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Revisão Produção Nacional Revisado por pares

BIBTEX RIS

Scientific evidence on perineal trauma during labor: Integrative review

2018; Elsevier BV; Volume: 223; Linguagem: Inglês

10.1016/j.ejogrb.2018.01.036

1872-7654

Flavíana Vieira, Janaína Valadares Guimarães, Marcia C.S. Souza, Poliana M.L. Sousa, Rafaela F. Santos, Águeda Maria Ruiz Zimmer Cavalcante,

Maternal and Perinatal Health Interventions

Objective To assess the scientific evidence for management and preservation of perineal integrity during the expulsive stage of labor. Study design Integrative review that employed the Population, Intervention, Comparison, Outcome strategy to formulate the research question: Which perineal measure(s) is(are) effective in maintaining perineal integrity during labor? The search was performed in the databases MEDLINE, LILACS, BDENF and SciELO. The ten selected studies were analyzed based on their level of evidence and grade of recommendation. Results Four categories of measures were located: antenatal perineal care, perineal massage during the expulsive phase of labor, manual perineal support during the expulsive phase of labor and perineal hyaluronidase injection. Conclusion Based on its level of evidence, perineal massage with lubricants performed by the women or their partners at the end of pregnancy may be recommended as a measure favorable for perineal protection.