology journal. 23(9) |
| ISSN: | 1433-3023 |
| Popis: | This study was conducted to evaluate the effects of an alternative model of birth (AMB) on the incidence of assisted vaginal delivery (AVD) and perineal trauma (PT). One hundred ninety-nine women with epidural anesthesia were randomized to a traditional model of birth (TMB) (n = 96) or AMB (n = 103). Women in TMB pushed immediately after complete dilatation and delivered in lithotomy position. In AMB, women followed a postural changes protocol while they delayed pushing and used a specific lateral position for delivery. AMB was associated with a significant reduction in AVD compared with TMB (19.8% vs 42.1%, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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