The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome
Background: The objective of the present study was to evaluate the effect of the two methods of delivery, "hands-on" vs. "hands poised", on perineal trauma and delivery outcome in primiparous women referred to Shariati Hospital of Isfahan during 2007-2008. Methods: In a clinical...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Journal of Research in Medical Sciences |
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| Online Access: | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2011;volume=16;issue=8;spage=1040;epage=1046;aulast=Foroughipour |
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| author | Azam Foroughipour Farah Firuzeh Ataolah Ghahiri Vajihe Norbakhsh Tayebeh Heidari |
| author_facet | Azam Foroughipour Farah Firuzeh Ataolah Ghahiri Vajihe Norbakhsh Tayebeh Heidari |
| author_sort | Azam Foroughipour |
| collection | DOAJ |
| description | Background: The objective of the present study was to evaluate the effect of the two methods of delivery, "hands-on" vs. "hands poised", on perineal trauma and delivery outcome in primiparous women referred to Shariati Hospital of Isfahan during 2007-2008.
Methods: In a clinical trial study, 100 low risk primiparous pregnant women were randomly assigned to two hands-on and hand-poised (hands-off) groups. In the hands-on group, this method was used to control fetal head in the second stage of labor. It means that the fingers of one hand supported fetal occiput and the other hand applied slight pressure on the head to control the delivery of the head during the crowning process. In the hands-poised group, midwife observed the parturient woman and do not touch perineum during the second labor stage while fetal head was delivering. Then, the two groups were compared in terms of perineal trauma, as well as neonatal and delivery outcome.
Results: Demographic characteristics of all studied women were similar in two groups. The rate of episiotomy was higher in hands-on group (84% vs. 40%, p = 0.001). The rate of postpartum hemorrhage (4 th stage) was higher in hands-on group (12% vs. 4%, p = 0.04). The rate of mild and moderate postpartum pain in hands-on group was higher than hands-off group (70% vs. 58% and 29% vs. 10%, p < 0.001) but sever pain was not different in two groups.
Conclusions: It seems that hands-poised method is associated with less perineal trauma, particularly regarding the lower need for episiotomy and postpartum hemorrhage. |
| first_indexed | 2024-12-23T11:08:33Z |
| format | Article |
| id | doaj.art-c83b22615ffe4579993716a41f57aabe |
| institution | Directory Open Access Journal |
| issn | 1735-1995 1735-7136 |
| language | English |
| last_indexed | 2024-12-23T11:08:33Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Research in Medical Sciences |
| spelling | doaj.art-c83b22615ffe4579993716a41f57aabe2022-12-21T17:49:25ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362011-01-0116810401046The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcomeAzam ForoughipourFarah FiruzehAtaolah GhahiriVajihe NorbakhshTayebeh HeidariBackground: The objective of the present study was to evaluate the effect of the two methods of delivery, "hands-on" vs. "hands poised", on perineal trauma and delivery outcome in primiparous women referred to Shariati Hospital of Isfahan during 2007-2008. Methods: In a clinical trial study, 100 low risk primiparous pregnant women were randomly assigned to two hands-on and hand-poised (hands-off) groups. In the hands-on group, this method was used to control fetal head in the second stage of labor. It means that the fingers of one hand supported fetal occiput and the other hand applied slight pressure on the head to control the delivery of the head during the crowning process. In the hands-poised group, midwife observed the parturient woman and do not touch perineum during the second labor stage while fetal head was delivering. Then, the two groups were compared in terms of perineal trauma, as well as neonatal and delivery outcome. Results: Demographic characteristics of all studied women were similar in two groups. The rate of episiotomy was higher in hands-on group (84% vs. 40%, p = 0.001). The rate of postpartum hemorrhage (4 th stage) was higher in hands-on group (12% vs. 4%, p = 0.04). The rate of mild and moderate postpartum pain in hands-on group was higher than hands-off group (70% vs. 58% and 29% vs. 10%, p < 0.001) but sever pain was not different in two groups. Conclusions: It seems that hands-poised method is associated with less perineal trauma, particularly regarding the lower need for episiotomy and postpartum hemorrhage.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2011;volume=16;issue=8;spage=1040;epage=1046;aulast=ForoughipourHand-poised MethodHands-on MethodPerineal TraumaDelivery Outcome |
| spellingShingle | Azam Foroughipour Farah Firuzeh Ataolah Ghahiri Vajihe Norbakhsh Tayebeh Heidari The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome Journal of Research in Medical Sciences Hand-poised Method Hands-on Method Perineal Trauma Delivery Outcome |
| title | The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome |
| title_full | The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome |
| title_fullStr | The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome |
| title_full_unstemmed | The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome |
| title_short | The effect of perineal control with hands-on and hand-poised methods on perineal trauma and delivery outcome |
| title_sort | effect of perineal control with hands on and hand poised methods on perineal trauma and delivery outcome |
| topic | Hand-poised Method Hands-on Method Perineal Trauma Delivery Outcome |
| url | http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2011;volume=16;issue=8;spage=1040;epage=1046;aulast=Foroughipour |
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