Care for perineal tears in vaginal delivery: An update for midwife

The purpose of this study will be to review several studies regarding the repair or treatment of perineal tears after vaginal delivery. This is expected to be an update for a midwife in daily caring. Two electronic databases (PubMed and Sciencedirect) were searched to locate relevant literature abou...

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Published inGaceta sanitaria Vol. 35; pp. S216 - S220
Main Authors Hartinah, Asniah, Usman, Andi Nilawati, Sartini, Jafar, Nurhaedar, Arsyad, M. Aryadi, Yulianty, Risfa, Sirenden, Heldayanti, Nurung, Jumiaty
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Published Spain Elsevier España, S.L.U 2021
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Abstract The purpose of this study will be to review several studies regarding the repair or treatment of perineal tears after vaginal delivery. This is expected to be an update for a midwife in daily caring. Two electronic databases (PubMed and Sciencedirect) were searched to locate relevant literature about perineal tears/wound/laceration/trauma that is published in 2016–2021. 124 Pubmed articles and 452 ScienceDirect articles filtered successfully. The articles that have been obtained will be evaluated based on the inclusion criteria in this study. We summarize place and date, objective, design, samples, the measurement used, and research results. 9 articles were found that matched the inclusion criteria. Three articles examined the effect of the type of suture on perineal pain, and another 6 discussed therapy to reduce the adverse effects of perineal tears. The therapies used are far-infrared radiation therapy, capacitive-resistive radiofrequency therapy, pelvic floor muscle training in early postpartum, cold therapy, and treatment with TheresienOl (natural oil). Sutures and technique/suturing second-degree perineal tears or a postpartum episiotomy can affect perineal pain. Cold gel pad therapy and treatment with natural oil on perineal wounds can affect perineal pain and wound healing.
AbstractList The purpose of this study will be to review several studies regarding the repair or treatment of perineal tears after vaginal delivery. This is expected to be an update for a midwife in daily caring. Two electronic databases (PubMed and Sciencedirect) were searched to locate relevant literature about perineal tears/wound/laceration/trauma that is published in 2016–2021. 124 Pubmed articles and 452 ScienceDirect articles filtered successfully. The articles that have been obtained will be evaluated based on the inclusion criteria in this study. We summarize place and date, objective, design, samples, the measurement used, and research results. 9 articles were found that matched the inclusion criteria. Three articles examined the effect of the type of suture on perineal pain, and another 6 discussed therapy to reduce the adverse effects of perineal tears. The therapies used are far-infrared radiation therapy, capacitive-resistive radiofrequency therapy, pelvic floor muscle training in early postpartum, cold therapy, and treatment with TheresienOl (natural oil). Sutures and technique/suturing second-degree perineal tears or a postpartum episiotomy can affect perineal pain. Cold gel pad therapy and treatment with natural oil on perineal wounds can affect perineal pain and wound healing.
Objective: The purpose of this study will be to review several studies regarding the repair or treatment of perineal tears after vaginal delivery. This is expected to be an update for a midwife in daily caring. Methods: Two electronic databases (PubMed and Sciencedirect) were searched to locate relevant literature about perineal tears/wound/laceration/trauma that is published in 2016–2021. 124 Pubmed articles and 452 ScienceDirect articles filtered successfully. The articles that have been obtained will be evaluated based on the inclusion criteria in this study. We summarize place and date, objective, design, samples, the measurement used, and research results. Results: 9 articles were found that matched the inclusion criteria. Three articles examined the effect of the type of suture on perineal pain, and another 6 discussed therapy to reduce the adverse effects of perineal tears. The therapies used are far-infrared radiation therapy, capacitive-resistive radiofrequency therapy, pelvic floor muscle training in early postpartum, cold therapy, and treatment with TheresienOl (natural oil). Conclusion: Sutures and technique/suturing second-degree perineal tears or a postpartum episiotomy can affect perineal pain. Cold gel pad therapy and treatment with natural oil on perineal wounds can affect perineal pain and wound healing.
