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Prevalence and risk factors of maternal dissatisfaction after vaginal delivery: A multicenter prospective study.
Int J Gynaecol Obstet
December 2024
Department of Obstetrics and Gynecology, Bordeaux University Hospital, Bordeaux, France.
Objective: To evaluate the prevalence and risk factors of maternal dissatisfaction 2 days after a singleton vaginal delivery at or near term.
Methods: We conducted a planned ancillary cohort study of the TRanexamic Acid for Preventing Postpartum Hemorrhage After Vaginal Delivery (TRAAP) randomized controlled trial. Maternal dissatisfaction, related to the birth and to the subsequent hospital stay, was assessed 2 days postpartum by two self-administered questions: "Are you satisfied with the care you received during your child's birth?" and "Are you satisfied with the care you have received during your hospital stay?".
A physical therapy program to treat late-effect vaginal stenosis in gynecological cancer survivors: An interventional study.
Support Care Cancer
November 2024
Physical Therapy Graduate Program, Santa Catarina State University (UDESC), Florianópolis, Brazil.
Article Synopsis
- * The study involved 34 women receiving ten weeks of individualized therapy that included perineal massage, vaginal dilation, and pelvic floor exercises, with evaluations before and after treatment.
- * Results showed significant improvements in vaginal length, diameter, muscle strength, and quality of life metrics, with about 66.7% of participants experiencing resolution of vaginal stenosis post-intervention.
Does combining warm perineal compresses with perineal massage during the second stage of labor reduce perineal trauma? A randomized controlled trial.
Am J Obstet Gynecol MFM
November 2024
Raya Strauss Wing Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel (Abu Shqara, Binenbaum, Biderman, Sgayer, Keidar, Ganim, Lowenstein, Mustafa Mikhail); Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel (Abu Shqara, Binenbaum, Sgayer, Ganim, Lowenstein, Mustafa Mikhail).
Background: Various interventions have been applied to reduce perineal trauma and obstetric anal sphincter injuries (OASIS). The efficacy of warm compresses during the second stage of labor for reducing the occurrence of perineal tears is controversial.
Objective: We aimed to compare rates of spontaneous perineal tears requiring suturing, between women who received warm compresses plus perineal massage vs perineal massage alone.
Patient awareness, knowledge, and acceptability of antenatal perineal massage: A single-center cross-sectional study from Saudi Arabia.
Eur J Midwifery
November 2024
Research Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Introduction: This study assessed the knowledge, awareness, and acceptability of antenatal perineal massage (APM) among pregnant women in Saudi Arabia.
Methods: This cross-sectional study included 240 pregnant women who met the predefined inclusion criteria and attended the Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, from 1 October to 31 December 2023. Participants answered seven knowledge questions, classified as having good knowledge if they answered ≥4 correctly and poor knowledge if <4 were correct.
Perineal techniques during the second stage of labour for reducing perineal trauma and postpartum complications.
Cochrane Database Syst Rev
October 2024
Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Rationale: Postpartum haemorrhage (PPH) is responsible for around 27% of global maternal deaths. Perineal tears are common in vaginal births and a significant contributor to excessive blood loss. A diversity of perineal techniques are utilised to prevent perineal trauma and reduce the incidence of PPH; however, they lack evidence-based comparisons to understand their effects.
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