Academic literature on the topic 'Perinæum'
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Journal articles on the topic "Perinæum"
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Mutmainnah, Annisa Ul, and Siti Noorbaya. "PENGARUH PENGGUNAAN ASI PADA PERAWATAN LUKA PERINIEM DENGAN LAMA WAKTU PENYEMBUHAN LUKA PERINIUM." Jurnal Kebidanan Mutiara Mahakam 7, no. 2 (September 28, 2019): 67–73. http://dx.doi.org/10.36998/jkmm.v7i2.61.
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Childbirth is a natural process, but sometimes labor can also cause birth canaltrauma, especially in the aluminum region, this trauma can be injuries to the periniumarea, the cause can be intentional biases such as episiotomy or unintentional actions such as spontaneous tears in the process of removing the baby. Injury to the perineum if not treated properly can cause postpartum infection because the wound area will be a medium for developing germs. The purpose of this study was to analyze the effect of the use of breast milk in the treatment of periniem wounds with the duration of perinium wound healing at the Ramlah Parjib Clinic in Samarinda. The method used in this study was Posttest Only Control Group Desigen research subjects were postpartum motherswith a sample of 60 respondents taken by random sampling and grouped based on treatment using ASI. Data analysis using ANOVA test. The results showed that the use of ASI had a significant effect on the treatment of periniem wounds with a healing time seen from the P value of 0,000. Conclusion: Periniuem wound care techniques are factors that influence the duration of perinieum wound healing
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Nurulicha, Nurulicha. "FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN RUPTUR PERINEUM PADA IBU BERSALIN." Jurnal Kesehatan 7, no. 2 (April 11, 2020): 815–20. http://dx.doi.org/10.38165/jk.v7i2.124.
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Perdarahan post partum menjadi penyebab utama 40% kematian ibu di Indonesia. Robekan Jalan lahir merupakan penyebab kedua tersering dari perdarahan pasca persalinan setelah atonia uteri. Ruptur perineum merupakan perlukaan jalan lahir yang terjadi pada saat kelahiran bayi baik menggunakan alat maupun tidak menggunakan alat. Tujuan penelitian ini adalah untuk mengetahui Faktor-faktor yang berhubungan dengan kejadian ruptur perinium pada ibu bersalin di Bidan Praktek Swasta Desa Mekarsari Kabupaten Bogor tahun 2015. Penelitian ini dilakukan dengan metode penelitian analitik dengan pendekatan cross sectional, analisa data dengan uji Chi-square. Data yang dikumpulkan berupa data sekunder yang di dapat dari rekam medik pasien. Sampel yang diambil berjumlah 86 orang, teknik total sampling. Analisa yang digunakan adalah univariat dan bivariat. Hasil penelitian tidak ada hubungan yang signifikan antara faktor paritas dengan kejadian rupur perineum, dari 86 responden 58 orang (67%) ibu dengan multipara/grande multipara dengan Pvalue=0,058, sedangkan terdapat hubungan yang signifikan antara jarak kehamilan dengan ruptur perinem, dari 86 responden 50 orang (58%) pada jarak kehamilan ≥2 tahun dengan Pvalue=0,038,OR=1,023,terdapat hubungan yang signifikan antara berat badan bayi dengan ruptur perineum, dari 86 responden 69 orang (80%) ibu bersalin dengan berat badan bayi 2500-4000 dengan Pvalue=0’028,OR=1,144, terdapat hubungan yang signifikan antara umur ibu dengan ruptur perineum, dari 86 responden 73 orang (85%) melahirkan pada kelompok umur 20-35 tahun dengan Pvalue= 0,046, OR=0,046dan terdapat hubungan yang signifikan antara episiotomi dengan ruptur perineum dari 86 responden 70 orang (81%) tidak dilakukan episiotomi dengan Pvalue=0,034, OR= 1,141dengan kejadian ruptur perineum.Kata kunci : Ruptur perinium, paritas, jarak kehamilan, berat badan bayi, umur, episiotomy ABSTRACTPostpartum hemorrhage is a major cause 40% of maternal deaths in Indonesia. Rips Road birth is the second most common cause of postpartum hemorrhage after an atonic. Rupture of the perineum is the birth canal injury that occurred at the time of birth either using or not using a tool. The purpose of this study was to determine the factors associated with rupture perinium on maternity midwife mother Private Practice Bogor Regency Village Mekarsari 2015. Penelitian year was conducted by the method of analytic research with cross sectional data analysis with Chi-square test using SPSS 22.Data collected in the form of secondary data obtained from patient records. Samples were taken totaling 86 people, total sampling technique. The analysis used is univariate and bivariate. The results of the study there was no significant relationship between the factors of parity with incident rupur perineum, of 86 respondents 58 people (67%) of mothers with multiparous/grande multipara with pvalue = 0.058, whereas there is a significant correlation between the distance pregnancy with rupture perinem, of 86 respondents 50 people (58%) at a distance of pregnancy ≥ 2 years with pvalue = 0.038, OR = 1.023, there is a significant relationship between infant weight with rupture perineum, 69 of 86 respondents (80%) of mothers with a birth weight babies 2500- 4000 with pvalue = 0'028, OR = 1.144, there is a significant relationship between mother's age at rupture perineum, 73 of 86 respondents (85%) gave birth to the age group of 20-35 years with pvalue = 0.046, OR = 0.046 and contained a significant association between episiotomy to perineal rupture of 86 respondents 70 people (81%) did not do an episiotomy with pvalue = 0.034, OR = 1,141dengan rupture perineum.Keywords: Ruptured perinium, parity, spacing of pregnancy, the baby's weight, age, episiotomy
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Afrilia, Eka Mardiana, and Heliyanah Sari. "HUBUNGAN METODE PENYULUHAN SMALL GROUP DISCUSSION (SGD) DENGAN TINGKAT PENGETAHUAN ANEMIA PADA IBU HAMIL DI RUMAH BERSALIN GEBANG MEDIKA KOTA TANGERANG." Jurnal JKFT 3, no. 1 (October 3, 2018): 79. http://dx.doi.org/10.31000/jkft.v3i1.1020.
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Pendahuluan Infeksi masa nifas masih merupakan penyebab tertinggi AKI. Ibu post partum yang mengalami luka perineum sangat rentan terhadap terjadinya infeksi, karena luka perineum yang tidak dijaga dengan baik akan sangat berpengaruh terhadap kesembuhan luka perineum. Perawatan dan pengetahuan teknik perawatan luka yang baik akan membantu proses penyembuhan luka. Kurang pengetahuan ibu tentang perawatan luka perineum menyebabkan angka kejadian infeksi ruptur perinium mencapai 6,3 kasus Perawatan luka ruptur Perineum Dengan Kesembuhan Luka Perinium Pada Ibu Nifas semakin baik perawatan luka perineum, semakin cepat kesembuhan luka perineum. Metode penelitian Penelitian ini termasuk penelitian analitik korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluru ibu nifas yang memiliki luka ruptur perineum sebanyak 60 orang sedangkan sample yang di gunakan pada penelitian ini sebanyak 30 responden. Data yang di kumpulkan pada penelitian ini adalah data primer dan sekunder dengan cara menggunakan kueisoner. Hasil penelitian di peroleh tingkat pengetahuan baik sebanyak 12 responden (40,0%) pengetahuan yang kurang sebanyak 18 responden (60,0%)dan penyembuhan luka perineum yang cepat sebanyak 13 responden (43,3%) dan yang mengalami lambat penyembuhan17 responden (56,7%). Kesimpulan ada hubungan tingkat pengetahuan ibu nifas tentang perawatan luka ruptur perineum dengan kesembuhan luka dengan p value0,01. Kata kunci : pengetahuan, perawatan luka, nifas
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Sigalingging, Muslimah, and Sri Rintani Sikumbang. "Faktor yang Berhubungan dengan Terjadinya Rupture Perineum Pada Ibu Bersalin di RSU Imelda Pekerja Indonesia Medan." Jurnal Bidan Komunitas 1, no. 3 (December 18, 2018): 161. http://dx.doi.org/10.33085/jbk.v1i3.3984.
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Latar Belakang; Ruptur perineum adalah perlukaan jalan lahir yang terjadi pada saat kelahiran bayi baik menggunakan alat maupun tidak menggunakan alat. Menurut World Health Menurut (WHO)terdapat 2,7 juta kasus rupture perineum pada ibu bersalin, diperkirakan akan mencapai 6,3 juta ditahun 2050. Di Asia rupture perineum dalam masyarakat, 50% dari kejadian rupture perineum di dunia.Tujuan; penelitian untuk mengetahui Faktor Yang Berhubungan Dengan Terjadinya Rupture Perineum Peda Ibu Bersalin Di Rsu Imelda Pekerja Indonesia Medan. Metode; Penelitian ini dilakukan dengan desain penelitian survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu bersalin dari bulan Juni-Oktober 2017 sebanyak 97 orang. Teknik pengambilan sampel menggunakan total populasi. Analisa data menggunakan analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan data sekunder dengan hasil uji chi square. Hasil; Hasil penelitian di ketahui bahwa dari hasil uji chi-square diperoleh nilai ρ-value 0,022 < α (0,05), artinya ada hubungan paritas dengan rupture perineum. hasil uji chi-square diperoleh nilai ρ-value 0,038<0,05. berarti ada hubungan umur rupture perineum. Hasil uji chi-square diperoleh nilai ρ-value 0,043<0,05. berarti ada hubungan jarak kehamilan dengan rupture perineum. Hasil uji chi-square diperoleh nilai ρ-value 0,019<0,05. berarti ada hubungan berat badan bayi lahir dengan rupture perineu. di RSU Imelda Pekerja Indonesia Medan. Kesimpulan; Berdasarkan hasil penelitian dapat disimpulkan bahwa ada Hubungan Paritas, Umur, Jarak Kehamilan, berat badan bayi lahir dengan rupture perineum di RSU Imelda Pekerja Indonesia Medan.