Author Usman, Andi Nilawati
Jafar, Nurhaedar
Arsyad, M. Aryadi
Hartinah, Asniah
Nurung, Jumiaty
Yulianty, Risfa
Sartini
Sirenden, Heldayanti
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  surname: Hartinah
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crossref_primary_10_1016_j_jogoh_2023_102627
Cites_doi 10.1016/j.wndm.2019.100172
10.1016/j.tjog.2020.11.011
10.1016/j.tjog.2018.11.013
10.1016/S0212-6567(04)79497-4
10.1111/jmwh.13020
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Keywords Therapy
Review
Repair
Perineal tears
Language English
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Copyright © 2021 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.
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References Kwon (bib0095) 2020; 61
Goh, Goh, Ellepola (bib0090) 2018; 47
Sánchez (bib0135) 2004; 34
Arnold, Services (bib0110) 2021
Swenson (bib0105) 2019; 64
Morais (bib0150) 2016
Jansson (bib0100) 2020; 0
Homme (bib0170) 2019
Feigenberg (bib0160) 2014
Martínez-galiano (bib0120) 2019; 2
Miguel (bib0130) 2020
Frolich, Kettle (bib0165) 2015; 03
Huang (bib0125) 2019; 58
Senol, Ph, Aslan (bib0115) 2017; 11
Bretelle (bib0140) 2020
Wu (bib0145) 2021; 60
Vasileva, Strashilov, Yordanov (bib0155) 2019; 27
Goh (10.1016/j.gaceta.2021.10.024_bib0090) 2018; 47
Huang (10.1016/j.gaceta.2021.10.024_bib0125) 2019; 58
Morais (10.1016/j.gaceta.2021.10.024_bib0150) 2016
Kwon (10.1016/j.gaceta.2021.10.024_bib0095) 2020; 61
Wu (10.1016/j.gaceta.2021.10.024_bib0145) 2021; 60
Sánchez (10.1016/j.gaceta.2021.10.024_bib0135) 2004; 34
Frolich (10.1016/j.gaceta.2021.10.024_bib0165) 2015; 03
Swenson (10.1016/j.gaceta.2021.10.024_bib0105) 2019; 64
Feigenberg (10.1016/j.gaceta.2021.10.024_bib0160) 2014
Martínez-galiano (10.1016/j.gaceta.2021.10.024_bib0120) 2019; 2
Miguel (10.1016/j.gaceta.2021.10.024_bib0130) 2020
Senol (10.1016/j.gaceta.2021.10.024_bib0115) 2017; 11
Bretelle (10.1016/j.gaceta.2021.10.024_bib0140) 2020
Arnold (10.1016/j.gaceta.2021.10.024_bib0110) 2021
Homme (10.1016/j.gaceta.2021.10.024_bib0170) 2019
Jansson (10.1016/j.gaceta.2021.10.024_bib0100) 2020; 0
Vasileva (10.1016/j.gaceta.2021.10.024_bib0155) 2019; 27
References_xml – volume: 34
  start-page: 286
  year: 2004
  end-page: 294
  ident: bib0135
  article-title: Design and validation of the questionnaire on women's sexual function (WSF)
  publication-title: Aten Primaria.
  contributor:
    fullname: Sánchez
– volume: 61
  start-page: 79
  year: 2020
  end-page: 84
  ident: bib0095
  publication-title: Trial on the Efficacy of Hyaluronidase in Preventing Perineal Trauma in Nulliparous Women
  contributor:
    fullname: Kwon
– start-page: 1
  year: 2020
  end-page: 7
  ident: bib0130
  article-title: Suture type used for perineal injury repair and sexual function: a randomised controlled trial
  publication-title: Sci Rep.
  contributor:
    fullname: Miguel
– start-page: 320
  year: 2019
  end-page: 324
  ident: bib0170
  publication-title: Postpartum chronic pain
  contributor:
    fullname: Homme
– volume: 58
  start-page: 68
  year: 2019
  end-page: 71
  ident: bib0125
  article-title: Effect of far-infrared radiation on perineal wound pain and sexual function in primiparous women undergoing an episiotomy
  publication-title: Taiwan J Obstet Gynecol.
