Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019 , Vol 10, Issue 2
Alternative Methods For Reducing Perineal Trauma
Nurdan Kaya1,Gülbahtiyar Demirel2
1Sivas Cumhuriyet Üniversitesi Suşehri Sağlık Yüksekokulu, Hemşirelik, Sivas, Türkiye
2Sivas Cumhuriyet Üniversitesi Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik, Sivas, Türkiye
DOI : 10.31067/0.2019.138 Episiotomy, one of the causes of perineal trauma, is one of the world"s leading obstetric surgical practices that have increased significantly during the 20th century. The American Gynecology and Obstetric Union (2016) does not recommend the routine application of episiotomies during spontaneous vaginal deliveries and recommends it in cases where a rapid delivery of the fetus is required, in operative vaginal deliveries and in shoulder dystocia cases. In current studies, the episiotomy frequency in the world varies between 50% and 95% for nulliparas and 6-20% for multiparas. In our country, studies on the frequency of episiotomy are limited, but the application frequency of episiotomy is 90-99% for nulliparas and 50% -75% for multiparas in those studies.

Today, much current evidence suggests that limited episiotomy is more protective than routine episiotomy in terms of perineal trauma. In this respect, there are various applications in the literature aimed at reducing the incidence of perineal trauma. These applications include perineal massage, warm application to the perineum, birth positions, hand maneuvers and push out. These methods are methods that reduce perineal trauma. The practitioners of these methods are midwives and obstetric and gynecological nurses who have a very important role and responsibility at/ during the vaginal birth. For this reason, this review study was carried out in order to increase the sensitivity to the subject and to guide health professionals by drawing attention to the alternative methods in order to reduce perineal traumas such as episiotomies and lacerations in accordance with the related current literature. Keywords : Alternative method, obstetrics and gynecology nurse, midwife, episiotomy, perineal trauma