Postnatal perineal edema assessment: agreement among observers

Detalhes bibliográficos
Autor(a) principal: Gonzalez Riesco, Maria Luiza
Data de Publicação: 2008
Outros Autores: Junqueira Vasconcellos de Oliveira, Sonia Maria
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Gaúcha de Enfermagem
Texto Completo: https://seer.ufrgs.br/index.php/rgenf/article/view/3094
Resumo: Perineal trauma produced during vaginal delivery is frequent, and there are no clinically validated evaluation scales available. The aim was to analyze the reliability of a tool to assess the vulvoperineal region during the postnatal period. This is an observational study conducted at the University Hospital of Universidade de São Paulo, Brazil. Thirty women with vaginal delivery were analyzed. The tool was built and evaluated in three stages: admission, 1-2, and 24-36 hours after delivery. Reliability analysis was carried out, and Kappa coefficient presented excellent, good, or marginal agreement to identify, respectively, 13, 20, and 13 parameters related to the pudendal chink, major and minor labia, clitoris, and perineal body. The conclusions were that the tool may be partially validated due to the reliability showed by the results, and that it must be modified, taking into consideration the individual characteristics of each woman, and changes that do not cause morbidity, which clinical evaluation is irrelevant.
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spelling Postnatal perineal edema assessment: agreement among observersEvaluación del edema perineal en el post-parto: concordancia entre observadoresAvaliação do edema perineal no pós-parto: concordância entre observadoresEdemaPeríneoPartoPeríodo pós-partoPerineal trauma produced during vaginal delivery is frequent, and there are no clinically validated evaluation scales available. The aim was to analyze the reliability of a tool to assess the vulvoperineal region during the postnatal period. This is an observational study conducted at the University Hospital of Universidade de São Paulo, Brazil. Thirty women with vaginal delivery were analyzed. The tool was built and evaluated in three stages: admission, 1-2, and 24-36 hours after delivery. Reliability analysis was carried out, and Kappa coefficient presented excellent, good, or marginal agreement to identify, respectively, 13, 20, and 13 parameters related to the pudendal chink, major and minor labia, clitoris, and perineal body. The conclusions were that the tool may be partially validated due to the reliability showed by the results, and that it must be modified, taking into consideration the individual characteristics of each woman, and changes that do not cause morbidity, which clinical evaluation is irrelevant.El trauma perineal producido en el parto vaginal es frecuente, no habiendo escalas de evaluación vali-dadas clinicamente. El objetivo del estudio fue analizar la confiabilidad de un instrumento de evaluación de la región vulvo-perineal en el post-parto. Se trata de un estudio observacional, realizado en el Hospital Universita-rio de la Universidade de São Paulo, Brasil. Se analizaron 30 mujeres con parto vaginal. El instrumento fue elaborado y evaluado en tres etapas: al ingreso, 1-2 y 24-36 horas después del parto. Se utilizó el análisis de confiabilidad y el coeficiente de Kappa, con concordancia óptima, buena y marginal en la identificación de, respectivamente, 13, 20 e 13 parámetros relativos a la rima del pudendo, grandes y pequeños labios, clítoris y cuerpo perineal. Se concluyó que el instrumento puede ser parcialmente validado en cuanto a la confiabilidad presentada en los resultados y necesita de adecuaciones, considerando que existen características propias de cada mujer y alteraciones que no producen morbilidad, siendo irrelevante su evaluación clínica.O trauma perineal produzido no parto vaginal é frequente, não havendo escalas de avaliação validadas clinicamente. O objetivo deste estudo foi analisar a confiabilidade de um instrumento de avaliação da região vulvoperineal no pós-parto. Trata-se de um estudo observacional, realizado no Hospital Universitário da Universidade de São Paulo. Foram analisadas 30 mulheres com parto vaginal. O instrumento foi construído e avaliado em três etapas: na admissão, 1-2 e 24-36 horas após o parto. Utilizou-se a análise de confiabilidade e o coeficiente de Kappa, tendo concordância ótima, boa e marginal na identificação de, respectivamente, 13, 20 e 13 parâmetros relativos à rima do pudendo, grandes e