Examinando por Materia "Complicaciones perineales"

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Acceso abierto
Comparative study of complications associated with the use of versus routine episiotomy the restrictive episiotomy in primíparas atended at the Hipolito Unanue National Hospital, 2019
(Universidad Privada Norbert Wiener, 2019-11-26) Silverio Piñola, Rubi Naysha; Marín Guevara, Leticia Gloria
Objective: To determine the complications associated with routine episiotomy versus restrictive episiotomy in primiparous women attended at the Hipólito Unanue National Hospital, 2019. Materials and Methods: This was a prospective observational cross-sectional case-control study with a sample of 216 primiparous women attended at the Hipólito Unanue National Hospital. Results: 42.6% of the primiparous women were between 20-25 years old, 63.4% were cohabiting, 68.1% were homemakers, 53.7% had completed secondary education, and 58.3% came from the coastal region. Additionally, 64.4% of the women surveyed did not attend psychoprophylaxis sessions, 65.3% had pregnancies lasting between 39 to 40 weeks, and 71.3% received complete prenatal care. 48.6% of the newborns weighed between 3000 and 3999g. Routine episiotomies were performed by medical interns (23.4%), while restrictive episiotomies were performed by gynecologists-obstetricians (27.3%). Complications of routine episiotomy included first-degree perineal tears (39%), vulvoperineal hematomas (0.9%), vulvoperineal edema (19.4%), partial suture dehiscence (2%), and severe perineal pain (38%). Complications of restrictive episiotomy included first-degree perineal tears (29.6%), vulvoperineal edema (13.9%), and moderate perineal pain (30.6%). Conclusion: Routine episiotomy resulted in more complications compared to restrictive episiotomy in primiparous women attended at the Hipólito Unanue National Hospital.
Acceso abierto
Systematic review of the use of episiotomy and its perineal complications
(Universidad Privada Norbert Wiener, 2021-08-10) Chuquimantari Zevallos, Ruth; Alfaro Fernández, Paul Rubén
The objective of this study was to determine the perineal complications associated with the use of episiotomy. The design was a systematic review of a qualitative nature, involving searches of information in various virtual libraries such as Lilacs, Elsevier, Scielo, Cochrane, and ScienceDirect. A total of 35 articles that met the inclusion criteria within the study period from 2015 to 2020 were considered. The Grade system was used to evaluate each article. Among the reviewed studies, 38% utilized a review methodology. Regarding perineal complications associated with routine episiotomy use, 26% of the reviewed studies reported that the primary complication was perineal tear. In relation to perineal complications associated with selective episiotomy use, 37% of the reviewed studies identified perineal tear as the primary complication. This study concludes that the reviewed scientific evidence demonstrates a significant relationship between perineal complications and both routine and selective episiotomy use.