Ads
related to: antenatal perineal massage for reducing perineal trauma
Search results
Results From The WOW.Com Content Network
Antenatal perineal massage (APM) or Birth Canal Widening (BCW) is the massage of a pregnant woman's perineum – the skin and deep tissues around the opening to the vagina (or 'birth canal' – when a baby is in this passage), performed in the 4 to 6 weeks before childbirth, i.e., 34 weeks or sooner (Reference 7, as more births are occurring at around 28 weeks) and continued weekly until birth.
Antenatal digital perineal massage is often advocated, and may reduce the risk of trauma only in nulliparous women. [12] Hands-on techniques employed by midwives, in which the foetal head is guided through the vagina at a controlled rate have been widely advocated, but their efficacy is unclear. [ 13 ]
There is less posterior perineal trauma, less suturing and fewer complications, no difference for most pain measures and severe vaginal or perineal trauma, but there was an increased risk of anterior perineal trauma with restrictive episiotomy". [6] The authors were unable to find quality studies that compared mediolateral versus midline ...
The fourchette may be torn during delivery due to the sudden stretching of the vulval orifice, or during copulation. To prevent this tearing in a haphazard manner, obstetricians and, less frequently, midwives may perform an episiotomy, which is a deliberate cut made in the perineum starting from the fourchette and continuing back along the perineum toward the anus.
Performing a uterine massage Side view of a uterine massage with underlying anatomy Uterine massage is a simple first line treatment as it helps the uterus to contract to reduce bleeding. [ 18 ] Although the evidence around the effectiveness of uterine massage is inconclusive, it is common practice after the delivery of the placenta.
The perineum, the space between the vagina and the anus, is inspected. It should be smooth, firm, and free of disease. Scars from episiotomies are visible on women who have had the procedure during childbirth. [20] The anus is assessed for lesions, inflammation or trauma. It should appear dark, continuous and moist.
The two injured individuals were transported by helicopter to LaGrange and Columbus trauma centers in Georgia. A subsequent update from the Sheriff's Office revealed that Cauthen was 54-years-old ...
In the past, an episiotomy was routine. However, more recent research shows that routine episiotomy, when a normal delivery without complications or instrumentation is anticipated, does not offer benefits in terms of reducing perineal or vaginal trauma. Selective use of episiotomy results in less perineal trauma. [13]