Implementation of care practices to prevent and repair perineal trauma in childbirth

To implement care practices for perineal trauma prevention and repairing in normal birth. 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 we...

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Bibliographic Details
Published in:Revista gaúcha de enfermagem 2017-04, Vol.37 (spe), p.e68304-e68304
Main Authors: Santos, Rafael Cleison Silva Dos, Riesco, Maria Luiza Gonzalez
Format: Article
Language:eng ; por
Subjects:
Delivery, Obstetric - adverse effects
Delivery, Obstetric - instrumentation
Delivery, Obstetric - methods
Episiotomy - adverse effects
Evidence-Based Medicine
Female
Humans
Lacerations - etiology
Lacerations - prevention & control
Lacerations - therapy
Medical Audit
Obstetric Nursing - education
Obstetrics - education
Patient Positioning
Patient Satisfaction
Perineum - injuries
Polyglactin 910
Postpartum Period - psychology
Practice Guidelines as Topic
Practice Patterns, Nurses' - statistics & numerical data
Practice Patterns, Physicians' - statistics & numerical data
Pregnancy
Suture Techniques
Sutures
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Summary:To implement care practices for perineal trauma prevention and repairing in normal birth. 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. 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. 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.
ISSN:0102-6933
DOI:10.1590/1983-1447.2016.esp.68304