Perineal trauma in nulliparous women and its associated factors

Introduction: Perineal trauma is an important complication for women after giving birth. Objective: To evaluate the prevalence of perineal trauma and its associated factors in nulliparous. Methods: A retrospective cohort study was carried out, through the analysis of the medical records of women wi...

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Autores principales:	Rebeca Vieira dos Santos, Alianny Raphaely Rodrigues Pereira, Cláudia Regina Oliveira de Paiva Lima, Diego de Sousa Dantas, Caroline Wanderley Souto Ferreira
Formato:	article
Lenguaje:	EN ES PT
Publicado:	Faculdade de Medicina do ABC 2021
Materias:	perineum oxytocin posture birth injuries episiotomy Medicine R
Acceso en línea:	https://doaj.org/article/3cea9d5b212748d4acf9b3a3315fdc79
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spelling	oai:doaj.org-article:3cea9d5b212748d4acf9b3a3315fdc792021-11-08T20:20:22ZPerineal trauma in nulliparous women and its associated factors10.7322/abcshs.2020047.14962318-49652357-8114https://doaj.org/article/3cea9d5b212748d4acf9b3a3315fdc792021-11-01T00:00:00Zhttps://portalnepas.org.br/abcshs/article/view/1496https://doaj.org/toc/2318-4965https://doaj.org/toc/2357-8114 Introduction: Perineal trauma is an important complication for women after giving birth. Objective: To evaluate the prevalence of perineal trauma and its associated factors in nulliparous. Methods: A retrospective cohort study was carried out, through the analysis of the medical records of women with singleton pregnancy who achieved vaginal birth of a live infant, in 2017, in a maternity hospital. Data collection involved information about demographic, obstetric, and clinical data from nulliparous women, and infant birthweight. Univariate and multivariate logistic analyses were performed to verify the association of perineal trauma with the variables assessed, with significant variables remaining in the model (p<0.05), through a stepwise strategy. Results: A total of 326 medical records were analyzed. The percentage of perineal trauma was 60%. In the multivariate analysis, the use of oxytocin increased the chance of perineal trauma by 730%. In addition, the adoption of squatting position and hands and knees decreased the chances of perineal trauma by 81% and 97%, respectively, in comparison with those who adopted the lithotomy position, during the second stage labor. Conclusion: The rate of perineal laceration was high, but the severity was low. The use of oxytocin is associated with the presence of trauma and the squatting position and hands and knees, especially, have contributed to the protection of the perineum. Rebeca Vieira dos SantosAlianny Raphaely Rodrigues PereiraCláudia Regina Oliveira de Paiva LimaDiego de Sousa DantasCaroline Wanderley Souto FerreiraFaculdade de Medicina do ABCarticleperineumoxytocinposturebirth injuriesepisiotomyMedicineRENESPTABCS Health Sciences (2021)
institution	DOAJ
collection	DOAJ
language	EN ES PT
topic	perineum oxytocin posture birth injuries episiotomy Medicine R
spellingShingle	perineum oxytocin posture birth injuries episiotomy Medicine R Rebeca Vieira dos Santos Alianny Raphaely Rodrigues Pereira Cláudia Regina Oliveira de Paiva Lima Diego de Sousa Dantas Caroline Wanderley Souto Ferreira Perineal trauma in nulliparous women and its associated factors
description	Introduction: Perineal trauma is an important complication for women after giving birth. Objective: To evaluate the prevalence of perineal trauma and its associated factors in nulliparous. Methods: A retrospective cohort study was carried out, through the analysis of the medical records of women with singleton pregnancy who achieved vaginal birth of a live infant, in 2017, in a maternity hospital. Data collection involved information about demographic, obstetric, and clinical data from nulliparous women, and infant birthweight. Univariate and multivariate logistic analyses were performed to verify the association of perineal trauma with the variables assessed, with significant variables remaining in the model (p<0.05), through a stepwise strategy. Results: A total of 326 medical records were analyzed. The percentage of perineal trauma was 60%. In the multivariate analysis, the use of oxytocin increased the chance of perineal trauma by 730%. In addition, the adoption of squatting position and hands and knees decreased the chances of perineal trauma by 81% and 97%, respectively, in comparison with those who adopted the lithotomy position, during the second stage labor. Conclusion: The rate of perineal laceration was high, but the severity was low. The use of oxytocin is associated with the presence of trauma and the squatting position and hands and knees, especially, have contributed to the protection of the perineum.
format	article
author	Rebeca Vieira dos Santos Alianny Raphaely Rodrigues Pereira Cláudia Regina Oliveira de Paiva Lima Diego de Sousa Dantas Caroline Wanderley Souto Ferreira
author_facet	Rebeca Vieira dos Santos Alianny Raphaely Rodrigues Pereira Cláudia Regina Oliveira de Paiva Lima Diego de Sousa Dantas Caroline Wanderley Souto Ferreira
author_sort	Rebeca Vieira dos Santos
title	Perineal trauma in nulliparous women and its associated factors
title_short	Perineal trauma in nulliparous women and its associated factors
title_full	Perineal trauma in nulliparous women and its associated factors
title_fullStr	Perineal trauma in nulliparous women and its associated factors
title_full_unstemmed	Perineal trauma in nulliparous women and its associated factors
title_sort	perineal trauma in nulliparous women and its associated factors
publisher	Faculdade de Medicina do ABC
publishDate	2021
url	https://doaj.org/article/3cea9d5b212748d4acf9b3a3315fdc79
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Perineal trauma in nulliparous women and its associated factors

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