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You searched for subject:(Perineal suturing). Showing records 1 – 3 of 3 total matches.

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Victoria University of Wellington

1. Cronin, Robin. New Zealand midwives' management of perineal trauma during childbirth: A survey of practice.

Degree: 2014, Victoria University of Wellington

Background: Perineal trauma is the most common complication of vaginal birth and how this is treated has an impact on the incidence and duration of pain and dysfunction. Responsibility for the management of women’s perinea after uncomplicated births in New Zealand ordinarily rests with midwives although this is a little known aspect of practice. This study aimed to identify how midwives assess and manage second degree perineal trauma, the level to which their practice reflects best evidence, and what influences midwives’ decision-making. Methods: A descriptive approach using an online survey of 75 questions was used to access the population of 2910 New Zealand midwives. Inclusion criterion was current perineal management. Quantitative data were collected and associations examined using chi-square and Fisher’s exact test. Interval data were analysed with a two-sample t-test. Results: 818 midwives returned a questionnaire, 744 (25% of the midwifery population) met the inclusion criteria. Evidence-based suturing material for repair of the last second degree tear was used by 96%. Correct suturing technique throughout all layers of repair was 42%. Rectal examination during assessment was performed by 45% increasing to 86% after repair. Confidence to repair was directly related to years since midwifery qualification (p<.001) and self-employment (p<.001). The tear was left unsutured by 7% and associated with reduced confidence with repair (p<.001), lack of recent experience with repair (p<.001), and home birth (p=.002). Unsutured tears were shorter than sutured tears (vaginal/perineal length, p<.001; depth, p=.004) and associated with delayed healing (p=.034). Care to six weeks postpartum was provided by 377 midwives. Perineal analgesia included oral medication (76%), pelvic floor exercises (44%), cooling (38%), and suppositories (31%). Visual assessments of healing were performed by 84% of midwives, 49% of women, and 7% of support people. Complications of infection (2%), pain (2%), and healing delay (3%) were uncommon. Conclusions: This research has added a New Zealand midwifery practice perspective to the existing literature on second degree perineal care. Potential for reductions in perineal morbidity were identified, even though New Zealand midwifery care already has a low rate of complications compared to international studies. Advisors/Committee Members: Nelson, Katherine, Maude, Robyn.

Subjects/Keywords: Perineal trauma; Perineal suturing; Midwifery practice

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APA (6th Edition):

Cronin, R. (2014). New Zealand midwives' management of perineal trauma during childbirth: A survey of practice. (Masters Thesis). Victoria University of Wellington. Retrieved from http://hdl.handle.net/10063/3680

Chicago Manual of Style (16th Edition):

Cronin, Robin. “New Zealand midwives' management of perineal trauma during childbirth: A survey of practice.” 2014. Masters Thesis, Victoria University of Wellington. Accessed September 22, 2020. http://hdl.handle.net/10063/3680.

MLA Handbook (7th Edition):

Cronin, Robin. “New Zealand midwives' management of perineal trauma during childbirth: A survey of practice.” 2014. Web. 22 Sep 2020.

Vancouver:

Cronin R. New Zealand midwives' management of perineal trauma during childbirth: A survey of practice. [Internet] [Masters thesis]. Victoria University of Wellington; 2014. [cited 2020 Sep 22]. Available from: http://hdl.handle.net/10063/3680.

Council of Science Editors:

Cronin R. New Zealand midwives' management of perineal trauma during childbirth: A survey of practice. [Masters Thesis]. Victoria University of Wellington; 2014. Available from: http://hdl.handle.net/10063/3680


Freie Universität Berlin

2. Kunzelmann, Kerstin. a randomized controlled trial.

Degree: 2015, Freie Universität Berlin

Objective: To compare the outcomes of one layered repair of deep perineal body (vaginal wall and perineal skin left unsutured) with the conventional three layered repair for perineal damage (episiotomies and second degree perineal lacerations) after vaginal birth. Design: A randomized controlled trial. Design and Methods: From October 2010 to January 2014 85 women with a second- degree perineal tear or episiotomy were randomly allocated to either the study technique (n = 45) or the conventional (n = 40) suturing method. The primary outcome of the study was early perineal pain (evaluated by numeric rating scale) at 24 hours and 48 hours. Secondary outcomes included analgesia use up to 48 hours, use of cooling pads and sitting disorders in the early post partum period. Other outcome parameters were satisfaction with repair established at 3 months after childbirth, dyspareunia, urinary and flatus incontinence at this point. Additional comparisons were made between time of suturing and delivery specific characteristics. Results: All 85 women finished questionaires after 24 and 48 hours. 63 of them answered questionaires after three months. Comparison of both techniques showed no significant differences regarding short term perineal pain measured by numeric rating scales (p = 0,748 and p = 0,846). In consideration of the analgesia use more obvious differences were found (p = 0,028). Also significantly fewer women in the studygroup reported sitting disorders at 24 hours (90% vs 69%; p = 0.032). Analgesia use up to 48 hours postpartum was significant less in the study group compared to the conventional group (p = 0.003). Significant differences were also found in time taken for repair (6 versus 10 min; p < 0,001). No differences were found in dyspareunia, urinary and flautus incontinence, perineal pain or satifaction with the result at 3 months. Conclusions: The results show, that a single-layer suturing technique has no clear benefit regarding short term pain compared to the conventional three layer repair of perineal wounds. Despite differences were found in outcome-parameters such as analgesia use ore sitting disorders. Multifactoral reasons determine the post partum perineal pain. Advisors/Committee Members: w (gender), N.N. (firstReferee), N.N. (furtherReferee).