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., Ferinawati, and Marjuani . "FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN RUPTUR PERENIUM PADA PERSALINAN NORMAL DI BPM Hj.ROSDIANA, S.SiT KECAMATAN JEUNIB KABUPATEN BIREUEN." JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE 6, no. 2 (December 11, 2020): 1065. http://dx.doi.org/10.33143/jhtm.v6i2.1121.
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AbstrakLatar Belakang : World Health Organization (WHO) pada tahun 2015 memperkirakan di seluruh dunia setiap tahunnya lebih dari 585.000 ibu meninggal akibat komplikasi kehamilan dan persalinan. Di Asia ruptur perineum dalam masyarakat, 50% dari kejadian ruptur perineum di dunia. Tujuan : Untuk mengetahui Faktor Yang Berhubungan Dengan Terjadinya Ruptur Perineum Pada Ibu Persalinan Normal di BPM Hj. Rosdiana, S.SiT Kecamatan Jeunieb Kabupaten Bireuen. Metode : Penelitian ini menggunakan survei analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di BPM Hj. Rosdiana, S.SiT Kecamatan Jeunib Kabupaten Bireuen. Populasi dalam penelitian ini seluruh ibu nifas berusia 0-44 hari yang melakukan persalinan normal di BPM Hj. Rosdiana, S.SiT sebanyak 36 orang dengan teknik pengambilan sampel total population yaitu seluruh populasi dijadikan sampel. Teknik pengumpulan data menggunakan data primer dan sekunder dan diolah ke dalam analisis univariat dan bivariat. Hasil : Berdasarkan hasil penelitian dengan uji statistik chi square yang telah dilakukan pada bulan agustus 2020 menunjukkan ada hubungan antara berat badan bayi lahir dengan kejadian ruptur perineum (nilai p value 0,000), tidak ada hubungan antara paritas dengan kejadian ruptur perineum (nilai p value 0,377) dan tidak ada hubungan antara jarak kelahiran dengan kejadian ruptur perineum (nilai p value 0,289). Kesimpulan : Ada hubungan yang signifikan antara berat badan bayi lahir dengan kejadian ruptur perineum, Tidak ada hubungan yang signifikan antara paritas dan jarak kelahirak dengan kejadian ruptur di BPM Hj. Rosdiana, S.SiT Kecamatan Jeunib Kabupaten Bireuen. Diharapkan kepada BPM Hj.Rosdiana, S.SiT agar dapat meningkatkan kualitas pelayanan kesehatan, bidan juga diharapkan dapat bekerja sama dengan ibu dalam proses persalinan dan lebih memperhatikan faktor-faktor risiko yang dapat mempengaruhi kejadian ruptur perineuem sehingga kejadian ruptur perineum dapat dicegah. Kata kunci : Berat Badan Bayi Lahir, Paritas, Jarak Kelahiran, Ruptur Perenium
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Idaman, Meldafia, and Niken .,. "PENGARUH PIJATAN PERINEUM DAN SENAM KEGEL TERHADAP PENGURANGAN RUPTUR PERINEUM PADA IBU BERSALIN." Jurnal Kesehatan Medika Saintika 10, no. 1 (June 1, 2019): 39. http://dx.doi.org/10.30633/jkms.v10i1.307.
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ABSTRAK Sekitar 70% ibu melahirkan pervaginam mengalami trauma perineum. Berbagai cara untuk mengurangi ruptur pada perineum antara lain dengan senam kegel (kegel exercise) dan pijatan perineum pada ibu hamil trimester tiga. Tujuan penelitian ini untuk mempelajari pengaruh pijatan perineum dan senam kegel terhadap pengurangan ruptur perineum pada ibu bersalin. Jenis penelitian ini pre-experimental menggunakan pendekatan Post Test Only Control Group Design. Penelitian dilakukan pada ibu hamil dengan usia kehamilan ≥ 34 minggu hingga persalinan di Bidan Praktek Mandiri (BPM) Kota Padang pada bulan Juni sampai September 2018. Populasi dan sampel dalam penelitian ini berjumlah 21 orang yang dibagi 3 kelompok perlakukan yaitu kelompok pijat perineum, senam kegel dan kombinasi. Analisis data menggunakan uji Kruskal Wallis. Hasil penelitian didapatkan peringkat rata-rata pengurangan kejadian ruptur perineum lebih banyak pada perlakuan yang melakukan latihan kombinasi pijat perineum dan senam kegel yaitu 6,29 dari pada responden yang melakukan latihan pijat perineum yaitu 12,93. Peringkat rata-rata pengurangan kejadian ruptur perineum lebih banyak pada perlakuan latihan pijat perineum dibandingkan perlakuan yang melakukan latihan senam kegel yaitu 13.73. Berdasarkan uji statistik p value 0,03 (p< 0,05) didapatkan ada pengaruh pijatan perineum dan senam kegel terhadap pengurangan ruptur perineum pada ibu bersalin. Simpulan penelitian ini adalah ada pengaruh pijatan perineum dan senam kegel terhadap pengurangan ruptur perineum pada ibu bersalin.Kata Kunci : Pijatan, Perineum, Senam, Kegel, Ruptur Effect Of Perineum Massage and Kegel Exercise On Reduction Perineum Rupture ABSTRACT About 70% women giving birth to vaginal have perineal trauma. Kegel exercise, perineal massage in third trimester of pregnant reduce rupture of the perineum. The purpose of study was to identify the effect of perineum massage and kegel exercise on the reduction of perineum rupture in women after giving birth. This type of research was pre-experimental using Post Test Only Control Group Design. The study was conducted on pregnant women with gestational age ≥ 34 weeks until delivery in Independent Practice Midwife (IPM) of Padang from June to September 2018. Population and sample in this study was 21 people divided into 3 treatment group : perineum massage, kegel exercise and combination group. Data was analyzed by using the kruskal Wallis test. The average rate of perineum rupture reduction was 6.29 more in the respondent who did combination treatment (both perineum massage and kegel exercise), than respondents who did perineum massage exercises (12.39). Average rating of the reduction in incidence of perineum rupture was more in treatment of perineum massage training compared to Kegel exercise treatment (13.73). Based on statistical test p value 0.03, it can be concluded that there is an effect of perineum massage and kegel exercise on reduction perineum rupture.Keywords : Massage, Perineum, Kegel, Exercise, Rupture
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Mayer, So. "MEDEA'S PERINEUM." Angelaki 23, no. 1 (January 2, 2018): 188–93. http://dx.doi.org/10.1080/0969725x.2018.1435397.
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Purba, Juliani, and Tengku Sri Wahyuni. "EFEKTIVITAS PERINEUM MASSAGE DENGAN MODIFIKASI HANDS-OFF DAN PERINEUM MASSAGE DENGAN MODIFIKASI HANDS-ON TERHADAP RUPTUR PERINEUM DI BPM KOTA PEMATANGSIANTAR." Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 12, no. 1 (November 5, 2018): 92–95. http://dx.doi.org/10.36911/pannmed.v12i1.56.
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Berbagai metode telah dilakukan untuk mengurangi terjadinya ruptur perineum, baik sejak kehamilan maupun pada proses persalinan. Beberapa hasil penelitian di berbagai daerah di Indonesia tentang perineum massage mendapatkan hasil yang signifikan terhadap penurunan kejadian ruptur perineum. Pada masa persalinan hasil penelitian juga mendapatkan perbedaan antara persalinan dengan hands on atau hands off terhadap kejadian keutuhan perineum. Penelitian ini bertujuan untuk mengetahui perbandingan efektifitas perineum massage dengan modifikasi hands-off dan perineum massage dengan hands- on terhadap ruptur perineum pada primipara di BPM Kota Pematangsiantar. Jenis penelitian quasi experiment design dengan analisis data yang digunakan Chi-Square. Berdasarkan hasil uji statistic dengan menggunakan Chi-Square diketahui bahwa terdapat perbedaan yang signifikan antara perineum massage dengan modifikasi hands-off dan perineum massage dengan modifikasi hands-on terhadap ruptur perineum yaitu sig(2-tailled) = 0,002 < 0,05, maka dari penelitian ini diketahui bahwa lebih efektif perineum massage dengan modifikasi hands-off daripada perineum massage dengan modifikasi hands-on untuk mencegah terjadinya ruptur perineum pada ibu primipara di BPM Kota Pematangsiantar.
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Astuti, Lestari Puji, Sri Harmiati, and Tri Ismu Pujianto. "Perbedaan Efektifitas Pijat Perineum dan Supercrowning terhadap Derajat Ruptur Perineum pada Ibu Bersalin Primipara." Jurnal SMART Kebidanan 7, no. 1 (June 19, 2020): 35. http://dx.doi.org/10.34310/sjkb.v7i1.343.
