Are there any antenatal interventions that reduce trauma during vaginal delivery?

    loading  Checking for direct PDF access through Ovid

Abstract

EVIDENCE-BASED ANSWER

Antenatal perineal massage decreases risk of perineal trauma and episiotomies in primiparous but not multiparous women (SOR: A, meta-analysis of RCTs). Using warm compresses and perineal massage during second stage of labor reduces the risk of third- and fourth-degree perineal lacerations (SOR: A, metaanalysis of RCTs). Perineal injection of hyaluronidase at the onset of the second stage of labor does not appear to prevent perineal trauma (SOR: A, meta-analysis of RCTs).

Related Topics

    loading  Loading Related Articles