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Midwives' Managemen...
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Edqvist, Malin,1971Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
(författare)
Midwives' Management during the Second Stage of Labor in Relation to Second-Degree Tears-An Experimental Study
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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2016-11-14
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Wiley,2017
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-311805
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311805URI
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https://doi.org/10.1111/birt.12267DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-30649URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:135391459URI
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https://gup.ub.gu.se/publication/245772URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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INTRODUCTION: Most women who give birth for the first time experience some form of perineal trauma. Second-degree tears contribute to long-term consequences for women and are a risk factor for occult anal sphincter injuries. The objective of this study was to evaluate a multifaceted midwifery intervention designed to reduce second-degree tears among primiparous women.METHODS: An experimental cohort study where a multifaceted intervention consisting of 1) spontaneous pushing, 2) all birth positions with flexibility in the sacro-iliac joints, and 3) a two-step head-to-body delivery was compared with standard care. Crude and Adjusted OR (95% CI) were calculated between the intervention and the standard care group, for the various explanatory variables.RESULTS: A total of 597 primiparous women participated in the study, 296 in the intervention group and 301 in the standard care group. The prevalence of second-degree tears was lower in the intervention group: [Adj. OR 0.53 (95% CI 0.33-0.84)]. A low prevalence of episiotomy was found in both groups (1.7 and 3.0%). The prevalence of epidural analgesia was 61.1 percent. Despite the high use of epidural analgesia, the midwives in the intervention group managed to use the intervention.CONCLUSION: It is possible to reduce second-degree tears among primiparous women with the use of a multifaceted midwifery intervention without increasing the prevalence of episiotomy. Furthermore, the intervention is possible to employ in larger maternity wards with midwives caring for women with both low- and high-risk pregnancies.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Hildingsson, Ingegerd,1955-Mittuniversitetet,Uppsala universitet,Obstetrik & gynekologi,Department of Nursing, Mid Sweden University, Sundsvall, Sweden,Internationell sexuell och reproduktiv hälsa/Rubertsson,Avdelningen för omvårdnad,Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala(Swepub:miun)inghil
(författare)
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Mollberg, Margareta,1953Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xmomar
(författare)
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Lundgren, Ingela,1957Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xluint
(författare)
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Lindgren, Helena,1965Gothenburg University,Göteborgs universitet,Karolinska Institutet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xliheq
(författare)
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Göteborgs universitetInstitutionen för vårdvetenskap och hälsa
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Birth: Wiley44:1, s. 86-940730-76591523-536X
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