pequenos lábios, clitóris e corpo perineal. Concluiu-se que o instrumento pode ser parcialmente validado quanto à confiabilidade apresentada nos resultados e necessita de adequações considerando que existem características próprias de cada mulher e alterações que não produzem morbidade, sendo irrelevante sua avaliação clínica.Escola de Enfermagem da UFRGS2008-03-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://seer.ufrgs.br/index.php/rgenf/article/view/3094Revista Gaúcha de Enfermagem; Vol. 28 No. 4 (2007); 465Revista Gaúcha de Enfermagem; v. 28 n. 4 (2007); 4651983-14470102-6933reponame:Revista Gaúcha de Enfermageminstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/rgenf/article/view/3094/1700Gonzalez Riesco, Maria LuizaJunqueira Vasconcellos de Oliveira, Sonia Mariainfo:eu-repo/semantics/openAccess2019-11-26T18:21:45Zoai:seer.ufrgs.br:article/3094Revistahttp://www.seer.ufrgs.br/index.php/RevistaGauchadeEnfermagemPUBhttps://old.scielo.br/oai/scielo-oai.php||revistappgdir@ufrgs.br1983-14470102-6933opendoar:2019-11-26T18:21:45Revista Gaúcha de Enfermagem - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.none.fl_str_mv Postnatal perineal edema assessment: agreement among observers
Evaluación del edema perineal en el post-parto: concordancia entre observadores
Avaliação do edema perineal no pós-parto: concordância entre observadores
title Postnatal perineal edema assessment: agreement among observers
spellingShingle Postnatal perineal edema assessment: agreement among observers
Gonzalez Riesco, Maria Luiza
Edema
Períneo
Parto
Período pós-parto
title_short Postnatal perineal edema assessment: agreement among observers
title_full Postnatal perineal edema assessment: agreement among observers
title_fullStr Postnatal perineal edema assessment: agreement among observers
title_full_unstemmed Postnatal perineal edema assessment: agreement among observers
title_sort Postnatal perineal edema assessment: agreement among observers
author Gonzalez Riesco, Maria Luiza
author_facet Gonzalez Riesco, Maria Luiza
Junqueira Vasconcellos de Oliveira, Sonia Maria
author_role author
author2 Junqueira Vasconcellos de Oliveira, Sonia Maria
author2_role author
dc.contributor.author.fl_str_mv Gonzalez Riesco, Maria Luiza
Junqueira Vasconcellos de Oliveira, Sonia Maria
dc.subject.por.fl_str_mv Edema
Períneo
Parto
Período pós-parto
topic Edema
Períneo
Parto
Período pós-parto
description Perineal trauma produced during vaginal delivery is frequent, and there are no clinically validated evaluation scales available. The aim was to analyze the reliability of a tool to assess the vulvoperineal region during the postnatal period. This is an observational study conducted at the University Hospital of Universidade de São Paulo, Brazil. Thirty women with vaginal delivery were analyzed. The tool was built and evaluated in three stages: admission, 1-2, and 24-36 hours after delivery. Reliability analysis was carried out, and Kappa coefficient presented excellent, good, or marginal agreement to identify, respectively, 13, 20, and 13 parameters related to the pudendal chink, major and minor labia, clitoris, and perineal body. The conclusions were that the tool may be partially validated due to the reliability showed by the results, and that it must be modified, taking into consideration the individual characteristics of each woman, and changes that do not cause morbidity, which clinical evaluation is irrelevant.
publishDate 2008
dc.date.none.fl_str_mv 2008-03-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufrgs.br/index.php/rgenf/article/view/3094
url https://seer.ufrgs.br/index.php/rgenf/article/view/3094
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufrgs.br/index.php/rgenf/article/view/3094/1700
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola de Enfermagem da UFRGS
publisher.none.fl_str_mv Escola de Enfermagem da UFRGS
dc.source.none.fl_str_mv Revista Gaúcha de Enfermagem; Vol. 28 No. 4 (2007); 465
Revista Gaúcha de Enfermagem; v. 28 n. 4 (2007); 465
1983-1447
0102-6933
reponame:Revista Gaúcha de Enfermagem
instname:Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
instname_str Universidade Federal do Rio Grande do Sul (UFRGS)
instacron_str UFRGS
institution UFRGS
reponame_str Revista Gaúcha de Enfermagem
collection Revista Gaúcha de Enfermagem
repository.name.fl_str_mv Revista Gaúcha de Enfermagem - Universidade Federal do Rio Grande do Sul (UFRGS)
repository.mail.fl_str_mv ||revistappgdir@ufrgs.br
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