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ABSTRAKRuptur perineum merupakan robekan pada perineum yang terjadi pada saat bayi lahir secara spontan maupun menggunakan alat atau tindakan. Ruptur perineum pada primipara terjadi karena kondisi perineum kaku, jalan lahir belum pernah dilewati oleh bayi. Upaya pencegahan ruptur perineum bisa dilakukan dengan cara pijat perineum dan supercrowning. Tujuan Penelitian untuk mengetahui perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum . Jenis penelitian adalah quasi experiment, desain penelitian menggunakan post-test only control group. Populasi Penelitian ini adalah ibu bersalin primipara di UPT Puskesmas Kragan II sebanyak 59 ibu bersalin. Sampel Penelitian ini adalah ibu bersalin primipara sebanyak 36 ibu bersalin dengan accidental sampling. Analisa data menggunakan Mann Whitney untuk melihat adanya perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum pada ibu bersalin primipara. Hasil penelitian nilai mean rank pada kelompok yang diberikan perlakuan pijat perineum 12,33 dan pada kelompok yang diberikan perlakuan supercrowning 24,67 dan nilai p-value=0,000 (<0,05). Ada perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum pada ibu bersalin primipara. Pijat perineum lebih efektif mencegah derajat ruptur perineum pada ibu bersalin primipara.Kata kunci: pijat perineum; supercrowning; ruptur perineum. EFFECTIVENESS DISTICNTION OF PERINEUM MASSAGE AND SUPERCROWNING TOWARDS DEGREE OF PERINEUM RUPTURES IN PRIMIPARA MOTHERS ABSTRACTPerineal rupture is a tear in the perineum that occurs when a baby is born spontaneously or uses tools or actions. Perineal ruptur in primipara occurs because of a rigid perineum, the birth canal has never been passed by the baby causing ruptur of the perineum. The efforts to prevent perineal rupture can be done by massaging the perineum and supercrowning. The purpose of this study was to determine the differences in the effectiveness of perineal massage and supercrowning on the level of perineal rupture. The type of research used is quasi experiment. The design of this study used a post-test only control group. The population of this research was 59 primiparous mothers in Kragan II Health Center. The sample of this research was 36 primiparous mothers. Sampling technique in this study used accidental sampling. Data analysis used Mann Whitney to see differences in the effectivness of perineum massage and supercrowning on the level of perineal ruptur in primiparaous mothers. Mean rank in the interventionof perineal massage is 12,33, while in supercrowning group is 24.67 and p-value = 0,000 (<0.05). There is a difference in the effectiveness of perineum massage and supercrowning on the level of perineal rupture in primiparous mothers. From the results of this study the perineum massage is more effective in preventing the level of perineal rupture in primiparous maternal Keywords: perineum massage; supercrowning; perineum rupture
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Nisa, Hainun. "HUBUNGAN PENERAPAN PIJAT PERINEUM UNTUK MENGURANGI RUPTUR PERINEUM SAAT PERSALINAN DI KLINIK PRATAMA RATNA KOMALA TAHUN 2018." JURNAL KESEHATAN BIDKESMAS RESPATI 2, no. 11 (August 28, 2020): 1–7. http://dx.doi.org/10.48186/bidkes.v2i11.296.
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Pendahuluan: ketegangan pada otot otot dasar panggul yang berperan dalam proses persalinan sering mengakibatkan terjadinya robekan perineum, terutama pada persalinan primigravida . ini dikarenakan pada primigravida jalan lahir belum dilalui oleh kepala janin. Untuk mengurangi robekan perineum terutama derajat 2 dan derajat 3 terdapat suatu metode yang sangat sederhana dan singkat yaitu metode pijat perineum. Ketegangan otot perineum dan mental ibu hamil dapat dikurangisaat perawatan prenatal yaitu dengan kegiatan pijat perineum yang teratur selama kehamilan sampai saat melahirkan. Tujuan : Untuk mengetahui hubungan penerapan pijat perineum untuk mengurangi ruptur perineum saat persalinan dengan ibu bersalin yang ikut kelas penerapan pijat perineum. Metode : Penelitian ini dilakukan pada bulan Juni – Juli 2018. Dimana dilakukan pengambilan data ibu bersalin dan melakukan observasi juga penyebaran kuesioner. Dengan menggunakan tehnik Purpose Sampling. Dimana responden berjumlah 33 responden. Hasil : ini menunjukan terdapat hubungan yang bermakna antara penerapan pijat perineum untuk mengurangi ruptur perineum saat persalinan di klinik pratama ratna komala ( p Value = 0,002). Kesimpulan: Pijat perineum efektif untuk mengurangi ruptur perineum
Dissertations / Theses on the topic "Perinæum"
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Manresa, Lamarca Margarita. "Dolor y dispareunia en relación a la musculatura lesionada en un parto eutócico." Doctoral thesis, Universitat de Barcelona, 2020. http://hdl.handle.net/10803/670257.
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INTRODUCCIÓN:
Las lesiones perineales son la complicación más frecuente en los partos vaginales, llegándose a producir en el 70-80% de las mujeres, ya sea de forma espontánea o al realizar una episiotomía. Las lesiones que afectan a la musculatura superficial del periné y la morbilidad que ocasionan más frecuentemente, dolor perineal y dispareunia posparto, están escasamente evidenciadas.
OBJETIVO GENERAL:
Analizar el impacto que tienen las lesiones perineales de origen obstétrico en la salud de la madre tras el parto eutócico en relación con la percepción del dolor perineal y la dispareunia.
Para llevar a cabo esta tesis se han llevado a cabo tres estudios:
OBJETIVOS, METODOLOGÍA Y RESULTADOS:
ESTUDIO 1:
Objetivo: Averiguar la incidencia de dolor perineal y de dispareunia tras el parto eutócico en las mujeres con periné íntegro, lesión perineal de primer o segundo grado o episiotomía posparto.
Metodología: Se realizó una revisión sistemática y un meta-análisis. Fueron consultadas las principales bases de datos Medline, Embase y CINAHL, utilizando los MeSH “childbirth”, “perineal injury”, “perineal pain”, “dispareunia”, y siguiendo las recomendaciones PRISMA.
Resultados: Del total de artículos encontrados, 18 estudios (8 experimentales y
10 observacionales) cumplieron los criterios de inclusión para la revisión sistemática, 14 de los cuales informaron sobre dolor perineal y 12 sobre dispareunia posparto. El meta-análisis de 16 estudios (3133 mujeres para dolor perineal y 1475 para dispareunia) demostró que a los 2 días posparto no hay diferencia en la incidencia de dolor perineal entre las mujeres que han sufrido lesión perineal o han mantenido su periné íntegro. Tras el parto, al reanudar las relaciones sexuales, la incidencia de dispareunia fue alta independientemente de si se había sufrido lesión perineal o no. A mayor grado de lesión perineal, mayor fue la incidencia de dolor perineal y de dispareunia posparto.
ESTUDIO 2:
Objetivo: Determinar la incidencia de dolor perineal y de dispareunia entre las mujeres que tras parto eutócico han tenido una lesión con mayor o menor afectación del 50% del espesor del músculo Bulbocavernoso o del músculo Transverso Superficial del Periné.
Metodología: estudio de cohortes prospectivo con mujeres que habían tenido un parto eutócico en el Hospital General de Granollers (Granollers, Barcelona). Se evaluó el dolor perineal y la dispareunia posparto en relación a periné íntegro, lesión perineal de 1º grado o lesión de la musculatura superficial del periné hasta los 6 meses posparto; para el desarrollo del protocolo se siguieron las recomendaciones STROBE.
Resultados: De las 405 mujeres que fueron incluidas, 200 fueron asignadas al grupo expuesto por haber sufrido lesión de la musculatura superficial del periné (lesión de segundo grado o episiotomía) y 205 conformaron el grupo no expuesto (periné íntegro o lesión perineal de primer grado). Las mujeres del grupo expuesto reportaron mayor incidencia de dolor perineal y dispareunia que las del no expuesto. Sin embargo, no hubo diferencia entre la incidencia de dolor perineal ni dispareunia entre las mujeres que sufrieron una lesión <50% del músculo bulbocavernoso y las que sufrieron una lesión de primer grado. La incidencia del dolor perineal y la dispareunia fue significativamente mayor cuando se comparó la lesión >50% del músculo bulbocavernoso, con o sin lesión del músculo transverso superficial del periné, respecto a la lesión <50% músculo bulbocavernoso. La paridad no influyó en las diferencias.
ESTUDIO 3:
Objetivo: Explorar los principales problemas de salud para la mujer que se derivan de las lesiones perineales posparto y su manejo.
Metodología: revisión bibliográfica de las principales bases de datos Medline, Embase y CINAHL con los MeSH “childbirth”, “perineal injury”, “perineal pain”, “dispareunia”, “instrumental vaginal delivery”, “anal incontinence”, “prolapse”, urine incontinence”, “perineal clinic”.
Resultados: Se incluyeron 35 artículos. Las principales complicaciones referidas fueron dolor perineal, dispareunia, infección y dehiscencia de la herida perineal, incontinencia anal y prolapso de órganos pélvicos. Los autores reconocieron que
la consulta perineal, dirigida por matronas, fue el espacio idóneo para el seguimiento de las mujeres que presentaron estas complicaciones.
CONCLUSIONES
Tras parto eutócico, las mujeres sufren dolor perineal y dispareunia independientemente de la presencia o no de lesión perineal. Cuando ocurre una lesión de 2º grado, espontánea o intencionada (episiotomía), la mayor incidencia de dolor perineal y dispareunia posparto se da cuando la lesión comprende más del 50% del espesor del músculo bulbocavernoso. Otros problemas relacionados con las lesiones perineales son la infección y dehiscencia de la herida perineal, la incontinencia anal y el prolapso de órganos pélvico. Los autores reconocieron las consultas perineales o de suelo pélvico posparto como el espacio idóneo para el seguimiento de las mujeres que sufren esta problemática.INTRODUCTION: During vaginal childbirth approximately 70-80% of women will sustain damage to the muscles that separate the vagina from the anus and this is called childbirth related perineal trauma. This can be from either a natural tear of the superficial perineal muscles or a surgical cut (episiotomy). However, research evidence into ongoing complications of perineal pain and dyspareunia from superficial perineal muscle injuries is lacking. MAIN OBJECTIVE: To analyse childbirth related perineal injury impact on a mother's health after spontaneous vaginal birth in relation to postpartum perineal pain and dyspareunia. In order to carry out this thesis, the following studies have been identified: OBJECTIVES, METHODS AND RESULTS: STUDY ONE: Objective: To determine the incidence of perineal pain and dyspareunia, following spontaneous vaginal birth (SVB) with an intact perineum, first- and second- degree perineal trauma or episiotomy. Methods: A systematic review and meta-analysis was undertaken. Searches of MEDLINE, EMBASE, CINAHL were performed with selection criteria of any study evaluating the effect of intact perineum, first- or second-degree perineal trauma on perineal pain, or dyspareunia in women with SVB following the PRISMA recommendations. Results: 18 studies (8 RCT and 10 NRS) fulfilled the inclusion criteria for the systematic review. 14 studies reported data on postpartum perineal pain and 12 on dyspareunia. Meta-analysis of 16 studies (3,133 women related to perineal pain and 1,475 regarding dyspareunia) showed that at 2 days postpartum there was no difference in incidence of perineal pain between women who had suffered a perineal injury and those who had an intact perineum. When resuming sexual intercourse, the incidence of dyspareunia was high, regardless of whether there was perineal trauma or not. The greater the degree of perineal trauma suffered, the greater the incidence of perineal pain and postpartum dyspareunia were. STUDY TWO: Objective: To assess perineal pain and dyspareunia in relation to the complexity of the damage of each superficial perineal muscle (bulbospongiosus and superficial transverse perineal muscles) during SVB. Methods: A prospective cohort study of 405 women with a SVB at the General Hospital of Granollers (Granollers, Barcelona) was done. Perineal pain and dyspareunia in relation to an intact perineum, first degree perineal trauma or superficial perineal muscle trauma were measured up to 6 months postpartum. The study was performed in adherence to STROBE guidelines Results: Intact perineum and 1st degree perineal trauma (n = 205) were allocated in the non-exposure group and 2nd degree and episiotomy (n= 200) formed the exposure group. Women with perineal muscle injury reported higher incidence of perineal pain and dyspareunia than those in the non-exposure group. However, there was no significant difference in the incidence of perineal pain and dyspareunia between women who suffered an injured which involved <50% of the bulbospongiosus muscle thickness and those who suffered a first-degree perineal tear. The incidence of perineal pain and dyspareunia was significantly higher when >50% of the bulbospongiosus muscle thickness torn, with or without superficial transverse perineal muscle trauma, was compared to <50% of the bulbospongiosus muscle thickness trauma. STUDY THREE: Objective: To explore the main health concerns for women with childbirth related perineal trauma and ongoing clinical management. Methods: A literature review was undertaken. Searches of MEDLINE, EMBASE, CINAHL were performed, using the MeSH "delivery", "perineal injury", "perineal pain", "dyspareunia", "instrumental vaginal delivery", "anal incontinence", "Prolapse ", “urinary incontinence", "perineal clinic". Results: 35 studies were included. The main issues reported were perineal pain, dyspareunia, wound infection/breakdown, anal incontinence and pelvic organ prolapse. A perineal clinic, led by midwives, is the most appropriate way to clinically care for women who experience these morbidities. CONCLUSIONS: After spontaneous vaginal birth women suffer from perineal pain and dyspareunia regardless of the presence or absence of perineal trauma. When 2nd degree trauma occurs, spontaneously or surgically (episiotomy), the highest incidence of both postpartum perineal pain and dyspareunia are reported by women who suffer >50% of the bulbospongiosus muscle thickness trauma. Other problems related to childbirth perineal trauma are wound infection/breakdown, anal incontinence, and pelvic organ prolapse. Perineal or postpartum pelvic floor clinics are the most appropriate way to clinically manage ongoing morbidities for these women.
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Way, S. "Women's experiences of their perineum following childbirth : expectations, reality and returning to normality." Thesis, Bournemouth University, 2006. http://eprints.bournemouth.ac.uk/10544/.
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Women's experiences of their perineum following childbirth: expectations, reality and returning to normality The aim of the study was to explore the feelings, perceptions and experiences of women in relation to their perineum following childbirth in the early postnatal period. A grounded theory approach was used for collecting and analysing data from eleven diaries and seven interviews with broad questions about how the perineum, following a vaginal birth, affected the way daily living activities were carried out. Initially purposeful sampling was utilised to recruit women but as important issues emerged recruitment continued through theoretical sampling. Following childbirth women expressed a strong desire to get back to normal reflecting the core theme `striving for normality'. Normality in this context meant doing normal things and feeling like their normal selves. Much of what the women described doing during the early postnatal period was related to achieving that goal and linked to the following categories: `preparing for the unknown', `experiencing the unexpected', `adjusting to reality', `getting back to normal' and `recovery of self'. The main theoretical idea that emerged from this study and derived directly from the data is that: If women are able to successfully adjust to their new and often unexpected reality after the birth of their baby, and begin to reclaim their selves and their world, then they experience a return to their normality. The data demonstrates and clarifies three distinct but related aspects. Firstly, coping with the unexpected consequences of childbirth meant that the women frequently made adjustments to how they carried out essential activities such as walking, sitting and passing urine, in order to try and carry on as normal. The second aspect related to daily activities that were not essential but which women felt necessary to undertake because of social expectations. These included housework and shopping. The third aspect related to how the women felt about their body as a result of the perineal trauma they sustained, and what helped them to feel like their `normal selves' again. These interrelated stages form a framework that reflects Maslow's lower order, hierarchy of needs, within the humanistic psychology paradigm. Implications for practice include the need to improve care in areas of preparing women having their first baby, listening to women as part of the assessment of perineal pain following birth and the need for continuity of care from the same midwife in order for women to appropriately manage their perineal experience.
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?ngelo, Priscylla Helouyse Melo. "Classifica??o dos valores perineom?tricos: uma proposta de escala." PROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, 2017. https://repositorio.ufrn.br/jspui/handle/123456789/23882.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES)
Introdu??o: Os m?sculos do assoalho p?lvico (MAP) correspondem a um conjunto de m?sculos esquel?ticos que est?o localizados na base da cavidade p?lvica. Estes m?sculos s?o ativados em diferentes situa??es em que h? o aumento da press?o intra-abdominal. Sua integridade e bom funcionamento s?o fundamentais na manuten??o da contin?ncia urin?ria e fecal e na sustenta??o aos ?rg?os p?lvicos. Existem diversas t?cnicas de avalia??o da MAP respaldadas pela literatura, dentre elas a perineometria. Os perine?metros t?m por objetivo medir as altera??es de press?o na vagina em resposta ? contra??o volunt?ria dos MAP. Os equipamentos de perineometria s?o simples, minimamente invasivos e de baixo custo. Apesar de ser uma medida objetiva do grau de press?o desempenhado pela contra??o volunt?ria dos MAP, a perineometria n?o possui intervalos de classifica??o que guiem a interpreta??o dos seus resultados cl?nicos. Objetivo: Desenvolver uma escala de classifica??o da perineometria. Metodologia: Estudo de car?ter observacional, transversal. A amostra foi resultante de um processo de amostragem do tipo n?o probal?stico. As mulheres foram recrutadas por demanda espont?nea. Foi realizada uma avalia??o perineom?trica e o Teste Muscular Manual dos MAP, por meio do toque bidigital, categorizando-se a for?a pela Escala Modificada de Oxford. Os dados coletados foram tabulados e analisados no programa IMB Statistical Package for the Social Sciences vers?o 20.0. Para determinar os valores de classifica??o da perineometria foi realizada uma regress?o linear simples, tendo como vari?vel explicativa a Escala Modificada de Oxford e como vari?vel resposta a m?dia aritm?tica das tr?s medidas da perineometria. A regress?o linear foi realizada no programa estat?stico R vers?o 3.2.4. Resultados: Foram inclu?das na an?lise 259 mulheres, que apresentaram m?dia de idade de 52,80 (? 8,78) anos. A perineometria apresentou uma m?dia de 35,1? 22,7 (IC: 32,1 ? 38,0) cmH2O. A mediana do grau de for?a dos MAP foi tr?s (Q25: 2; Q75: 3). Houve uma correla??o forte, positiva e estatisticamente significativa entre o grau de for?a pela escala modificada de Oxford e a perineometria (r = 0,846, p < 0,01). A estratifica??o das medidas perineom?tricas foi realizada em uma escala de cinco pontos, que varia de uma press?o muito fraca a uma forte press?o. De acordo com a escala proposta, valores entre 7,5 e 14,5 cmH2O correspondem a uma press?o muito fraca; o intervalo de 14,6 a 26,5 cmH2O ? equivalente a uma press?o fraca; uma press?o moderada est? no intervalo de 26,6 a 41,5 cmH2O; valores de 41,6 a 60,5 cmH2O representam uma press?o boa e valores acima de 60,6 uma press?o forte. Conclus?o: Os valores de perineometria foram estratificados em uma escala de cinco pontos. Pela observa??o dos resultados, a partir dessa escala ? poss?vel estabelecer e classificar os intervalos de press?o desempenhada pela contra??o volunt?ria dos MAP. O resultado alcan?ado neste trabalho possui implica??es na pr?tica cl?nica, uma vez que guiar? os especialistas e as pacientes quanto o grau da for?a muscular. Para a literatura, promove-se, pela primeira vez, a apresenta??o de uma escala com valores padr?es da perineometria.
