USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING

Authors

  • Érica Silva Rocha Universidade Federal de São Paulo. São Paulo-SP-Brasil.
  • Camila Casagrande Mela Escola Paulista de Enfermagem da Universidade Federal de São Paulo
  • Flavia Westphal Escola Paulista de Enfermagem da Universidade Federal de São Paulo
  • Rosely Erlach Goldman Escola Paulista de Enfermagem da Universidade Federal de São Paulo

DOI:

https://doi.org/10.5380/ce.v23i4.54455

Keywords:

Episiotomy, Obstetric nursing, Perineum, Vaginal delivery.

Abstract

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.

Author Biographies

Érica Silva Rocha, Universidade Federal de São Paulo. São Paulo-SP-Brasil.

Enfermeira. Especialista em Enfermagem Obstétrica pela Universidade Federal de São Paulo. São Paulo-SP-Brasil.

Camila Casagrande Mela, Escola Paulista de Enfermagem da Universidade Federal de São Paulo

Enfermeira. Especialista em Enfermagem Obstétrica pela Universidade Federal de São Paulo. São Paulo-SP-Brasil.

Flavia Westphal, Escola Paulista de Enfermagem da Universidade Federal de São Paulo

Enfermeira. Mestre em Ciências pela Universidade Federal de São Paulo. Técnico Administrativo em Educação no Departamento de Enfermagem na Saúde da Mulher da Escola Paulista de Enfermagem - Universidade Federal de São Paulo, São Paulo-SP-Brasil

Rosely Erlach Goldman, Escola Paulista de Enfermagem da Universidade Federal de São Paulo

Profa. Associada da Escola Paulista de Enfermagem do Departamento de Enfermagem na SAúde da Mulher - Universidade Federal de São Paulo

Downloads

Published

2018-11-30

How to Cite

Rocha, Érica S., Mela, C. C., Westphal, F., & Goldman, R. E. (2018). USE OF EPISIOTOMY AMONG RESIDENTS IN OBSTETRIC NURSING. Cogitare Enfermagem, 23(4). https://doi.org/10.5380/ce.v23i4.54455

Issue

Vol. 23 No. 4 (2018)

Section

Research

License

Cogitare Enfermagem reserves the right to make normative, orthographic, and grammatical changes to the published article to maintain the cultured standard of the language, while respecting the authors' style.

The published study is the sole responsibility of the author(s), and Cogitare Enfermagem is exclusively responsible for evaluating the manuscript as a scientific publication vehicle. Revista Cogitare Enfermagem is not responsible for any violations of Law No. 9,610/1998, the Brazilian Copyright Law.

Cogitare Enfermagem allows the author to hold the copyright of articles accepted for publication, without restrictions.

The articles published are licensed under the Creative Commons license CC BY 4.0 Creative Commons - Attribution 4.0 International - CC BY 4.0 - The attribution adopted by Cogitare Enfermagem is permitted:

  • Share - copy and redistribute the material in any media or format.
  • Adapt - remix, transform and build upon the material for any purpose, even commercially.
  • Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do this in any reasonable way, but not in a way that suggests that the licensor endorses it or approves of its use.
  • No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing something that the license allows.