  contributor:
    fullname: Huang
– volume: 64
  start-page: 567
  year: 2019
  end-page: 577
  ident: bib0105
  article-title: Randomized Trial of 3 techniques of perineal skin closure during second-degree perineal laceration repair
  publication-title: J Midwifery Womens Heal.
  contributor:
    fullname: Swenson
– year: 2021
  ident: bib0110
  article-title: Obstetric Lacerations: Prevention and Repair
  contributor:
    fullname: Services
– start-page: 1
  year: 2020
  end-page: 11
  ident: bib0140
  article-title: Capacitive-resistive radiofrequency therapy to treat postpartum perineal pain: A randomized study
  contributor:
    fullname: Bretelle
– volume: 27
  start-page: 100172
  year: 2019
  ident: bib0155
  article-title: Postoperative management of postpartum perineal tears
  publication-title: Wound Med.
  contributor:
    fullname: Yordanov
– year: 2014
  ident: bib0160
  article-title: Using Adhesive Glue to Repair First Degree Perineal Tears: A Prospective Randomized Controlled Trial. 2014
  contributor:
    fullname: Feigenberg
– volume: 47
  start-page: 35
  year: 2018
  end-page: 38
  ident: bib0090
  publication-title: Perineal tears – A review
  contributor:
    fullname: Ellepola
– volume: 2
  start-page: 1
  year: 2019
  end-page: 8
  ident: bib0120
  article-title: Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial
  publication-title: BMC Pregnancy Childbirth
  contributor:
    fullname: Martínez-galiano
– volume: 03
  start-page: 1
  year: 2015
  end-page: 23
  ident: bib0165
  article-title: Perineal care Search date November 2013 Pregnancy and childbirth Perineal care
  publication-title: Clin Evid (Online).
  contributor:
    fullname: Kettle
– year: 2016
  ident: bib0150
  article-title: Perineal Pain Management with Cryotherapy after Vaginal Delivery: A Randomized Clinical Trial vaginal
  publication-title: ensaio clínico randomizado
  contributor:
    fullname: Morais
– volume: 11
  start-page: 276
  year: 2017
  end-page: 282
  ident: bib0115
  article-title: The effects of cold application to the perineum on pain relief after vaginal birth
  publication-title: Asian Nurs Res (Korean Soc Nurs Sci)
  contributor:
    fullname: Aslan
– volume: 0
  start-page: 1
  year: 2020
  end-page: 14
  ident: bib0100
  publication-title: Risk factors for perineal and vaginal tears in primiparous women – the prospective POPRACT-cohort study
  contributor:
    fullname: Jansson
– volume: 60
  start-page: 78
  year: 2021
  end-page: 83
  ident: bib0145
  article-title: Early postpartum biofeedback assisted pelvic fl oor muscle training in primiparous women with second degree perineal laceration: Effect on sexual function and lower urinary tract symptoms
  publication-title: Taiwan J Obstet Gynecol.
  contributor:
    fullname: Wu
– volume: 27
  start-page: 100172
  year: 2019
  ident: 10.1016/j.gaceta.2021.10.024_bib0155
  article-title: Postoperative management of postpartum perineal tears
  publication-title: Wound Med.
  doi: 10.1016/j.wndm.2019.100172
  contributor:
    fullname: Vasileva
– volume: 03
  start-page: 1
  issue: November 2013
  year: 2015
  ident: 10.1016/j.gaceta.2021.10.024_bib0165
  article-title: Perineal care Search date November 2013 Pregnancy and childbirth Perineal care
  publication-title: Clin Evid (Online).
  contributor:
    fullname: Frolich
– volume: 11
  start-page: 276
  year: 2017
  ident: 10.1016/j.gaceta.2021.10.024_bib0115
  article-title: The effects of cold application to the perineum on pain relief after vaginal birth
  publication-title: Asian Nurs Res (Korean Soc Nurs Sci)
  contributor:
    fullname: Senol
– volume: 47
  start-page: 35
  year: 2018
  ident: 10.1016/j.gaceta.2021.10.024_bib0090
  publication-title: Perineal tears – A review
  contributor:
    fullname: Goh
– volume: 60
  start-page: 78
  year: 2021
  ident: 10.1016/j.gaceta.2021.10.024_bib0145
  article-title: Early postpartum biofeedback assisted pelvic fl oor muscle training in primiparous women with second degree perineal laceration: Effect on sexual function and lower urinary tract symptoms
  publication-title: Taiwan J Obstet Gynecol.
