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Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth.
Edqvist, Malin; Blix, Ellen; Hegaard, Hanne K; Ólafsdottir, Olöf Ásta; Hildingsson, Ingegerd; Ingversen, Karen; Mollberg, Margareta; Lindgren, Helena.
Afiliación
  • Edqvist M; Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens backe hus 1, Box (PO) 457, 405 30, Gothenburg, Sweden.
  • Blix E; Research Group: Maternal, Reproductive and Children's Health, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway. ellen.blix@hioa.no.
  • Hegaard HK; Research Unit, Women's and Children's Health, Juliane Marie Center for Women, Children and Reproduction, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
  • Ólafsdottir OÁ; Department of Midwifery, Faculty of Nursing, University of Iceland, Reykjavík, Iceland.
  • Hildingsson I; Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
  • Ingversen K; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
  • Mollberg M; Homebirth Association Sealand, Copenhagen, Denmark.
  • Lindgren H; Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens backe hus 1, Box (PO) 457, 405 30, Gothenburg, Sweden.
BMC Pregnancy Childbirth ; 16(1): 196, 2016 07 29.
Article en En | MEDLINE | ID: mdl-27473380
BACKGROUND: Whether certain birth positions are associated with perineal injuries and severe perineal trauma (SPT) is still unclear. The objective of this study was to describe the prevalence of perineal injuries of different severity in a low-risk population of women who planned to give birth at home and to compare the prevalence of perineal injuries, SPT and episiotomy in different birth positions in four Nordic countries. METHODS: A population-based prospective cohort study of planned home births in four Nordic countries. To assess medical outcomes a questionnaire completed after birth by the attending midwife was used. Descriptive statistics, bivariate analysis and logistic regression were used to analyze the data. RESULTS: Two thousand nine hundred ninety-two women with planned home births, who birthed spontaneously at home or after transfer to hospital, between 2008 and 2013 were included. The prevalence of SPT was 0.7 % and the prevalence of episiotomy was 1.0 %. There were differences between the countries regarding all maternal characteristics. No association between flexible sacrum positions and sutured perineal injuries was found (OR 1.02; 95 % CI 0.86-1.21) or SPT (OR 0.68; CI 95 % 0.26-1.79). Flexible sacrum positions were associated with fewer episiotomies (OR 0.20; CI 95 % 0.10-0.54). CONCLUSION: A low prevalence of SPT and episiotomy was found among women opting for a home birth in four Nordic countries. Women used a variety of birth positions and a majority gave birth in flexible sacrum positions. No associations were found between flexible sacrum positions and SPT. Flexible sacrum positions were associated with fewer episiotomies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Perineo / Episiotomía / Posicionamiento del Paciente / Parto Domiciliario / Complicaciones del Trabajo de Parto Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2016 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Perineo / Episiotomía / Posicionamiento del Paciente / Parto Domiciliario / Complicaciones del Trabajo de Parto Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2016 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido