Rozita Rezaei1, Sussan Saatsaz1, Yiong Huak Chan2, Hamid Sharif Nia1. 1. Faculty of Nursing and Midwifery of Amol, Mazandaran University of Medical Sciences, Sari, Iran. 2. Biostatistics Unit, Yong Loo Lin School of Medicine, National University Health System, Singapore, Singapore.
Abstract
OBJECTIVE: The objective of the current study was to compare the "Hands-off" and "Hands-on" methods to reduce perineal lacerations. METHOD: We conducted a randomized controlled trial to compare the effectiveness of two techniques for perineum protection during spontaneous delivery. Study participants included 600 nulliparous expectant mothers, who were divided equally between the "hands off" and "hands on" groups (n_300 per group). FINDINGS:A total of 147 (49 %) women in the "Hands-on" and 143 women (47.7 %) in the "Hand -off" groups encountered perineal trauma (p = 0.74). In the "Hands-on" group, 8 women (2.7 %) experienced a third degree trauma compared with (0.3 %) that in the "Hands-off" method (p = 0.1). Episiotomy was performed on 38 women (12.7 %) from the "Hands-on" and 17 (5.7 %) women from the "Hands-off" (p = 0.003) groups. In addition, 28 women (9.3 %) from the "Hands-on" group and 47 women (15.7 %) from the "Hands-off" group experienced periurethral tears (p = 0.01) that did not need mending. CONCLUSION: Application of the "Hands-off" method for vaginal delivery has a positive effect on the mother's health because of the reduction of Episiotomy and third degree tearing. Therefore, we conclude that the "Hands-off" method offers a safer alternative for perineal control during labor.
RCT Entities:
OBJECTIVE: The objective of the current study was to compare the "Hands-off" and "Hands-on" methods to reduce perineal lacerations. METHOD: We conducted a randomized controlled trial to compare the effectiveness of two techniques for perineum protection during spontaneous delivery. Study participants included 600 nulliparous expectant mothers, who were divided equally between the "hands off" and "hands on" groups (n_300 per group). FINDINGS: A total of 147 (49 %) women in the "Hands-on" and 143 women (47.7 %) in the "Hand -off" groups encountered perineal trauma (p = 0.74). In the "Hands-on" group, 8 women (2.7 %) experienced a third degree trauma compared with (0.3 %) that in the "Hands-off" method (p = 0.1). Episiotomy was performed on 38 women (12.7 %) from the "Hands-on" and 17 (5.7 %) women from the "Hands-off" (p = 0.003) groups. In addition, 28 women (9.3 %) from the "Hands-on" group and 47 women (15.7 %) from the "Hands-off" group experienced periurethral tears (p = 0.01) that did not need mending. CONCLUSION: Application of the "Hands-off" method for vaginal delivery has a positive effect on the mother's health because of the reduction of Episiotomy and third degree tearing. Therefore, we conclude that the "Hands-off" method offers a safer alternative for perineal control during labor.
Entities:
Keywords:
Hand off; Hands-on; Perineal lacerations
Authors: Klaus Mayerhofer; Barbara Bodner-Adler; Klaus Bodner; Michaela Rabl; Alexandra Kaider; Peter Wagenbichler; Elmar Armin Joura; Peter Husslein Journal: J Reprod Med Date: 2002-06 Impact factor: 0.142