USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING

Detalhes bibliográficos
Autor(a) principal: Rocha, Érica Silva
Data de Publicação: 2018
Outros Autores: Mela, Camila Casagrande, Westphal, Flavia, Goldman, Rosely Erlach
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Cogitare Enfermagem (Online)
Texto Completo: https://revistas.ufpr.br/cogitare/article/view/54455
Resumo: Objective:to identify the frequency of and justification for episiotomy in childbirths attended by residents in obstetric nursing. Method:Descriptive and retrospective study conducted in October-November, 2016, in a public maternity hospital in the city of São Paulo. The study population consisted of 884 low-risk pregnant women. Chi-square testwas used for statistical analysis. Results:Episiotomy was performed in 174 (19.7%) deliveries and in 512 (59%) there were perineal lacerations. Perineal integrity was maintained in 187 (21.4%) deliveries. The main indications were related to perineal conditions: 54 (58.1%) perineal rigidity, 22 (23.7%) short perineum and 19 (20.4%) imminent severe laceration.Conclusion:The frequency of use of episiotomyby residents in obstetric nursingis higher than evidence based recommendations from the WHO, and regarding the reasons for the procedure, they differ from those generally reported worldwide, which leads to reflections about the model of professional training of obstetric nurses and the distance between theory and practice.
id UFPR-15_f794391673796fd93353f273542c3ea8
oai_identifier_str oai:revistas.ufpr.br:article/54455
network_acronym_str UFPR-15
network_name_str Cogitare Enfermagem (Online)
repository_id_str
spelling USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSINGPRÁCTICA DE LA EPISIOTOMÍA ENTRE RESIDENTES DE ENFERMERÍA OBSTÉTRICAPRÁTICA DE EPISIOTOMIA ENTRE RESIDENTES EM ENFERMAGEM OBSTÉTRICAEpisiotomía; Enfermería Obstétrica; Perineo; Parto Normal.Ciências da Saúde e EnfermagemEpisiotomia; Enfermagem obstétrica; Períneo; Parto normal.Episiotomy; Obstetric nursing; Perineum: Vaginal delivery.Objective:to identify the frequency of and justification for episiotomy in childbirths attended by residents in obstetric nursing. Method:Descriptive and retrospective study conducted in October-November, 2016, in a public maternity hospital in the city of São Paulo. The study population consisted of 884 low-risk pregnant women. Chi-square testwas used for statistical analysis. Results:Episiotomy was performed in 174 (19.7%) deliveries and in 512 (59%) there were perineal lacerations. Perineal integrity was maintained in 187 (21.4%) deliveries. The main indications were related to perineal conditions: 54 (58.1%) perineal rigidity, 22 (23.7%) short perineum and 19 (20.4%) imminent severe laceration.Conclusion:The frequency of use of episiotomyby residents in obstetric nursingis higher than evidence based recommendations from the WHO, and regarding the reasons for the procedure, they differ from those generally reported worldwide, which leads to reflections about the model of professional training of obstetric nurses and the distance between theory and practice.Objetivo: Identificar la frecuencia y la razón de ejecución de episiotomía en partos atendidos por residentes en enfermería obstétrica. Método: Estudio descriptivo, retrospectivo, realizado de octubre a noviembre de 2016 en maternidad pública del municipio de São Paulo. Población constituida por 884 parturientas de bajo riesgo. Para análisis estadístico se aplicó test de Chi-cuadrado. Resultados: Se practicó episiotomía en 174 (19,7%) partos, y en 512 (59%) hubo laceraciones perineales. Se mantuvo la integridad perineal en 187 (24,4%) de los partos. Las indicaciones principales se relacionaron con las condiciones perineales: 54 (58,1%) por rigidez perineal, 22 (23,7%) por perineo corto y 19 (20,4%) por inminencia de laceración grave. Conclusión: La práctica de episiotomía entre residentes supera lo recomendado por la OMS y, respecto a las razones presentadas, existe discrepancia con las mundialmente aplicadas, debiéndose reflexionar sobre el modelo de formación y de la distancia entre teoría y práctica.Objetivo: identificar a frequência e justificativa para a realização da episiotomia em partos assistidos por residentes em enfermagem obstétrica. Método: estudo descritivo e retrospectivo, realizado no período de outubro a novembro de 2016, em uma maternidade pública do município de São Paulo. A população do estudo foi constituída por 884 parturientes de baixo risco. Para análise estatística, utilizou-se o teste Qui-Quadrado. Resultados: a episiotomia ocorreu em 174 (19,7%) partos e em 512 (59%) houve lacerações perineais. A integridade perineal foi mantida em 187 (21,4%) partos. As principais indicações estiveram relacionadas às condições do períneo: 54 (58,1%) por rigidez perineal, 22 (23,7%) períneo curto e 19 (20,4%) eminência de laceração grave. Conclusão: a prática de episiotomia entre residentes está acima do recomendado pela OMS e, com relação às justificativas apresentadas, há discrepância com as mundialmente utilizadas, trazendo reflexões acerca do modelo de formação e do distanciamento entre teoria e prática.Universidade Federal do ParanáRocha, Érica SilvaMela, Camila CasagrandeWestphal, FlaviaGoldman, Rosely Erlach2018-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTrata-se de um estudo descritivo, retrospectivo e de abordagem quantitativa.application/pdfapplication/pdfhttps://revistas.ufpr.br/cogitare/article/view/5445510.5380/ce.v23i4.54455Cogitare Enfermagem; v. 23, n. 4 (2018)Cogitare Enfermagem; v. 23, n. 4 (2018)Cogitare Enfermagem; v. 23, n. 4 (2018)2176-91331414-853610.5380/ce.v23i4reponame:Cogitare Enfermagem (Online)instname:Universidade Federal do Paraná (UFPR)instacron:UFPRporenghttps://revistas.ufpr.br/cogitare/article/view/54455/pdfhttps://revistas.ufpr.br/cogitare/article/view/54455/pdf_enhttps://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30422https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30423https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30424https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30425https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/33600https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/33971https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/34907https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/34908Direitos autorais 2018 Cogitare Enfermageminfo:eu-repo/semantics/openAccess2021-12-07T20:15:27Zoai:revistas.ufpr.br:article/54455Revistahttps://revistas.ufpr.br/cogitare/indexPUBhttps://revistas.ufpr.br/cogitare/oaicogitare@ufpr.br2176-91331414-8536opendoar:2021-12-07T20:15:27Cogitare Enfermagem (Online) - Universidade Federal do Paraná (UFPR)false
dc.title.none.fl_str_mv USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
PRÁCTICA DE LA EPISIOTOMÍA ENTRE RESIDENTES DE ENFERMERÍA OBSTÉTRICA
PRÁTICA DE EPISIOTOMIA ENTRE RESIDENTES EM ENFERMAGEM OBSTÉTRICA
title USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
spellingShingle USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
Rocha, Érica Silva
Episiotomía; Enfermería Obstétrica; Perineo; Parto Normal.
Ciências da Saúde e Enfermagem
Episiotomia; Enfermagem obstétrica; Períneo; Parto normal.
Episiotomy; Obstetric nursing; Perineum: Vaginal delivery.
title_short USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
title_full USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
title_fullStr USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
title_full_unstemmed USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
title_sort USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING
author Rocha, Érica Silva
author_facet Rocha, Érica Silva
Mela, Camila Casagrande
Westphal, Flavia
Goldman, Rosely Erlach
author_role author
author2 Mela, Camila Casagrande
Westphal, Flavia
Goldman, Rosely Erlach
author2_role author
author
author
dc.contributor.none.fl_str_mv


