Implementation of care practices to prevent and repair perineal trauma in childbirth. / Implementação de práticas assistenciais para prevenção e reparo do trauma perineal no parto.
Rev Gaucha Enferm
; 37(spe): e68304, 2017 Apr 06.
Article
em Pt, En
| MEDLINE
| ID: mdl-28403314
OBJECTIVE: To implement care practices for perineal trauma prevention and repairing in normal birth. METHOD: Quasi-experimental study conducted at Hospital da Mulher Mãe-Luzia, in Macapá, AP, Brazil. Seventy-four (74) nurses and obstetricians and 70 post-partum women were interviewed and the records of 555 patients were analyzed. The study was conducted in three stages: pre-audit and baseline audit (phase 1); educational intervention and implementation of best practices (phase 2); post-implementation audit (phase 3). Data was analyzed by comparison of the results of phases 1 and 3. RESULTS: Following the educational intervention, a lower number of health professionals encouraged directed pushing, performed episiotomies and repaired first-degree lacerations; more women reported lithotomy position; more patient records indicated the use of Vicryl™ to suture the perineal mucosa and skin. CONCLUSION: The educational intervention improved birth care and perineal outcomes. Nevertheless, gaps were identified in the implementation of evidence, as well as inappropriate perineal care management.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Períneo
/
Padrões de Prática Médica
/
Parto Obstétrico
/
Padrões de Prática em Enfermagem
/
Enfermagem Obstétrica
/
Obstetrícia
Tipo de estudo:
Etiology_studies
/
Guideline
/
Prognostic_studies
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
/
Pt
Revista:
Rev Gaucha Enferm
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil