Minimizing genital tract trauma and related pain following spontaneous vaginal birth.
J Midwifery Womens Health
; 52(3): 246-53, 2007.
Article
en En
| MEDLINE
| ID: mdl-17467591
ABSTRACT
Genital tract trauma is common following vaginal childbirth, and perineal pain is a frequent symptom reported by new mothers. The following techniques and care measures are associated with lower rates of obstetric lacerations and related pain following spontaneous vaginal birth antenatal perineal massage for nulliparous women, upright or lateral positions for birth, avoidance of Valsalva pushing, delayed pushing with epidural analgesia, avoidance of episiotomy, controlled delivery of the baby's head, use of Dexon (U.S. Surgical; Norwalk, CT) or Vicryl (Ethicon, Inc., Somerville, NJ) suture material, the "Fleming method" for suturing lacerations, and oral or rectal ibuprofen for perineal pain relief after delivery. Further research is warranted to determine the role of prenatal pelvic floor (Kegel) exercises, general exercise, and body mass index in reducing obstetric trauma, and also the role of pelvic floor and general exercise in pelvic floor recovery after childbirth.
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Banco de datos:
MEDLINE
Asunto principal:
Dolor
/
Trastornos Puerperales
/
Laceraciones
/
Parto Obstétrico
Tipo de estudio:
Etiology_studies
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Midwifery Womens Health
Asunto de la revista:
ENFERMAGEM
/
OBSTETRICIA
/
SAUDE DA MULHER
Año:
2007
Tipo del documento:
Article