Repercussions of perineal repair using surgical glue or suture thread on postpartum outcomes: A controlled randomized clinical trial in São Paulo, Brazil.

Introduction: The type of perineal repair can have significant long-term effects on various functions in a woman's postpartum life. The aim was to compare urinary incontinence (UI), women's satisfaction, pelvic floor muscle strength (PFMS), and sexual function according to the type of perineal repair (surgical glue or suture thread) during the first eight months after normal childbirth.

Methods: A controlled randomized clinical trial of 133 primiparous women undergoing perineal repair during birth with surgical glue or sutures, evaluated during labor and monitored up to 8 months postpartum, from March 2017 to September 2018, in the city in São Paulo, Bazil.

Surgical adhesive glue to repair first-degree perineal tears in vaginal birth: A randomised controlled clinical trial.

Background: Perineal tears in vaginal birth are highly prevalent and may be related to physical and psychological trauma. Surgical glues are an alternative repair method to avoid the pain that may be caused by perineal repairs with sutures.

Objective: To evaluate the effectiveness of surgical adhesive glue in reducing perineal pain when compared to sutures in first-degree perineal tears resulting from vaginal birth.

Methods of induction and augmentation of labor in a freestanding birth center: a cross-sectional study.

Objective: To describe and analyze the use of methods of induction and augmentation of labor in a freestanding birth center (FBC).

Method: Cross-sectional study carried out at a FBC located in São Paulo (SP), with all women booked from 2011 to 2021 (n = 3,397).

Results: The majority of women (61.

Use of surgical glue versus suture to repair perineal tears: a randomised controlled trial.

Background: Surgical glue has been used in several body tissues, including perineal repair, and can benefit women.

Objectives: To evaluate the effectiveness of n-butyl-2-cyanoacrylate surgical glue compared to the polyglactin 910 suture in repairing first- and second-degree perineal tears and episiotomy in vaginal births.

Design: A parallel randomised controlled open trial.

Exclusive breastfeeding abandonment in adolescent mothers: a cohort study within health primary services.

Objective: to analyze the factors associated with the abandonment of exclusive breastfeeding in adolescent mothers during the first 6 months of the infant's life.

Method: this is a cohort study of 105 adolescent mothers followed at the child's 2-, 4- and 6-months of age. The epidemiological approach was adopted, supported by the positivism paradigm.

Complementary and Integrative Health Practices in a Brazilian Freestanding Birth Center: A Cross-Sectional Study.

The study aimed to analyze the use of complementary and integrative health practices (CIHPs) during labor and birth in a freestanding birth center. A total of 28 different CIHPs were applied with or used by laboring women. The most adopted CIHPs were mind-body practices (99.

Experiences of health professionals in screening for postpartum depressive symptoms: a qualitative systematic review protocol.

Objective: This review will assess and synthesize the available qualitative evidence on the experiences of health professionals in screening for postpartum depression.

Introduction: Postpartum depression is a significant public health problem. Clinical screening is essential to develop appropriate interventions to meet the needs of women and their families.

Effectiveness of aromatherapy versus standard care on physiological and psychological symptoms in pregnant women: a systematic review protocol.

Objective: This review aims to evaluate the effectiveness of aromatherapy versus standard care on common physiological and psychological symptoms in low-risk pregnant women.

Introduction: Women report common symptoms that result from anatomical and physiological changes significant for fetal development and maternal-fetal protection during pregnancy. Aromatherapy is an integrative and complementary practice of ancient origin that works through the administration of essential oils.

Women's pelvic floor muscle strength and urinary and anal incontinence after childbirth: a cross-sectional study.

Objective: To analyse pelvic floor muscle strength (PFMS) and urinary and anal incontinence (UI and AI) in the postpartum period.

Method: Cross-sectional study carried out with women in their first seven months after child birth. Data were collected through interviews, perineometry (Peritron™), and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF).

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

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.

[Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study].

Objective: Presenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence.

Method: An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1), implementation of best practice (phase 2) and Follow-up Clinical Audit (phase 3) was used.

Evaluation of perineal muscle strength in the first trimester of pregnancy.

Objectives: to analyze the Pelvic Floor Muscle Strength (PFMS) of pregnant women with one or more vaginal or cesarean deliveries; to compare the PFMS of these with pregnant women with the PFMS of primiparous women.

Methods: cross-sectional study with women up to 12 weeks pregnant, performed in Itapecerica da Serra, São Paulo state, from December 2012 to May 2013. The sample consisted of 110 pregnant women with one or more vaginal deliveries or cesarean sections and 110 primigravidae.

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study.

