BACKGROUND Fourth-degree perineal lacerations are an uncommon, unpredictable injury that family physicians may face. METHODS After a needs assessment and feasibility review, we developed goals, objectives, instructional tools, and a feedback survey for a curriculum using a novel model to simulate perineal laceration repair. RESULTS Fifty-six learners evaluated the session, expressing increa...

In fact the book gives the operative treatment of perineal lesions and the conditions frequently found associated with them, and is also incidentally a treatise on Gynaecology apart from tumours and tubal disease. We heartily recommend the book to the general practitioner. The description of the anatomical supports of the pelvic floor are clear and distinct. Though it needs must, that perineal ...

Background Childbirth and puerperium are of the most important periods in women's lives and can affect different aspects of their lives. Objective To determine the effect of perineal massage in the second stage of labor on perineal lacerations, episiotomy, and perineal pain in nulliparous women. Methods This randomization clinical trial was conducted at Be'sat Hospital in Sanandaj, Iran, fr...

• Vol 10 • July 2008 Perineal Massage to Prevent Perineal Trauma Perineal trauma is defined as any damage to the genitalia occurring during childbirth, either spontaneously or because of a surgical incision or episiotomy [1,2]. A large British study showed that 85% of women delivering vaginally will sustain some form of perineal trauma [3]. Over two-thirds of such women will require suturing. G...

BACKGROUND The WHO advises against recumbent or supine position for longer periods during labour and birth and states that caregivers should encourage and support the woman to take the position in which she feels most comfortable. It has been suggested that upright positions may improve childbirth outcomes and reduce the risk for instrumental delivery; however RCTs of interventions to encourage...

Perineal laceration is trauma to the perineum due tearing of birth canal or an episiotomy at time expulsion fetus from uterus. One causes infection and bleeding perineal laceration. Old wound healing can increase risk so it necessary fulfill nutritional intake, especially protein which will help growth new cells in that process be accelerated. This study aims determine whether administration bo...