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    The effect of maternal position at birth on perineal trauma: A systematic review.

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    Fay Lodge BJM article.pdf (420.4Kb)
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    Publication date
    2016-03
    Author
    Lodge, Fay
    Haith-Cooper, Melanie
    Keyword
    Perineal trauma, Waterbirth, Labour, Childbirth
    Rights
    © 2016 Mark Allen Healthcare. Reproduced in accordance with the publisher's self-archiving policy.
    Peer-Reviewed
    yes
    
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    Abstract
    Perineal trauma is associated with short- and long-term maternal morbidity. Research has found that maternal position at birth can influence perineal trauma. However, there is a dearth of evidence examining specific maternal positions, including waterbirth, and how these can influence incidence and degree of perineal trauma. Such evidence is important to help reduce trauma rates and improve information for women and midwives. To address this gap in reliable evidence, a systematic review was conducted. Seven studies met the inclusion criteria. Compared to land birth, waterbirth was found to cause an increase in perineal trauma. Kneeling and all-fours positions were most protective of an intact perineum. Allowing for different variables, sitting, squatting and using a birth-stool caused the greatest incidence of trauma. The findings of this review demonstrate that further research is required around perineal guarding in alternative birth positions and how parity affects trauma rates with waterbirth, so that women may be advised appropriately. It also suggests findings that midwives can use when discussing alternative birth positions with women.
    URI
    http://hdl.handle.net/10454/7900
    Version
    Accepted Manuscript
    Citation
    Lodge F and Haith-Cooper M (2016) The Effect of Maternal Position at Birth on Perineal Trauma; A systematic review. British Journal of Midwifery, 24 (3): 172-180
    Link to publisher’s version
    http://dx.doi.org/10.12968/bjom.2016.24.3.172
    Type
    Article
    Collections
    Health Studies Publications

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