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  • Edqvist, Malin,1971Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Arvid Wallgrens Backe Hus 1,Box PO 457405 30, Gothenburg, Sweden. (författare)

Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth

  • Artikel/kapitelEngelska2016

Förlag, utgivningsår, omfång ...

  • 2016-07-29
  • Springer Science and Business Media LLC,2016

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/241884
  • https://gup.ub.gu.se/publication/241884URI
  • https://doi.org/10.1186/s12884-016-0990-0DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-302698URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-28907URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:133985569URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background: Whether certain birth positions are associated with perineal injuries and severe perineal trauma (SPT) is still unclear. The objective of this study was to describe the prevalence of perineal injuries of different severity in a low-risk population of women who planned to give birth at home and to compare the prevalence of perineal injuries, SPT and episiotomy in different birth positions in four Nordic countries. Methods: A population-based prospective cohort study of planned home births in four Nordic countries. To assess medical outcomes a questionnaire completed after birth by the attending midwife was used. Descriptive statistics, bivariate analysis and logistic regression were used to analyze the data. Results: Two thousand nine hundred ninety-two women with planned home births, who birthed spontaneously at home or after transfer to hospital, between 2008 and 2013 were included. The prevalence of SPT was 0.7 % and the prevalence of episiotomy was 1.0 %. There were differences between the countries regarding all maternal characteristics. No association between flexible sacrum positions and sutured perineal injuries was found (OR 1.02; 95 % CI 0.86-1.21) or SPT (OR 0.68; CI 95 % 0.26-1.79). Flexible sacrum positions were associated with fewer episiotomies (OR 0.20; CI 95 % 0.10-0.54). Conclusion: A low prevalence of SPT and episiotomy was found among women opting for a home birth in four Nordic countries. Women used a variety of birth positions and a majority gave birth in flexible sacrum positions. No associations were found between flexible sacrum positions and SPT. Flexible sacrum positions were associated with fewer episiotomies.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Blix, E.Oslo & Akershus Univ, Fac Hlth Sci, Res Grp Maternal Reprod & Childrens Hlth, Coll Appl Sci, Oslo, Norway. (författare)
  • Hegaard, H. K.Copenhagen Univ Hosp, Rigshosp, Juliane Marie Ctr Women Children & Reprod, Res Unit,Womens & Childrens Hlth, Copenhagen, Denmark. (författare)
  • Olafsdottir, O. A.Univ Iceland, Fac Nursing, Dept Midwifery, Reykjavik, Iceland. (författare)
  • Hildingsson, IngegerdMittuniversitetet,Uppsala universitet,Obstetrik & gynekologi,Mid Sweden Univ, Dept Nursing, Sundsvall, Sweden.,Avdelningen för omvårdnad,Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden(Swepub:miun)inghil (författare)
  • Ingversen, K.Homebirth Assoc Sealand, Copenhagen, Denmark. (författare)
  • Mollberg, Margareta,1953Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Arvid Wallgrens Backe Hus 1,Box PO 457405 30, Gothenburg, Sweden.(Swepub:gu)xmomar (författare)
  • Lindgren, Helena,1965Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Arvid Wallgrens Backe Hus 1,Box PO 457405 30, Gothenburg, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.(Swepub:gu)xliheq (författare)
  • Göteborgs universitetInstitutionen för vårdvetenskap och hälsa (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMC Pregnancy and Childbirth: Springer Science and Business Media LLC161471-2393

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