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https://www.sciencedirect.com/science/article/pii/0091218281900021
INTACT PERINEUM: A Slow Delivery of the Head Does Not Adversely Affect the Outcome of the Newborn* Nanny L. Bowe, C.N.M., F.N.P. ABSTRACT Apgar scores at 1 and 5 min were compared in a retrospective study of two groups of primipara women in order to determine if a slow delivery of the head over an intact perineum compromises the well being of the newborn.Author: Nanny L. Bowe
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511367/
Jan 03, 2019 · Four hundred and forty-one women (25.2%) had intact perineum whereas in 1307 (74.8%) of women, the perineum was not intact. First-degree tears occurred in 23.2% (405/1748) of women, second-degree tears occurred in 4% (70/1748) of women while three women (0.2%) experienced a third-degree tear.Author: Silvia Rodrigues, Paulo Silva, Andee Agius, Fatima Rocha, Rosa Castanheira, Mechthild Maria Gross, J...
https://onlinelibrary.wiley.com/doi/abs/10.1016/0091-2182%2881%2990002-1
INTACT PERINEUM: A Slow Delivery of the Head Does Not Adversely Affect the Outcome of the Newborn *Author: Nanny L. Bowe
https://www.psychologytoday.com/us/articles/200806/the-delivery-room-the-bedroom
Jun 04, 2008 · Assisted Delivery Another factor is the use of obstetric instruments such as forceps and vacuum. (Again, this is not always up to the mother.) A survey of studies published between 1990 and 2003 concluded that assisted delivery led to painful intercourse, perineal pain, and delays in the resumption of sex.
https://midwiferytoday.com/mt-articles/midwifes-guide-intact-perineum/
Sep 01, 2001 · The intact perineum begins long before the day of the birth. Sharing what the feeling of a baby’s head stretching the tissues will be like and warning the mother about the pitfalls in pushing will go a long way to having a smooth passage for both baby and mother.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599825/
Mar 07, 2013 · The proportion of women with an intact perineum at delivery was 9.6% (125/1,302) in nulliparae, and 31.2% (453/1,452) in multiparae, with a higher incidence in the community (freestanding midwifery-led units and home settings).Author: Lesley A Smith, Natalia Price, Vanessa Simonite, Ethel E Burns
https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/care-during-childbirth/care-during-labour-2nd-stage/who-recommendation-techniques-preventing-perineal-trauma-during-labour
Oct 20, 2017 · Evidence suggests that perineal massage may increase the chance of the keeping the perineum intact and reduces the risk of serious perineal tears, that warm perineal compresses reduce third- and fourth-degree perineal tears, and that a “hands-on” approach (guarding) probably reduces firstdegree perineal tears.
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