Introduction: Pelvic floor muscles (PFM) correspond to a group of skeletal muscles that are located at the basis of the pelvic cavity. These muscles are activated in different situations in wich there is an increase in intra-abdominal pressure. Its integrity and good functioning are fundamental in maintaining urinary and fecal continence and in sustaining the pelvic organs. There are several PFM evaluation techniques supported by the literature, such as the perineometry. Perineometers are aimed to measure pressure changes in the vagina in response to voluntary contraction of PFM. Perineometry equipments are simple, minimally invasive and inexpensive. Althought it is an objective measure of the degree of pressure performed by the PFM voluntary contraction, perineometry does not have rating ranges that guide the interpretation of its results. Objective: To develop a classification scale for perineometry. Methodology: A cross-sectional observational study. The sample was the result of a non-probalistc type sampling process. Women were recruted on spontaneous demand. A perineometric evaluation and the manual strength test of the PFM were performed by means of the bidigital touch, and the force was categorized by the Oxford Modified Scale. The collected data were tabulated and analyzed in the program IMB Statistical Package for the Social Sciences version 20.0. To determine the classification ranges of perineometry, a simple linear regression was performed, using as an explanatory variable the Oxford Modified Scale and as a response variable the arithmetic mean of the three measurements of perineometry. The linear regression was performed in the statistical program R version 3.2.4. Results: The 259 women included in the analysis had a mean age of 52.80 (? 8.78) years. Perineometry presented an average of 35.1 ? 22.7 (CI: 32.1 - 38.0) cmH2O. The median PFM strength level was 3 (Q25: 2; Q75: 3). There was a strong, positive and statistically significant correlation between the degree of strength by the Oxford Modified Scale and perineometry (r = 0.846, p <0.01). The stratification of the perineometric measurements was performed on a five-point scale, ranging from very weak pressure to strong pressure. According to the proposed scale, values between 7.5 and 14.5 cmH2O correspond to a very weak pressure; The range of 14.6 to 26.5 cmH2O is equivalent to a weak pressure; A moderate pressure is in the range of 26.6 to 41.5 cmH2O; Values of 41.6 to 60.5 cmH2O represent a good pressure and values above 60.6 is a strong pressure. Conclusion: Perineometric values were stratified on a five-point scale. By observing the results, from this scale it is possible to establish the ranges of pressure exerted by the voluntary contraction of the PFM. The achieved result in this work has implications in clinical practice, since it will guide the specialists and the patients about the degree of muscular strength. For the literature, is promoted for the first time the presentation of a scale of perineometry classification standards.
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Wong, Lai-kuen, and 王麗娟. "A clinical guideline on antenatal perineal massage for nulliparous women to reduce perineal trauma." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46583282.
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Leite, Jaqueline Sousa. "Caracterização das lacerações perineais espontâneas no parto normal." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-20022013-151836/.
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Introdução: No parto normal, muitas mulheres têm lacerações perineais espontâneas, mas a prevalência, as características e os fatores relacionados a estas são pouco estudados. Objetivos: 1. Caracterizar as lacerações perineais espontâneas no parto normal; 2. Analisar as lacerações perineais espontâneas no parto normal, conforme as condições sociodemográficas maternas, as condições clínicas e obstétricas na gestação e no parto e as condições do recém-nascido; 3. Avaliar as morbidades perineais relacionadas às lacerações espontâneas até 48 horas após o parto. Método: Estudo transversal, realizado no Amparo Maternal, São Paulo (SP), entre outubro de 2011 e janeiro de 2012. Foram incluídas 100 mulheres com idade 18 anos; gestação a termo; feto único, em apresentação cefálica; parto normal com laceração espontânea. Os desfechos primários foram tipo, localização, grau, forma e tamanho da laceração espontânea, avaliados com a Peri-Rule. As análises descritiva e inferencial foram realizadas por meio dos testes Qui-quadrado, t-Student, ANOVA e correlação de Pearson, com p-valor <0,05 apontado como estatisticamente significante. Resultados: 51% das mulheres tiveram laceração única, 49% lacerações múltiplas; 58% tiveram laceração na região anterior do períneo, 80% na região posterior e 23% na parede vaginal; 77,5% tiveram laceração de 1º grau, 20% de 2º grau e 2,5% de 3º grau (sem rotura completa do esfíncter anal); 62,5% das lacerações eram de forma linear, 35% em forma de U e 2,5% ramificadas; na região anterior, a média da extensão das lacerações foi 28,6mm (±12,9); na região posterior, a média da extensão da mucosa foi 26,1mm (±10,5), a média da extensão da pele foi 24,3mm (±10,4) e a média da profundidade foi 18,1(±8,6). Na parede vaginal, a média da extensão foi 19,8mm (±6,5). Para o cálculo da média do tamanho das lacerações, foi considerado o maior valor para cada mulher. Houve diferença estatisticamente significante em relação às seguintes variáveis: localização (região anterior e posterior do períneo e parede vaginal) e idade materna; grau (primeiro, segundo e terceiro) e realização de exercícios perineais na gestação, edema perineal no parto, tipo de puxo, variedade de posição no desprendimento cefálico e tamanho da circunferência cefálica; forma (linear, U ou ramificada) e exercício perineal na gestação, uso de misoprostol, tipo de puxo, variedade de posição no desprendimento cefálico e circunferência cefálica; tamanho das lacerações na região posterior do períneo (extensão na pele) e edema perineal, altura do períneo e uso de ocitocina; tamanho das lacerações na região anterior do períneo (extensão da mucosa) e idade materna, uso de misosprostol e peso do recém-nascido; extensão parede vaginal e edema perineal. Não houve diferença estatisticamente significante em relação ao tipo de laceração (única ou múltipla). As principais morbidades perineais no pós-parto foram ardência, edema, hematoma, equimose e dor. Conclusão: A região posterior do períneo foi a mais afetada e as médias do tamanho das lacerações variaram de acordo com o local atingido. A ocorrência de lacerações de terceiro grau e a frequência de lacerações na parede vaginal indicam a importância da avaliação criteriosa do esfíncter anal, assim como do canal de parto, mesmo quando não há solução de continuidade aparente na região perineal.Introduction: Most vaginal delivery are accompanied by spontaneous perineal lacerations. However there is a lack of knowledge related to prevalence, characteristics and risk factors of these lacerations in the literature. Aims: 1. To characterize the spontaneous lacerations in normal birth; 2. To analyze the spontaneous perineal lacerations in normal birth, according to socio-demographic, clinical and obstetric conditions during pregnancy and childbirth and the conditions of the newborn; 3. To evaluate morbidities related to spontaneous perineal lacerations until 48 hours after delivery. Methods: A cross-sectional study was carried out in Amparo Maternal maternity unit, São Paulo, BR. The data was collected from October, 2011 to January, 2012. There were included 100 women aged 18 years; fullterm pregnancy; single live fetus and vertex presentation; normal birth with spontaneous laceration. The primary outcomes were type, area, degree, shape and size of spontaneous lacerations, using the Peri-Rule. Descriptive and inferential analyzes were appraised using the chi- square test, Student\'s t-test, ANOVA and Pearsons correlation, with p-value<0.05 indicated as statistically significant. Results: 51% of women had single laceration and 49% multiple ones; 58% had anterior perineum lacerations, 80% in the posterior area and 23% in the vaginal wall; 77.5% had 1st degree, 20% 2nd degree and 2.5% 3rd degree lacerations (without complete rupture of the anal sphincter); 62.5% of lacerations were linear, 35% were \"U\" shape and 2.5% star shape. The average length of lacerations was 28.6 mm (sd ± 12.9) in the anterior area; the average length of the mucosa in the posterior area was 26.1 mm (sd ± 10.5), the length of skin was 24.3 mm (sd ± 10 4) and the depth was 18.1 (± 8.6); the average length of the vaginal wall was 19.8 mm (sd ± 6.5). In order to calculate the average size of lacerations, the highest value for each woman was considered. There were significant differences for the following variables: area (anterior and posterior perineum area and vaginal wall) and maternal age; degree (first, second and third) and perineal exercises during pregnancy, presence of perineal edema during labor, type of pushing, fetal position variety and size of head circumference; shape (linear, \"U\" or star) and perineal exercise during pregnancy, use of misoprostol, type of pushing, head delivery position and head circumference; size of lacerations in the posterior perineum area (skin length) and perineal edema, perineum height and use of oxytocin; size of lacerations in the anterior perineum area (mucosa length) and maternal age, use of misoprostol and weight of the newborn; length of the laceration on vaginal wall and perineal edema. There was no statistically significant difference in the type of laceration (single or multiple). Major postpartum perineal morbidities were blazing, edema, hematoma, ecchymosis and pain. Conclusion: The posterior perineum area was the most affected and the average size of lacerations varied according to the affected area. The occurrence of third degree lacerations and the frequency of lacerations in the vaginal wall indicate the importance of careful evaluation of the anal sphincter, as well as the birth canal, even if when the is no apparent solution of continuity in the perineum.
