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Perineal outcomes and its associated variables of water births versus non-water births: a cross-sectional study / Desfechos perineais e as variáveis associadas no parto na água e no parto fora da água: estudo transversal
Camargo, Joyce da Costa Silveira de; Varela, Vitor; Ferreira, Fernanda Marçal; Chofakian, Christiane Borges do Nascimento; Osava, Ruth Hitomi; Araújo, Natalúcia Matos; Narchi, Nadia; Santos, Maria Elisabete; Nené, Manuela; Grande, Catarina.
  • Camargo, Joyce da Costa Silveira de; University of São Paulo. School of Arts, Sciences and Humanities. São Paulo. BR
  • Varela, Vitor; São Bernardo Hospital. Setúbal. PT
  • Ferreira, Fernanda Marçal; University of São Paulo. School of Nursing. São Paulo. BR
  • Chofakian, Christiane Borges do Nascimento; University of São Paulo. School of Arts, Sciences and Humanities. São Paulo. BR
  • Osava, Ruth Hitomi; University of São Paulo. School of Arts, Sciences and Humanities. São Paulo. BR
  • Araújo, Natalúcia Matos; University of São Paulo. School of Arts, Sciences and Humanities. São Paulo. BR
  • Narchi, Nadia; University of São Paulo. School of Arts, Sciences and Humanities. São Paulo. BR
  • Santos, Maria Elisabete; São Bernardo Hospital. Setúbal. PT
  • Nené, Manuela; School of Health of the Portuguese Red Cross. Lisboa. PT
  • Grande, Catarina; University of Porto. Faculty of Psychology and Educational Sciences. Porto. PT
Rev. Bras. Saúde Mater. Infant. (Online) ; 19(4): 777-786, Sept.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1057118
ABSTRACT
Abstract

Objectives:

to describe the perineal outcomes of women who had delivered in water and out of water.

Methods:

a cross-sectional and quantitative study developed in a public hospital in Setúbal, Portugal. The population was of women who participated in the "Water Birth Project" in the period from 2011 to 2014, which gave birth in water and out of water. 104 women were selected according to established inclusion criteria. The groups were compared according to the following variables demographics, obstetric information, delivery care and perineal outcomes. The data were analyzed in the Stata(r) software, with descriptive and bivariate statistics (chi-square and Fisher's test).

Results:

the medical records of 73 women who gave birth in water and 31 women who gave birth out of water were studied. Water deliveries were significantly associated with fewer perineal lacerations, lower rates of episiotomy, and shorter delivery time.

Conclusions:

the results of the study suggest that childbirth in water has a protective effect against severe third or fourth degree perineal tears, during fetal expulsion in water.
RESUMO
Resumo

Objetivos:

descrever os resultados perineais de mulheres que tiveram parto na água e fora da água.

Métodos:

estudo transversal e quantitativo desenvolvido em um hospital público de Setúbal, Portugal. A população foi de mulheres que participaram do "Projeto Parto na Água", no período de 2011 a 2014, que deram à luz na água e fora da água. Foram selecionadas para o estudo 104 mulheres de acordo com os critérios de inclusão estabelecidos. Os grupos foram comparados de acordo com as seguintes variáveis demografia, informação obstétrica, assistência ao parto e resultados perineais. Os dados foram analisados no software Stata(r), com estatísitica descritiva e bivariada (qui-quadrado e teste de Fisher).

Resultados:

foram estudados os prontuários de 73 mulheres que deram à luz na água e 31 mulheres que deram à luz fora da água. Os partos na água foram significativamente associados a menos lacerações perineais, menores taxas de episiotomia e menor tempo de parto.

Conclusão:

os resultados do estudo sugerem que o parto na água tem um efeito protetor contra lacerações perineais severas de terceiro ou de quarto grau durante a expulsão fetal na água.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Perineum / Postpartum Period / Episiotomy / Natural Childbirth Type of study: Observational study / Prevalence study / Risk factors Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: English Journal: Rev. Bras. Saúde Mater. Infant. (Online) Journal subject: Sa£de P£blica / Sa£de da Mulher Year: 2019 Type: Article Affiliation country: Brazil / Portugal Institution/Affiliation country: School of Health of the Portuguese Red Cross/PT / São Bernardo Hospital/PT / University of Porto/PT / University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Perineum / Postpartum Period / Episiotomy / Natural Childbirth Type of study: Observational study / Prevalence study / Risk factors Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: English Journal: Rev. Bras. Saúde Mater. Infant. (Online) Journal subject: Sa£de P£blica / Sa£de da Mulher Year: 2019 Type: Article Affiliation country: Brazil / Portugal Institution/Affiliation country: School of Health of the Portuguese Red Cross/PT / São Bernardo Hospital/PT / University of Porto/PT / University of São Paulo/BR