Subjects/Keywords: perineal damage episiotomy; second degree perineal lacerations; suturing method; perineal pain; single-layer suturing technique; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Kunzelmann, K. (2015). a randomized controlled trial. (Thesis). Freie Universität Berlin. Retrieved from https://refubium.fu-berlin.de/handle/fub188/11325

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Kunzelmann, Kerstin. “a randomized controlled trial.” 2015. Thesis, Freie Universität Berlin. Accessed September 22, 2020. https://refubium.fu-berlin.de/handle/fub188/11325.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Kunzelmann, Kerstin. “a randomized controlled trial.” 2015. Web. 22 Sep 2020.

Vancouver:

Kunzelmann K. a randomized controlled trial. [Internet] [Thesis]. Freie Universität Berlin; 2015. [cited 2020 Sep 22]. Available from: https://refubium.fu-berlin.de/handle/fub188/11325.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kunzelmann K. a randomized controlled trial. [Thesis]. Freie Universität Berlin; 2015. Available from: https://refubium.fu-berlin.de/handle/fub188/11325

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

3. Julin, Frida Garell. Perinealbristningar vid vattenfödslar.

Degree: Sophiahemmet University, 2016, Sophiahemmet University

SAMMANFATTNING Bakgrund: Globalt sett drabbas cirka 70-80 procent av alla kvinnor av någon typ av bristning i underlivet när de föder sitt första barn och dessa skador kan orsaka både smärta och lidande. Det är av stor vikt att barnmorskor och obstetriker känner till det kvinnliga könsorganets anatomi så att både diagnostisering och handläggning av bristningar blir korrekt. Forskning kring hur dessa skador skall kunna undvikas är ständigt pågående. En av de många frågor som ställs är huruvida förekomsten av dessa skador minskar när barnmorskan utför perinealskydd och hur detta används när kvinnan föder i vatten. Vattenfödsel är ett omdiskuterat ämne och forskare har olika uppfattning om dess för- och nackdelar. Syfte: Syftet med detta arbete var att beskriva utfallet och handläggningen av perinealbristningar vid vattenfödslar. Metod: En kvantitativ ansats har använts och information ifrån 123 kvinnors förlossningsjournaler har sammanställts. Alla kvinnorna födde sina barn i vatten på BB Sophia eller Södra BB från mars 2014 till mars 2015. Bristningsgrad har beskrivits i tabeller och diagram i förhållande till variablerna paritet, barnets vikt, utdrivningsskedets längd, barnets huvudomfång, tid för bad, BMI, ålder och suturering. Resultat: Betydligt fler av förstföderskorna drabbades av perinealbristning än vad omföderskorna gjorde. Av de kvinnor som fick en grad 3 eller grad 4 bristning hade alla längre utdrivningsskeden och var förstföderskor. Nio procent av kvinnorna i studien fick en grad 3 bristning vilket ses som en hög siffra. Av de totalt 101 kvinnorna som fick någon typ av perinealbristning lämnades tio stycken osuturerade och nästan hälften av barnmorskorna som besvarat enkäten använde sig av perinealskydd vid vattenfödslar. Slutsats: Att vara förstföderska ökar risken för perinealbristningar oavsett om kvinnan föder i vatten eller inte. Utdrivningsskedets längd kan ha betydelse samt även om barnmorskan använder perinealskydd eller inte. Vad som i övrigt påverkar utfallet av bristningar vid vattenfödsel är inte säkerställt. Mer forskning i ämnet behövs.

Subjects/Keywords: Perineal tears; Water birth; Midwife; Perineal management techniques; Suturing; Perinealbristningar; Vattenfödsel; Barnmorska; Perinealskydd; Suturering

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Julin, F. G. (2016). Perinealbristningar vid vattenfödslar. (Thesis). Sophiahemmet University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2105

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Julin, Frida Garell. “Perinealbristningar vid vattenfödslar.” 2016. Thesis, Sophiahemmet University. Accessed September 22, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2105.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Julin, Frida Garell. “Perinealbristningar vid vattenfödslar.” 2016. Web. 22 Sep 2020.

Vancouver:

Julin FG. Perinealbristningar vid vattenfödslar. [Internet] [Thesis]. Sophiahemmet University; 2016. [cited 2020 Sep 22]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2105.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Julin FG. Perinealbristningar vid vattenfödslar. [Thesis]. Sophiahemmet University; 2016. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2105

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

.