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Rezende, Lorenna Cardoso. "Biologia da reprodução em tatus: análise morfológica do aparelho reprodutor feminino da espécie Euphractus sexcinctus e análise morfológica placentária comparativa entre as espécies Chaetophractus villosus, Chaetophractus vellerosus e Euphractus sexcinctus." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/10/10132/tde-11102012-165946/.
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A literatura sustenta que os Xenarthras com sua longa e isolada existência podem ser a luz para entender a evolução dos mamíferos placentários. O tatu Euphractus sexcinctus é endêmico da América do Sul e têm sido pouco estudado. A morfologia e a relação entre tecidos moles e duros do aparelho genital, pelve e períneo de nove animais adultos foi descrita utilizando-se as técnicas de mesoscopia, microscopia (eletrônica e luz) e tomografia computadorizada. O desenho anatômico da pelve e períneo do Euphractus sexcinctus apresentou características basais, conferindo um excelente modelo de estudo para desvendar o desenvolvimento dos tetrápodes. A região perineal conteve os trígonos (anal e urogenital) e a região pubiana exibiu a genitália externa com o clitóris pronunciado pela ausência dos lábios vulvares, sendo diferente dos mamíferos recentes, apresentando característica semelhante ao cliteropênis de crocodilos, isto possibilita questionamentos interessantes acerca da importância da manutenção desta genitália tão protusida. Os ossos da pelve no animal adulto apresentaram-se fundidos, constituindo o sinsacro. Com relação ao aparelho genital interno, o extenso comprimento da cérvix em relação ao corpo do útero chamou a atenção, provavelmente, porque o grande volume dos músculos coccígeos na pelve menor empurraram o útero para a pelve maior. Os ovários, a tuba uterina e a vagina assemelharam-se aos órgãos de mamíferos recentes, portanto não surgiram novidades evolutivas. A placenta nos animais estudados (Chaetophractus villosus, Chaetophractus vellerosus e Euphractus sexcinctus) foi classificada como hemocorial e altamente invasiva, diferindo entre as espécies na disposição do córion viloso em contato com o útero.The literature maintains that Xenarthra and isolated with its long existence may be the light to understand the evolution of placental mammals. The armadillo Euphractus sexcinctus is endemic in South America and has been poorly search. The morphology and the relationship between hard and soft tissues of the female genital, pelvis and perineum of nine adult animals has been described using techniques: mesoscopy, microscopy (electron and light) and computed tomography. The anatomical design of the pelvis and perineum of the Euphractus sexcinctus presented baseline characteristics, being an excellent study model to understand the development of tetrapods. The perineal region contained the trines (anal and urogenital) and pubic area exhibited the external genital with clitoral pronounced by the absence of labia, with different mammalian recent cliteropenis presenting feature similar to that of crocodiles, this enables interesting questions about the importance of maintenance of such protruding genitalia. The bones of the pelvis in the adult animal had cast up, constituting the sinsacrum. Regarding the internal genital tract, the extensive length of the cervix in relation to the uterus called the attention, probably because the bulk of the pelvis minor has been filled by coccygeal muscles. Than this muscles pushed the uterus to the pelvis higher. The ovaries, oviducts and vagina resembled recent mammalian organs, so there appeared no evolutionary novelties. The placenta in animal studies (Chaetophractus villosus, Chaetophractus vellerosus and Euphractus sexcinctus) were classified as highly invasive and hemochorial, differing between species in the layout of the chorionic villi in contact with the uterus.
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Costa, Adriana de Souza Caroci da. "Análise da força muscular perineal na gestação e no puerpério." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/7/7136/tde-06052009-113939/.
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Introdução: A gestação e o parto exercem influência sobre musculatura do soalho pélvico e podem ocorrer morbidades do trato genito-urinário, de forma transitória ou definitiva. Objetivos: 1. Comparar as médias da Força Muscular Perineal (FMP) na gestação e no pós-parto segundo a idade materna, cor da pele, situação conjugal, dispareunia, estado nutricional, características das fezes, tipo de parto, condições do períneo e peso do recém-nascido; 2. Comparar os valores da FMP pelos métodos da perineometria e palpação digital vaginal. Método: Foi constituída uma coorte prospectiva, incluindo-se 226 primigestas, que procuraram cinco unidades básicas de saúde do município de Itapecerica da Serra, São Paulo, Brasil. As participantes foram seguidas em quatro etapas: 1. até 12 semanas de gestação; 2. entre 36 e 40 semanas de gestação; 3. até 48 horas após o parto; 4. entre 42 e 60 dias após o parto. A coleta de dados foi realizada entre fevereiro de 2007 e agosto de 2008. Nas etapas 1, 2 e 4 foi realizada a avaliação da FMP pela perineometria e palpação digital vaginal. A amostra final, com as participantes que cumpriram as quatro etapas do estudo, foi de 110 mulheres. A pesquisa teve aprovação de Comitê de Ética em Pesquisa. Resultados: A FMP das mulheres não variou significativamente durante a gestação e no puerpério (ANOVA: p=0,78). Nas três etapas, prevaleceu a FMP de fraca intensidade (em mmHg: etapa 1 = 15,9; etapa 2 = 15,2; etapa 4 = 14,7), com graus 0 a 3 na escala de Oxford. Não houve diferença estatisticamente significante entre as médias da perineometria, em mmHg, nas etapas 1, 2 e 4. A FMP não diferiu em relação à idade materna, cor da pele, situação conjugal, dispareunia, estado nutricional, características das fezes, tipo de parto, condições do períneo e peso do recém-nascido. A análise da correlação entre os valores da FMP, avaliada por ambos os métodos, indicou correlação positiva e estatisticamente significante (Coeficiente de Spearman: p=0,0001), nas três etapas. Conclusão: A gestação e o parto não reduziram significativamente a FMP. A perineometria e palpação digital vaginal são métodos válidos para avaliar a FMP, com boa aceitação pelas mulheres. A palpação digital vaginal é um método simples, que não exige equipamento especial, mas requer que o profissional que o utiliza seja adequadamente preparado para avaliar a FMP. Na prática clínica, esse método é eficaz para auxiliar no diagnóstico de disfunções urinárias, intestinais e sexuais. Quanto à perineometria, o uso é mais importante para realizar exercícios perineais com biofeedback, no tratamento dessas disfunçõesIntroduction: Pregnancy and childbirth can have an influence on the muscles and pelvic floor and can cause morbidities of the genito-urinary tract, either transient or permanent. Objectives: 1. To compare the average strength of pelvic floor muscle (SPFM) during pregnancy and postpartum period according to maternal age, race, marital status, dyspareunia, nutritional status, characteristics of the stool, type of delivery, conditions of the perineum and weight of the newborn; 2. To compare the values of SPFM by the methods of perineometry and digital vaginal palpation. Method: We formed a prospective cohort, including 226 primigravidae, who were attended by five basic health units of the city of Itapecerica da Serra, Sao Paulo, Brazil. The participants were followed in four stages: 1. up to 12 weeks of gestation; 2. between 36 and 40 weeks of gestation; 3. until 48 hours after birth; 4. between 42 and 60 days after delivery. Data collection was conducted between February 2007 and August 2008. In stages 1, 2 and 4 the SPFM was evaluated by perineometry and digital vaginal palpation. The final sample were 110 women, who completed the four stages of the study. The research was approved by a Research Ethics Committee. Results: The SPFM of the women did not change significantly during pregnancy and postpartum period (ANOVA: p = 0.78). In all the three stages, prevailed a low intensity SPFM (in mmHg: stage 1 = 15.9; stage 2 = 15.2, stage 4 = 14.7), with 0 to 3 degrees on the Oxford scale. There was no statistically significant difference between average perineometry, in mmHg, in stages 1, 2 and 4. The SPFM did not differ in relation to maternal age, race, marital status, dyspareunia, nutritional status, characteristics of the stool, type of delivery, conditions of the perineum and weight of the newborn. The analysis of the correlation between the SPFM values, evaluated by both methods, indicated a significant positive correlation (Spearman coefficient: p = 0.0001), in the three stages. Conclusion: Pregnancy and childbirth did not reduce significantly the SPFM. The perineometry and digital vaginal palpation are valid methods to assess the SPFM, with good acceptance by women. Digital vaginal palpation is a simple method, which does not require special equipment, but the professional, who uses it, must be adequately prepared to assess the SPFM. In clinical practice, this method is effective to support the diagnosis of urinary, intestinal and sex dysfunctions. Regarding perineometry, its use is more important to perform perineal exercises with biofeedback, for treating these disorders
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Colacioppo, Priscila Maria. "Uso da hialuronidase na prevenção do trauma perineal no parto normal: ensaio clínico aleatório placebo-controlado duplo-cego." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-11012010-151443/.
