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The relationship between perineal trauma and postpartum psychological outcomes: a secondary analysis of a population-based survey
BackgroundPerineal trauma, involving either naturally occurring tears or episiotomy, is common during childbirth but little is known about its...
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The effects of warm perineal compress on perineal trauma and postpartum pain: a systematic review with meta-analysis and trial sequential analysis
BackgroundIn order to reduce the complications of perineal damage and the pain caused by it for the mother, this study was conducted to determine the...
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Overlooked by the obstetric gaze – how women with persistent health problems due to severe perineal trauma experience encounters with healthcare services: a qualitative study
BackgroundDuring the first year postpartum, about 25 per cent of Swedish women with severe perineal trauma (SPT), i.e., a third- or fourth-degree...
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Negotiating the ambiguity of an (in)authentic working life: a grounded theory study into severe perineal trauma
BackgroundIn Sweden, persistent physical and psychological health problems occur in about three in ten women who sustain severe perineal trauma (SPT)...
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Effect of Perineal Massage and Warm Compresses Technique in Postpartum Pelvic Floor Dysfunction. A Secondary Analysis from a Randomised Controlled Trial
Pelvic floor dysfunction (PFD) is common to be associated with pregnancy and birth. To date, no research has been done to understand whether the...
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Perineal resuturing versus conservative treatment for dehisced perineal wounds and episiotomies: a systematic review and meta-analysis
Introduction and hypothesisPerineal wound dehiscence is associated with complications, such as infections, perineal pain, dyspareunia, and altered...
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Patient-reported outcomes and outcome measures in childbirth perineal trauma research: a systematic review
Introduction and hypothesisIn evaluating the effectiveness of interventions in perineal trauma research, outcomes reported by patients should have a...
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Prevalence and associated factors of maternal birth trauma following vaginal delivery at University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia, 2022
BackgroundMaternal injury with any form of perineal trauma following vaginal delivery is very common which ranges globally from 16.2 to 90.4%. The...
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Perineal lacerations and social media: can patients find reliable information on Instagram and TikTok?
Introduction and hypothesisSocial media content related to patient experiences and education continues to grow. Information on how obstetric perineal...
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Lidocaine spray vs mepivacaine local infiltration for suturing 1st/2nd grade perineal lacerations: a randomised controlled non-inferiority trial
BackgroundPerineal lacerations are a very common complication of post-partum. Usually, the repair of 1st and 2nd-grade lacerations is performed after...
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Impact of perineal pain and delivery related factors on interference with activities of daily living until 1 month postpartum: A longitudinal prospective study
BackgroundInterference with activities of daily living can negatively impact maternal practices both physically and psychologically. This study aimed...
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Use of surgical glue versus suture to repair perineal tears: a randomised controlled trial
BackgroundSurgical glue has been used in several body tissues, including perineal repair, and can benefit women.
ObjectivesTo evaluate the...
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Predictors of pregnancy stress and psychological birth trauma in women undergoing vaginal delivery: a cross-sectional study in China
BackgroundPsychological birth trauma exhibits a high incidence worldwide, resulting in a wide range of negative impacts on mothers, infants, couples,...
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Perineal stress as a predictor of performing episiotomy in primiparous women: a prospective observational study
BackgroundEpisiotomy is a surgical solution to relieve perineal stress, resulting in an easily repairable incision, in comparison to the risks of...
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Development and initial validation of a Swedish inventory to screen for symptoms of deficient perineum in women after vaginal childbirth: ‘Karolinska Symptoms After Perineal Tear Inventory’
BackgroundPerineal tears are common after vaginal birth and may result in pelvic floor symptoms. However, there is no validated questionnaire that...
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Clinician-reported childbirth outcomes, patient-reported childbirth trauma, and risk for postpartum depression
Childbirth trauma is common and increases risk for postpartum depression (PPD). However, we lack brief measures to reliably identify individuals who...
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Pelvic floor function after third and fourth degree perineal lacerations: a case-control study on quality of life
BackgroundThe primary aim of this study was to compare the quality of life between women with obstetric anal sphincter injury (OASI) and women with...
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One Plus One Equals Two—will that do? A trial protocol for a Swedish multicentre randomised controlled trial to evaluate a clinical practice to reduce severe perineal trauma
BackgroundSevere perineal trauma sustained during childbirth is a serious complication since it can lead to both short- and long-term consequences...
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Time trends in episiotomy and severe perineal tears in Portugal: a nationwide register-based study
IntroductionRates of episiotomy and severe perineal tears (SPT) are indicators of the quality of obstetric care. Time-trends in the reported...
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Selective episiotomy versus no episiotomy for severe perineal trauma: a systematic review with meta-analysis
Introduction and hypothesisWe hypothesized whether a non-episiotomy protocol or administration of selective episiotomy as an intrapartum intervention...