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| Autore principale: | |
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| Natura: | Artículo científico |
| Lingua: | en |
| Pubblicazione: |
Universidade Federal de São Paulo
2011
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| Soggetti: | |
| Accesso online: | https://www.redalyc.org/articulo.oa?id=307023880002 |
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Sommario:
- Perineal outcomes on the left lateral versus vertical semi-sitting birth positions: a randomized study Janine Schirmer Suzete Maria Fustinoni Anatália Lopes de Oliveira Basile Medicina methods Posture Perineum injuries Midwifery OBJECTIVE: To evaluate the perineal outcomes in unconventional birth positions. METHOD: A randomized clinical study. Conducted in a birth centre in the city of Itapecerica da Serra, Brazil. A sample of 158 nulliparas, divided randomly into the left lateral position (81 experimental) and upright half-sitting (77 - control). RESULTS: Experimental group showed less vulvar edema, 13.6% vs. 29.9%, OR 2.71 (95% IC 1.22 -6.02), episiotomy, 16.0% vs. 35.1 OR 2,46 (95% IC 1, 27 - 4.74), and more labial lacerations 37,0% vs. 19,5% OR 2,43 (95% IC 1,18 5,51). The women who adopted the upright half-sitting position had a lower risk of first-degree laceration (37,7% versus 56,8%). However, they had a higher risk of second-degree laceration and frequency of episiotomy OR 2,11 (95% IC 1,02 4,35). The presence of vulvar edema increased the risk of spontaneous trauma and episiotomy OR 3,99 (95% IC 1,80 8,85). CONCLUSIONS: Our data confirmed the hypothesis that the left lateral position offers less risk of serious perineal traumas. 2011 artículo científico 0103-2100 https://www.redalyc.org/articulo.oa?id=307023880002 en http://www.redalyc.org/revista.oa?id=3070 Acta Paulista de Enfermagem application/pdf Universidade Federal de São Paulo Acta Paulista de Enfermagem (Brasil) Num.6 Vol.24