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A hialuronidase (HAase) é um complexo enzimático que age sobre o tecido conjuntivo frouxo. Existem vários estudos sobre a aplicação da HAase na região perineal, com a finalidade de reduzir a ocorrência de episiotomia e lacerações espontâneas. Apesar dos resultados positivos, as limitações metodológicas destes estudos justificam a controvérsia sobre os benefícios de sua utilização no parto normal. O objetivo do presente estudo foi comparar a frequência de trauma perineal e o grau de laceração perineal espontânea no parto normal, com e sem uso da HAase injetável no períneo. Trata-se de um ensaio clínico aleatório, placebo-controlado e duplo-cego, realizado em 2008, no Centro de Parto Normal do Amparo Maternal, na cidade de São Paulo. A amostra foi de 156 parturientes, alocadas aleatoriamente nos grupos experimental (n=76) e controle (n = 80). Foram incluídas apenas mulheres com feto único e gestação a termo, sem partos vaginais anteriores, que tiveram parto normal na posição semissentada, sem anestesia por bloqueio intra ou extradural. No segundo período do parto, as mulheres do grupo experimental receberam injeção de HAase na região perineal posterior e as do grupo controle, injeção de placebo. Os frascos com a solução foram previamente mascarados e identificados por código numérico. A avaliação do desfecho perineal também foi realizada de forma mascarada por uma enfermeira-juíza. Para a análise inferencial dos dados o teste exato de Fisher foi realizado de forma monocaudal, sendo considerados estatisticamente significantes os valores de p < 0,025. Os resultados mostraram que a integridade perineal (ausência de laceração de qualquer grau na região posterior do períneo ou episiotomia) ocorreu em 34,2% das mulheres do grupo experimental e em 32,5% do grupo controle, sem diferença estatisticamente significante entre os grupos (p = 0,477). O trauma perineal grave (lacerações de 2º e 3º graus e episiotomia) ocorreu em 28,9% das mulheres do grupo experimental e em 38,8% do grupo controle, sem diferença estatisticamente significante (p = 0,131). A profundidade da laceração de 2º grau nos grupos experimental e controle, avaliada com a Peri-Rule®, foi de 1,9 e 2,3 cm, respectivamente. A episiotomia foi realizada em 11 parturientes e quatro mulheres do grupo controle tiveram laceração de 3º grau. Entre as mulheres de ambos os grupos, o trauma mais frequente na região perineal posterior foi a laceração de primeiro grau (56% e 42,6% nos grupos experimental e controle, respectivamente). As únicas alterações perineais observadas, entre 24 a 48 horas após o parto, foram edema ou equimose, presentes em 14,7% e 32,5% das mulheres dos grupos experimental e controle, respectivamente. A média do perímetro cefálico dos recém-nascidos foi maior entre as mulheres com episiotomia e laceração de 3º grau, com valores do IC de 95% não coincidente para os casos de integridade perineal e laceração de 1º e 2º graus, sugerindo que a medida do perímetro cefálico dos recém-nascidos de mães submetidas a episiotomia era maior que dos demais bebês. A quase totalidade dos recém-nascidos apresentou Apgar maior ou igual a sete nos primeiro e quinto minutos de vida (94,2% e 99,4%, respectivamente), indicando a boa vitalidade ao nascer. Todos os bebês permaneceram internados com a mãe no Alojamento Conjunto. Concluiu-se que a utilização da HAase injetável não aumentou a proporção de períneo íntegro nem reduziu a proporção de trauma perineal grave na amostra estudadaHyaluronidase (Haas) is a complex enzyme that acts on the connective tissue. There are several studies on the implementation of Haas in the perineal area in order to reduce the incidence of episiotomy and spontaneous lacerations Despite positive results, methodological limitations of these studies justify the controversy about the benefits of its use in spontaneous delivery. The aim of this study was to compare the frequency of trauma and the degree of perineal lacerations in vaginal deliveries, with and without the use of injectable Haase in the posterior region of the perineum. This is a randomized clinical trial, placebo-controlled, double-blind study, conducted in 2008 in the Amparo Maternal Birth Center located in São Paulo city. The sample of 156 pregnant women were randomly allocated to experimental groups (n = 76) and control (n = 80). We included only women with singleton pregnancies, pregnancy to term without previous vaginal deliveries and who had spontaneous delivery in semi-sitting position without anesthesia by intra or extra-dural. In the second stage of labor, women in the experimental group received injections of Haas in the posterior perineal area and those of the control group received injections of placebo. The vials of solution were previously masked and identified by code number. The assessment of perineal outcome was also performed under masked by a nurse-judge. For the inferential analysis of data, we performed the Fisher exact test, so tailed and were considered statistically significant p values <0.025. The results showed that the perineal integrity (absence of any laceration in the posterior region of the perineum or episiotomy) occurred in 34.2% of women in the experimental group and 32.5% in the control group, no statistically significant difference between groups (p = 0.477). The severe perineal trauma (second and third degree lacerations and episiotomy) occurred in 28.9% of women in the experimental group and 38.8% in the control group, no statistically significant difference (p = 0.131). The depth of the perineal laceration of 2nd degree in experimental and control groups measured by the Peri-Rule ®, was 1.9 and 2.3 cm, respectively. Episiotomy was performed in 11 pregnant women and four women in the control group had 3rd degree lacerations. Among women in both groups, the most common trauma in the posterior region of the perineum was the first degree (56% and 42.6% in the experimental and control groups, respectively). The only perineal changes observed between 24 to 48 hours after delivery, were swelling or bruising, present in 14.7% and 32.5% of women in the experimental and control groups, respectively. The average head circumference of newborns was higher among women with episiotomy and 3rd degree tears, with CI of 95% not matched to the cases of integrity and perineal laceration at 1st and 2nd degrees, suggesting that the extent head circumference of newborns whose mothers undergo episiotomies was larger than the other babies. Almost all of the newborns had Apgar scores greater than or equal seven in the first and fifth minutes of life (94.2% and 99.4%, respectively), indicating good vitality at birth. All babies roomed-in with the mother during hospital stay. It was concluded that the use of injectable Haase did not increase the proportion of intact perineum and did not reduce the proportion of severe perineal trauma in our sample
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Silveira, Joyce da Costa. "O ensino da prevenção e reparo do trauma perineal nos cursos de especialização em enfermagem obstétrica." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7132/tde-12062007-110751/.
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Este estudo teve como objetivo descrever os elementos que fundamentam o ensino da assistência ao parto normal na prevenção e reparo do trauma perineal nos cursos de especialização em enfermagem obstétrica. Para isso, o estudo foi desenvolvido seguindo uma abordagem qualitativa de caráter descritivo, para identificar aspectos do processo de formação profissional que se interpõem à prática assistencial da enfermagem obstétrica. Tal perspectiva teórico-metodológica mostrou-se adequada para esta investigação, pois possibilitou identificar aspectos relativos ao processo de ensino-aprendizagem na assistência ao parto normal, prevenção e reparo do trauma perineal nos cursos de especialização em enfermagem obstétrica, a fim de conhecer a contribuição da especialização para a prática baseada em evidências científicas. O estudo foi realizado no Município de São Paulo. Fizeram parte da amostra dez instituições de ensino superior (universidades, centros universitários e faculdades) que têm cursos de graduação em enfermagem e oferecem ou ofereceram a especialização em enfermagem obstétrica. O período compreendeu os anos de 1995 a 2005. Foram entrevistados nove coordenadores, e dez professores dessas instituições. As entrevistas seguiram um roteiro específico para os coordenadores e outro aos professores. As falas dos entrevistados foram agrupadas em: \"O trauma perineal e sua prevenção\" e \"Elementos que fundamentam o ensino da assistência ao parto e do cuidado perineal\". Constatou-se que o conhecimento científico, teórico e prático é indispensável e que ensino não pode estar desvinculado à pratica. Esta prática deve ser feita em laboratório, com todo o equipamento necessário para que o aluno adquira habilidade na reparação do trauma perineal e, também, deve propiciar a experiência no cuidado da mulher durante o partoThis study describes the elements for prevention and healing of perineal trauma during childbirth learned in obstetric nursing courses. Using a qualitative approach, the objective was to identify aspects of the obstetrician nursing training process and its intersection with the nursing practice. Such perspective, theoretical-practical, is adequate for this research, making possible to identify aspects of the teaching-learning process in the education on prevention and healing of the perineum traumas during childbirth in the obstetric nursing courses, in order to know how the theory can affect the nursing practice based in scientific evidence. The study was carried out in the city of São Paulo. Ten institutions of higher education were part of the sample (universities and colleges). They have curriculum for nursing and offer or have offered a specialization in obstetrical nursing between 1995 and 2005. Nine coordinators and ten professors of those institutions were interviewed. The interviews followed a script, different for coordinators and professors. The answers were categorized in \"Perineal trauma and its prevention\" and \"Educational base for professional intervention in normal delivery and perineum care\". Scientific, theoretical and practical knowledge are indispensable and theory and practice cannot be disassociated. Practical knowledge must be developed in a laboratory with all the necessary equipment, so the student can acquires skills in healing of perineum trauma and gains experience in taking care of women during labor and delivery
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Silva, Renata Luana da. "Fatores associados à intensidade de dor perineal após o parto normal: estudo transversal." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-11052015-142426/.
