Examinando por Materia "Perineal tear"

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(Universidad Privada Norbert Wiener, 2017) Díaz Silva, Lethy; Salcedo Suárez, Katty Leticia
Objective: To determine the maternal, obstetric, and neonatal characteristics in postpartum women with perineal tear treated at the Hipólito Unanue National Hospital in 2016. Materials and Methods: This study is descriptive, retrospective, and cross-sectional. The sample consisted of 144 medical records that met the inclusion and exclusion criteria, with a diagnosis of perineal tear during 2016. Results: Among the maternal characteristics, the highest percentage of perineal tears occurred in the 20-34 age group (56.25%), with 82.64% having secondary education and 89.58% being cohabiting. Also, 52.78% of the women with mild anemia had perineal tears. As for obstetric characteristics, 63.49% were multiparous, 56.25% had an expulsive period of ≤10 minutes, and 70.83% of those who did not attend psychoprophylaxis sessions had perineal tears. Regarding neonatal factors, no significant differences were found in head circumference and sex of the newborn. In terms of weight, the highest percentage of perineal tears occurred in newborns weighing 3500-4000 grams (58.33%). The most frequent degree of tears was first-degree, with 79.17%. Conclusions: Regarding maternal characteristics, the highest frequency of perineal tears was observed in women aged 20-34 years, those with secondary education, and cohabiting women. Patients with anemia had a higher percentage of perineal tears. Among obstetric characteristics, multiparous women, those with an expulsive period ≤10 minutes, and women unprepared for obstetric psychoprophylaxis had a higher frequency of perineal tears. Concerning neonatal characteristics, the highest frequency of perineal tears occurred in newborns weighing 3500-4000 grams during childbirth at the Hipólito Unanue National Hospital. No significant differences were found in head circumference or sex of the newborn. Lastly, first-degree tears were the most frequent at the Hipólito Unanue National Hospital in 2016.
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.