  doi: 10.1016/j.tjog.2020.11.011
  contributor:
    fullname: Wu
– start-page: 320
  year: 2019
  ident: 10.1016/j.gaceta.2021.10.024_bib0170
  publication-title: Postpartum chronic pain
  contributor:
    fullname: Homme
– volume: 2
  start-page: 1
  year: 2019
  ident: 10.1016/j.gaceta.2021.10.024_bib0120
  article-title: Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial
  publication-title: BMC Pregnancy Childbirth
  contributor:
    fullname: Martínez-galiano
– volume: 58
  start-page: 68
  year: 2019
  ident: 10.1016/j.gaceta.2021.10.024_bib0125
  article-title: Effect of far-infrared radiation on perineal wound pain and sexual function in primiparous women undergoing an episiotomy
  publication-title: Taiwan J Obstet Gynecol.
  doi: 10.1016/j.tjog.2018.11.013
  contributor:
    fullname: Huang
– year: 2014
  ident: 10.1016/j.gaceta.2021.10.024_bib0160
  contributor:
    fullname: Feigenberg
– year: 2021
  ident: 10.1016/j.gaceta.2021.10.024_bib0110
  contributor:
    fullname: Arnold
– volume: 34
  start-page: 286
  year: 2004
  ident: 10.1016/j.gaceta.2021.10.024_bib0135
  article-title: Design and validation of the questionnaire on women's sexual function (WSF)
  publication-title: Aten Primaria.
  doi: 10.1016/S0212-6567(04)79497-4
  contributor:
    fullname: Sánchez
– year: 2016
  ident: 10.1016/j.gaceta.2021.10.024_bib0150
  article-title: Perineal Pain Management with Cryotherapy after Vaginal Delivery: A Randomized Clinical Trial vaginal
  publication-title: ensaio clínico randomizado
  contributor:
    fullname: Morais
– volume: 64
  start-page: 567
  year: 2019
  ident: 10.1016/j.gaceta.2021.10.024_bib0105
  article-title: Randomized Trial of 3 techniques of perineal skin closure during second-degree perineal laceration repair
  publication-title: J Midwifery Womens Heal.
  doi: 10.1111/jmwh.13020
  contributor:
    fullname: Swenson
– start-page: 1
  year: 2020
  ident: 10.1016/j.gaceta.2021.10.024_bib0140
  contributor:
    fullname: Bretelle
– volume: 0
  start-page: 1
  year: 2020
  ident: 10.1016/j.gaceta.2021.10.024_bib0100
  publication-title: Risk factors for perineal and vaginal tears in primiparous women – the prospective POPRACT-cohort study
  contributor:
    fullname: Jansson
– volume: 61
  start-page: 79
  year: 2020
  ident: 10.1016/j.gaceta.2021.10.024_bib0095
  publication-title: Trial on the Efficacy of Hyaluronidase in Preventing Perineal Trauma in Nulliparous Women
  contributor:
    fullname: Kwon
– start-page: 1
  year: 2020
  ident: 10.1016/j.gaceta.2021.10.024_bib0130
  article-title: Suture type used for perineal injury repair and sexual function: a randomised controlled trial
  publication-title: Sci Rep.
  contributor:
    fullname: Miguel
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Snippet The purpose of this study will be to review several studies regarding the repair or treatment of perineal tears after vaginal delivery. This is expected to be...
Objective: The purpose of this study will be to review several studies regarding the repair or treatment of perineal tears after vaginal delivery. This is...
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SubjectTerms Delivery, Obstetric
Episiotomy
Female
Humans
Lacerations - therapy
Midwifery
Obstetric Labor Complications - therapy
Perineal tears
Perineum - injuries
Perineum - surgery
Pregnancy
Repair
Review
Therapy
Title Care for perineal tears in vaginal delivery: An update for midwife
URI https://dx.doi.org/10.1016/j.gaceta.2021.10.024
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