Examinando por Materia "Primiparous"

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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.