A comparison of "hands off" versus "hands on" techniques for decreasing perineal lacerations during birth

Journal of Midwifery & Women's Health
Adriana de Souza Caroci da Costa, Maria Luiza Gonzalez Riesco

Abstract

Our goal was to determine the frequency, degree, and location of perineal lacerations and the neonatal outcomes associated with the use of two techniques of perineal protection--expectant ("hands off") and interventionist ("hands on")--during childbirth. We conducted a randomized controlled trial to compare the effectiveness of two techniques for perineum protection during spontaneous delivery. Study participants included 70 nulliparous expectant mothers, who were divided equally between the "hands off" and "hands on" groups (n = 35 per group). Perineal laceration occurred in 81.4% of the women. Among these, first-degree lacerations were predominant (82.5%). Lacerations in the anterior and posterior regions of the perineum occurred with similar frequencies. Laceration rates did not differ between the "hands off" and "hands on" groups (P > .05). Neonatal outcomes were similar in both groups. The use of "hands off" technique of perineal protection does not alter the frequency or degree of perineal lacerations in childbirth, relative to a "hands on" technique.

Associated Clinical Trials

References

Jan 1, 1995·Journal of Nurse-midwifery·M T Lydon-RochelleD Teaf
Jul 1, 1996·Journal of Nurse-midwifery·L L AlbersD Teaf
Feb 1, 1997·American Journal of Obstetrics and Gynecology·M C KleinB Johnson
Jan 12, 1999·British Journal of Obstetrics and Gynaecology·R McCandlishD Elbourne
Jan 20, 1999·Birth·P Aikins Murphy, J B Feinland
Mar 13, 1999·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S Bomfim-Hyppólito
Jan 11, 2002·Journal of Midwifery & Women's Health·R McCandlish
Sep 13, 2005·Journal of Midwifery & Women's Health·Leah L AlbersPatricia Peralta

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Citations

Jul 26, 2012·Health Care for Women International·Zekiye KaraçamHüsniye Calişir
Dec 10, 2014·Journal of Obstetrics and Gynaecology of India·Rozita RezaeiHamid Sharif Nia
Apr 3, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Vladimir RevickyJose J Nieto
Jul 28, 2007·Midwifery·Flora Maria Barbosa da SilvaMoacyr Roberto Cuce Nobre
Dec 3, 2014·Midwifery·Hannah G DahlenCharlene Thornton
Jun 1, 2012·Journal of Clinical Nursing·Flora M B da SilvaMaria L G Riesco
Jun 6, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Amanda J AmptJane B Ford
May 16, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·S BulchandaniK M Ismail
Mar 17, 2015·Women and Birth : Journal of the Australian College of Midwives·Haiying WangJane Warland
Nov 14, 2013·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·V TyagiK Guerrero
May 11, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Maya BasuUNKNOWN STOMP project team
Mar 27, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Vanessa Maria Laranjeiras LinsMelania Maria Amorim
Jul 1, 2008·Journal of Midwifery & Women's Health·Leila Barreto Scarabotto, Maria Luiza Gonzalez Riesco
May 5, 2007·MCN. the American Journal of Maternal Child Nursing·Marie Hastings-TolsmaTeresa Francisco
May 17, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Rebecca A M Pierce-WilliamsVincenzo Berghella
Jun 19, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Dong-Mei MaQiong Luo
Mar 20, 2020·Journal of Perinatal Medicine·Nina KimmichEva Furrer
Jun 14, 2017·The Cochrane Database of Systematic Reviews·Vigdis AasheimMirjam Lukasse
May 1, 2007·Journal of Midwifery & Women's Health·Leah L Albers, Noelle Borders

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