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. 2021 Sep 1:55:e20200193.
doi: 10.1590/1980-220X-REEUSP-2020-0193. eCollection 2021.

Perineal protection methods: knowledge and use

[Article in English, Spanish]
Esther María López Martínez  1 , Zaraida Avilés Sáez  2 , Encarnación Hernández Sánchez  3 , Marcos Camacho Ávila  4 , Ester Marín Conesa  5 , María Belén Conesa Ferrer  6
Affiliations

Perineal protection methods: knowledge and use

[Article in English, Spanish]
Esther María López Martínez et al. Rev Esc Enferm USP. .

Abstract

Objective: To analyse the knowledge and use of perineal protection methods during the expulsive stage by health professionals involved in childbirth and whether they correspond to the World Health Organization's recommendations.

Method: This was a cross-sectional descriptive study aimed at health workers involved in births in Spain.

Results: Fifty-seven professionals participated in the study: midwives (47%), gynaecologists (25%), nurse residents (14%) and resident physicians (14%) in obstetrics and gynaecology. The degree of knowledge and use of perineal protection methods differed according to the position held and was very limited among gynaecologists and resident physicians. The only method recognized by all positions was "hands on" (p = 0.05). "Hands off " (p = 0.002), "delayed pushing" (p = 0.0001) and "maternal posture" (p = 0.03) were only known to midwives and nurse residents. "Flexion technique" (p = 0.035) and "delayed pushing" (p = 0.011) were used effectively by midwives and nurse residents. "Episiotomy" was erroneously identified as a method to protect the perineum by gynaecologists and resident physicians (p = 0.003).

Conclusion: The degree of knowledge and use of perineal protection methods by health care professionals does not correspond to the recommendations of the World Health Organization.

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