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Perineal protection methods: knowledge and use
Esther María López Martínez1, Zaraida Avilés Sáez2, Encarnación Hernández Sánchez3
1Hospital Universitario de Torrevieja, Murcia, Spain.
Revista Da Escola De Enfermagem Da U S P
|September 3, 2021
Summary
Health professionals
Area of Science:
- Obstetrics and Gynecology
- Midwifery
- Perinatal Care
Background:
- Perineal protection methods are crucial during childbirth to prevent trauma.
- The World Health Organization (WHO) provides recommendations for these techniques.
- Understanding healthcare professionals' knowledge and application of these methods is essential.
Purpose of the Study:
- To assess the knowledge and use of perineal protection techniques during the expulsive stage of labor.
- To evaluate whether current practices align with WHO recommendations.
- To identify disparities in knowledge and application among different healthcare professional roles.
Main Methods:
- A cross-sectional descriptive study was conducted in Spain.
- Fifty-seven healthcare professionals (midwives, gynecologists, nurse residents, resident physicians) participated.
- Data on knowledge and use of perineal protection methods were collected and analyzed.
Main Results:
- Knowledge and use of perineal protection varied significantly by professional role.
- Midwives and nurse residents demonstrated better knowledge and effective use of techniques like 'hands off', 'delayed pushing', and 'maternal posture'.
- Gynecologists and resident physicians showed limited knowledge, with some erroneously identifying episiotomy as a protective measure.
Conclusions:
- Healthcare professionals' current knowledge and application of perineal protection methods do not align with WHO recommendations.
- There is a clear need for improved education and consistent implementation of evidence-based perineal protection techniques.
- Targeted training may be necessary to bridge the knowledge and practice gaps observed among different professional groups.
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