Objective To analyze pelvic floor muscle strength (PFMS), urinary continence and quality of life related to urinary incontinence (UI) of women in the first trimester of pregnancy. Method Cross-sectional study with a sample of 500 women who started prenatal care in a complementary healthcare facility in Guarulhos, state of São Paulo, from 2012 and 2013. Pelvic floor muscle strength was evaluated through perineometry.

[Care in a birth center according to the recommendations of the World Health Organization].

Birth centers are maternal care models that use appropriate technology when providing care to birthing women. This descriptive study aimed to characterize intrapartum care in a freestanding birth center, in light of the practices recommended by the World Health Organization (WHO), with 1,079 assisted births from 2006 to 2009 in the Sapopemba Birth Center, São Paulo, Brazil. Results included the use of intermittent auscultation (mean=7 controls); maternal positions during delivery: semi-sitting (82.

[Reflections on the excessive rates of cesareans in Brazil and the empowerment of women].

The medicalization of childbirth as an outcome of social medicalization has been described as a complex sociocultural process that transforms the experiences, suffering and pain - which were formerly managed in the family or community settings - into medical needs. The scope of this paper is to reflect upon the excessive number of cesarean sections in Brazil from a critical and objective standpoint. Data on caesarean section statistics and studies on women's preference on the manner of delivery are discussed in order to contribute to the discussion on the empowerment of the health system consumers.

Comparison of application times for ice packs used to relieve perineal pain after normal birth: a randomised clinical trial.

Aims And Objectives: To compare the effect of an ice pack applied for 10, 15 and 20 minutes to relieve perineal pain after birth.

Background: Perineal pain after vaginal birth, with or without vaginal trauma, is one of the most common morbidities reported for postnatal women. Cryotherapy has been used in postpartum period to relieve perineal pain and investigated in several studies.

Risk factors for birth-related perineal trauma: a cross-sectional study in a birth centre.

Aim And Objectives: To identify maternal, newborn and obstetric factors associated with birth-related perineal trauma in one independent birth centre.

Background: Risk factors for birth-related perineal trauma include episiotomy, maternal age, ethnicity, parity and interventions during labour including use of oxytocin, maternal position at time of birth and infant birth weight. Understanding more about these factors could support the management of vaginal birth to prevent spontaneous perineal trauma, in line with initiatives to reduce routine use of episiotomy.

Low-level laser therapy for pain relief after episiotomy: a double-blind randomised clinical trial.

Aims And Objectives: To evaluate the effectiveness of a low-level laser therapy for pain relief in the perineum following episiotomy during childbirth.

Background: Laser irradiation is a painless and non-invasive therapy for perineal pain treatment and its effects have been investigated in several studies, with no clear conclusion on its effectiveness.

Design: A double-blind randomised controlled clinical trial.

Maternal and neonatal outcomes at an alongside birth center and at a hospital.

Objective: To compare maternal and neonatal outcomes in low-risk women assisited in an alongside birth center and at a hospital.

Methods: A cross-sectional study was conducted with a representative sample of low-risk women in São Paulo (Southeastern Brazil), from 2003 to 2006. The study included 991 women who delivered a child at the alongside birth center and 325 who delivered a child at a hospital.

[Transferring mothers from a free-standing birth center to a reference hospital].

The objective of this descriptive study was to characterize the transfers of mothers from the Sapopemba Birth Center to reference hospitals in São Paulo, from September 1998 to July 2008. The studied population was 229 cases of mother transfers. Data were obtained from medical records and record books of the transferred women.

Perineal muscle strength during pregnancy and postpartum: the correlation between perineometry and digital vaginal palpation.

Digital vaginal palpation performed during clinical practice can help diagnose urinary, intestinal and sexual disorders, while perineometry is more useful for performing perineal exercises with biofeedback. This study verifies whether there is a correlation between values of Pelvic Floor Muscle Strength (PFMS) obtained through perineometry performed with an electronic perineometer and through digital vaginal palpation using the Oxford scale. This is a prospective cohort study with 330 measurements carried out in 110 women.

[Maternal and perinatal outcomes of an alongside hospital birth center in the city of São Paulo, Brazil].

The aim of this study was to describe the maternal and perinatal results of care in the alongside hospital birth center Casa de Maria (CPN-CM), located in the city of São Paulo. The random sample included 991 women and their newborns, attended between 2003 and 2006. The results showed that 92.

Analysis of pelvic floor musculature function during pregnancy and postpartum: a cohort study: (a prospective cohort study to assess the PFMS by perineometry and digital vaginal palpation during pregnancy and following vaginal or caesarean childbirth).

Aim: To compare the measurements of women's pelvic floor musculature strength (PFMS) during pregnancy and postpartum period.

Background: Pregnancy and childbirth can have an influence on the muscles and pelvic floor and can cause morbidities of women's genito-urinary tract.

Design: A prospective cohort study.