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Eficácia da massagem perineal pré-natal na prevenção de trauma perineal, durante o trabalho de parto: revisão guarda-chuva
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 41017 | 1.08 MB | Adobe PDF |
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Abstract(s)
Introdução: A lesão perineal é a morbidade mais comum associada ao parto vaginal, e parece que a MPPN é eficaz na sua prevenção, no entanto, existe evidência científica de elevada qualidade que apresenta dados contraditórios. Objetivos: Sumariar a informação existente e avaliar a MPPN na prevenção do trauma perineal, definir a melhor metodologia a implementar, e indicar as principais limitações encontradas. Metodologia: A pesquisa foi realizada na PubMed, Web of Science, Scopus, CINAHL Plus, Cochrane Library e Google Scholar e a qualidade metodológica foi avaliada através da ferramenta AMSTAR-2. Foi realizada uma meta-análise dos outcomes primários. Resultados: Foram analisados 405 estudos, dos quais apenas quatro foram incluídos. Os outcomes primários apresentaram resultados favoráveis quanto à eficácia da MPPN, no entanto, foi observada alguma heterogeneidade nos outcomes secundários. Conclusão: A MPPN é eficaz, principalmente, na redução da ocorrência de laceração perineal e da necessidade de episiotomia.
Background: Perineal injury is the most common morbidity associated with vaginal delivery, and it seems that PNPM is effective in its prevention, however, there is high quality scientific evidence that presents contradictory data. Aim: Summarize the existing information and evaluate the PNPM in the prevention of perineal trauma, define the best methodology to implement, and indicate the main limitations found. Methods: The research was carried out in PubMed, Web of Science, Scopus, CINAHL Plus, Cochrane, Library and Google Scholar and the methodological quality was evaluated using the AMSTAR-2 tool. A meta-analysis of primary outcomes was performed. Results: 405 studies were analyzed, of which only four were included. Primary outcomes showed favorable results regarding the effectiveness of PNPM, however, some heterogeneity in secondary outcomes was observed. Conclusion: PNPM is effective in reducing, mainly, the occurrence of perineal laceration and the need for episiotomy.
Background: Perineal injury is the most common morbidity associated with vaginal delivery, and it seems that PNPM is effective in its prevention, however, there is high quality scientific evidence that presents contradictory data. Aim: Summarize the existing information and evaluate the PNPM in the prevention of perineal trauma, define the best methodology to implement, and indicate the main limitations found. Methods: The research was carried out in PubMed, Web of Science, Scopus, CINAHL Plus, Cochrane, Library and Google Scholar and the methodological quality was evaluated using the AMSTAR-2 tool. A meta-analysis of primary outcomes was performed. Results: 405 studies were analyzed, of which only four were included. Primary outcomes showed favorable results regarding the effectiveness of PNPM, however, some heterogeneity in secondary outcomes was observed. Conclusion: PNPM is effective in reducing, mainly, the occurrence of perineal laceration and the need for episiotomy.
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Keywords
Massagem perineal pré-natal Trauma perineal Laceração perineal Episiotomia Trabalho de parto Prenatal perineal massage Perineal trauma Perineal laceration Episiotomy Labor