dc.contributor.author.fl_str_mv Rocha, Érica Silva
Mela, Camila Casagrande
Westphal, Flavia
Goldman, Rosely Erlach
dc.subject.none.fl_str_mv

dc.subject.por.fl_str_mv Episiotomía; Enfermería Obstétrica; Perineo; Parto Normal.
Ciências da Saúde e Enfermagem
Episiotomia; Enfermagem obstétrica; Períneo; Parto normal.
Episiotomy; Obstetric nursing; Perineum: Vaginal delivery.
topic Episiotomía; Enfermería Obstétrica; Perineo; Parto Normal.
Ciências da Saúde e Enfermagem
Episiotomia; Enfermagem obstétrica; Períneo; Parto normal.
Episiotomy; Obstetric nursing; Perineum: Vaginal delivery.
description Objective:to identify the frequency of and justification for episiotomy in childbirths attended by residents in obstetric nursing. Method:Descriptive and retrospective study conducted in October-November, 2016, in a public maternity hospital in the city of São Paulo. The study population consisted of 884 low-risk pregnant women. Chi-square testwas used for statistical analysis. Results:Episiotomy was performed in 174 (19.7%) deliveries and in 512 (59%) there were perineal lacerations. Perineal integrity was maintained in 187 (21.4%) deliveries. The main indications were related to perineal conditions: 54 (58.1%) perineal rigidity, 22 (23.7%) short perineum and 19 (20.4%) imminent severe laceration.Conclusion:The frequency of use of episiotomyby residents in obstetric nursingis higher than evidence based recommendations from the WHO, and regarding the reasons for the procedure, they differ from those generally reported worldwide, which leads to reflections about the model of professional training of obstetric nurses and the distance between theory and practice.
publishDate 2018
dc.date.none.fl_str_mv 2018-11-30
dc.type.none.fl_str_mv



dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Trata-se de um estudo descritivo, retrospectivo e de abordagem quantitativa.
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistas.ufpr.br/cogitare/article/view/54455
10.5380/ce.v23i4.54455
url https://revistas.ufpr.br/cogitare/article/view/54455
identifier_str_mv 10.5380/ce.v23i4.54455
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistas.ufpr.br/cogitare/article/view/54455/pdf
https://revistas.ufpr.br/cogitare/article/view/54455/pdf_en
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30422
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30423
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30424
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/30425
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/33600
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/33971
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/34907
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/54455/34908
dc.rights.driver.fl_str_mv Direitos autorais 2018 Cogitare Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos autorais 2018 Cogitare Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Paraná
publisher.none.fl_str_mv Universidade Federal do Paraná
dc.source.none.fl_str_mv Cogitare Enfermagem; v. 23, n. 4 (2018)
Cogitare Enfermagem; v. 23, n. 4 (2018)
Cogitare Enfermagem; v. 23, n. 4 (2018)
2176-9133
1414-8536
10.5380/ce.v23i4
reponame:Cogitare Enfermagem (Online)
instname:Universidade Federal do Paraná (UFPR)
instacron:UFPR
instname_str Universidade Federal do Paraná (UFPR)
instacron_str UFPR
institution UFPR
reponame_str Cogitare Enfermagem (Online)
collection Cogitare Enfermagem (Online)
repository.name.fl_str_mv Cogitare Enfermagem (Online) - Universidade Federal do Paraná (UFPR)
repository.mail.fl_str_mv cogitare@ufpr.br
_version_ 1797068302072152064