Perineal techniques during the second stage of labour for reducing perineal trauma and postpartum complications

Dwan, Kerry, Fox, Tilly, Lutje, Vittoria, Lavender, Tina and Mills, Tracey ORCID: https://orcid.org/0000-0002-2183-7999 (2024) 'Perineal techniques during the second stage of labour for reducing perineal trauma and postpartum complications'. Cochrane Database of Systematic Reviews, Vol 10, e016148.

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Abstract

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.

Objectives
To assess the effect of perineal techniques during the second stage of labour on the incidence of and morbidity associated with perineal trauma to prevent postpartum complications.

Search methods
We searched four databases and two trial registers up to 16 April 2024. We checked references, searched citations and contacted study authors to identify additional studies.

Eligibility criteria
We included randomised controlled trials (RCTs) of women in the second stage of labour who intended to give birth vaginally, comparing any perineal techniques with control or another perineal technique. We excluded studies that performed perineal techniques outside the second stage of labour.

Outcomes
Our critical outcomes were second‐, third‐ and fourth‐degree tears measured immediately after birth, and PPH ≥ 500 mL measured within 24 hours after birth.

Item Type:	Article
Subjects:	WP Gynecology > Anatomy. Diseases. Injuries > WP 565 Fertility WQ Obstetrics > Childbirth. Prenatal Care > WQ 152 Natural childbirth WQ Obstetrics > Labor > WQ 330 Complications of labor WS Pediatrics > By Age Groups > WS 405 Birth injuries
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1002/14651858.CD016148
Depositing User:	Christianne Esparza
Date Deposited:	13 Nov 2024 11:52
Last Modified:	13 Nov 2024 11:52
URI:	https://archive.lstmed.ac.uk/id/eprint/25557

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