Expansion and improvement of the vagina plus anus fingering in midwifery care to protect the application and effect evaluation of the perineum.docVIP

 PAGE \* MERGEFORMAT 12 Expansion and improvement of the vagina plus anus fingering in midwifery care to protect the application and effect evaluation of the perineum [Abstract] Objective To study midwifery in action to better protect the perineal approach. Methods 37 ~ 42 weeks pregnant, vaginal natural birth, no episiotomy early indication of the single mothers of 110 cases of fetal head position for observation group, expansion and improvement of the vagina using midwifery care protection of the perineum anal fingering Canada; previously protected by traditional rectal perineal care of 108 cases as control group. Results observation group, 65 cases of perineal laceration accounted for 59%, 93 patients in control group 86% the difference was statistically significant (P lt;0.01); two degree perineal laceration statistically significant difference (P lt;0.05). Conclusion midwifery care using the expansion and improvement of the vaginal plus anal fingering protection can reduce perineal laceration perineal rate, reduce the degree of perineal laceration. [Keywords:] expansion of the vagina; care anal fingering Canada; protection of the perineum; rate of perineal laceration [Abstract] Objective To investigate the better method of protecting perineum in delivery.Methods To observe 110 primiparas of 37 ~ 40 weeks’ pregnancy, head presentation, who can deliver vaginally with distending the vagina and new protecting perineum method but not with perineal lateralis, and compare with the 108 primiparas with traditional protecting perineum method.Results The percentage (59%) of perineum laceration for primiparas with new protecting perineum method was lower than those with common method.Conclusions The new method of protecting perineum can reduce the incidence and degree of perineum laceration. [Keywords:] vagina extension; modified supporting anus; protection of perineum; rate of perineal laceration Perineal laceration during childbirth is the most common