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Introdução: A dor perineal é frequente no período de pós-parto, entretanto, não há um consenso entre a associação da intensidade de dor com os fatores maternos, neonatais e a assistência obstétrica recebida no trabalho de parto e parto. Objetivos: Identificar a prevalência e a intensidade de dor perineal no primeiro dia de pós-parto normal; analisar a associação entre intensidade de dor perineal e características sociodemográficas maternas, histórico obstétrico, assistência ao trabalho de parto, parto e pós-parto e características do RN e analisar a associação entre a intensidade de dor perineal e o escore de interferência na execução das atividades maternas. Método: Estudo transversal com coleta de dados realizada no Alojamento Conjunto. A amostra foi composta por 596 puérperas no primeiro dia de pós-parto. Os dados foram obtidos por entrevista e análise de prontuário, e a intensidade de dor foi mensurada pela Escala Numérica Visual (0 a 10). Foram utilizados os testes Qui-quadrado com simulação de Monte Carlo e ANOVA. As variáveis que apresentaram p0,20 foram relacionadas por meio de regressão logística ordinal. A significância utilizada foi de 5% para todos os testes estatísticos. Resultados: A prevalência de dor perineal encontrada foi 38,3% e a intensidade média de 4,6 (dp=1,9), considerada como moderada. A ausência de dor no períneo esteve associada à ausência de trauma (p<0,001) e à multiparidade (p=0,012). A dor leve esteve associada à primiparidade (p=0,012), à ter estudado mais de 12 anos (p=0,001) e à episiotomia (p<0,001). A dor moderada esteve associada a ter estudado mais de 12 anos (p=0,001) e a presença de um trauma perineal (p<0,001). A dor intensa associou-se à episiotomia (p<0,001). Puérperas que estudaram até 8 anos tiveram proteção contra o aumento em uma categoria de intensidade de dor no períneo (OR 0,5; IC 95% 0,3 - 0,9) e ter tido laceração de 2º grau no parto aumentou em 3,4 vezes a chance de ter aumento em uma categoria de intensidade de dor (OR 3,4; IC 95% 1,7 6,9). A dor perineal interferiu significativamente na realização de todas as atividades investigadas, com exceção de evacuar. CONCLUSÃO: Maiores intensidades de dor perineal estão associadas a ter estudado por 12 anos ou mais, à presença de mais de um trauma perineal e à episiotomia. A dor perineal interfere nas atividades maternas durante o pós-partoIntroduction: Perineal pain is a frequent event in the postpartum period. However, there is no agreement between pain intensity association with maternal factors, neonatal factors and obstetric care received during labor and delivery. Objectives: To identify the prevalence and intensity of perineal pain in the first day of postpartum after vaginal delivery; to analyze the association between intensity of perineal pain and maternal sociodemographic characteristics, obstetric history, obstetric care during labor, delivery and postpartum period and newborns characteristics, and to analyze the association between intensity of perineal pain and the interference score in the implementation of maternal activities. Methods: Cross-sectional study, a data collection undertaken in the postnatal ward. The sample consisted of 596 mothers interviewed in their first postpartum day after. Data were collected trough interview and review of medical records. The intensity of pain was measured with the Numeric Visual Scale (0 10). The chi-square tests were used with Monte Carlo simulation and ANOVA and variables with p0.20 were related by ordinal logistic regression. The significance adopted was 5% for all statistical tests. Results: The prevalence of perineal mean pain was 38.3% and the pain intensity 4.6 (SD=1.9), classified as moderate. The absence of perineal pain was associated with the absence of trauma (p<0.001) and multiparity (p=0.012). Mild pain was associated with primiparity (p=0.012), education more than 12 years (p=0.001) and episiotomy (p<0.001). The moderate pain was associated with studying 12 years or more (p=0.001) and any of a perineal trauma (p<0.001). Severe pain was associated with an episiotomy (p<0.001). Studying up to 8 years was a protective factor against the increase in one perineal pain intensity category (OR 0.5; 95% CI 0.3 to 0.9) and 2nd degree tear in childbirth increased by 3.4 times the chance of a higher in a category of pain intensity (OR 3.4; 95% CI 1.7 to 6.9). The perineal pain interfered significantly in carrying out all activities surveyed, except for the fecal evacuation. CONCLUSION: Greater perineal pain intensities are associated with having studied for 12 years or more, of study more than one perineal trauma and an episiotomy. The perineal pain interferes in the activities of the women during the postpartum period
Books on the topic "Perinæum"
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Robinson, Sarah. Midwives, research and childbirth, vol. 2. London: Chapman & Hall, 1991.
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Zbar, Andrew P., Robert D. Madoff, and Steven Wexner, eds. Reconstructive Surgery of the Rectum, Anus and Perineum. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-84882-413-3.
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van der Putte, S. C. J. The Devlopment of the Perineum in the Human. Berlin, Heidelberg: Springer Berlin Heidelberg, 2005. http://dx.doi.org/10.1007/b138055.
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Putte, S. C. J. van der. The development of the perineum in the human: A comprehensive histological study with a special reference to the role of stromal components. Berlin: Springer-Verlag, 2005.
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Chia, Mantak. Tan Tien Chi Kung: Empty force, perineum power and the second brain. Chiang Mai, Thailand: Universal Tao Publications, 2002.
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W, Vanny Chrisma. Madah cinta shalihah: Sebuah novel religius perindu Tuhan. Banguntapan, Jogjakarta: Diva Press, 2008.
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Bastian, Hilda. Birth positions and the perineum, a study of 4,523 births at home in Australia. East Maitland: Homebirth Australia Inc., 1995.
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1948-, Glass Richard, ed. Surgical treatment of anal incontinence. 2nd ed. London: Springer, 1997.
Find full textBook chapters on the topic "Perinæum"
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Thorek, Philip. "Male Perineum." In Anatomy in Surgery, 638–44. New York, NY: Springer New York, 1985. http://dx.doi.org/10.1007/978-1-4613-8286-7_34.
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Thorek, Philip. "Female Perineum." In Anatomy in Surgery, 657–72. New York, NY: Springer New York, 1985. http://dx.doi.org/10.1007/978-1-4613-8286-7_36.
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Roberts, Patricia L. "Surgery: Perineum." In Crohn’s Disease, 183–95. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-14181-7_13.
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Stein, Ernst. "Descending-Perineum-Syndrom." In Proktologie, 327–29. Berlin, Heidelberg: Springer Berlin Heidelberg, 1998. http://dx.doi.org/10.1007/978-3-642-97707-7_13.
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Stein, Ernst. "Descending Perineum Syndrome." In Anorectal and Colon Diseases, 325–27. Berlin, Heidelberg: Springer Berlin Heidelberg, 2003. http://dx.doi.org/10.1007/978-3-642-18977-7_13.
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Stein, Ernst. "Descending-Perineum-Syndrom." In Proktologie, 305–7. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-97193-8_13.
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De Caro, Raffaele, Andrea Porzionato, and Veronica Macchi. "Perineum: Functional Anatomy." In Rectal Prolapse, 3–11. Milano: Springer Milan, 2008. http://dx.doi.org/10.1007/978-88-470-0684-3_1.
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Stein, Ernst. "Descending-Perineum-Syndrom." In Proktologie, 337–39. Berlin, Heidelberg: Springer Berlin Heidelberg, 2003. http://dx.doi.org/10.1007/978-3-642-55594-7_13.
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Knoch, H. G. "Descending perineum Syndrome." In Fortschritte der praktischen Dermatologie und Venerologie, 442–43. Berlin, Heidelberg: Springer Berlin Heidelberg, 1993. http://dx.doi.org/10.1007/978-3-642-78163-6_72.
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de Araújo Molteni, Rafaela, Fábio Henrique de Carvalho, Janaina de Oliveira Poy, April Anne Grant, and Rishi Rattan. "Rectum and Perineum Injuries." In The Trauma Golden Hour, 159–61. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26443-7_30.
Full textConference papers on the topic "Perinæum"
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Cruz, Jazmin, Mario Garcia, Elizabeth Jackson, and James Yang. "Perineum Pressure Distribution Among Various Bicycle Saddles." In ASME 2020 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/detc2020-22688.
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Abstract Cycling is a widely popular exercise that is known to provide great health benefits. However, it has been questioned if cycling is responsible for genital numbness or Erectile Dysfunction (ED) due to compression of the perineum between the rider and the bicycle saddle. This study compares the perineal pressure distribution between three saddles (ISM, 3 West, and Fizik) for healthy, active male cyclists and a saddle recommendation is made. Using their own bikes, participants perform six randomized cycling trials (two per saddle) while sitting on a piezo-resistive pressure mat. Participants were asked to qualitatively rate the saddles after each trial. The quantitative results favor the ISM saddle due to its lower perineal pressure values, but the qualitative perceived comfort from the cyclists is split.
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Hutabarat, Vitrilina, Stefani Anastasia Sitepu, Megawati Sinambela, and G. F. Gustina Siregar. "The Effect of Lavender Aromatherapy Giving on Perineum Pain in Post Partum Mothers." In International Conference on Health Informatics and Medical Application Technology. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0009514903410347.
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Gustirini, R., RN Pratama, RAA Maya, and Mardalena. "The Effectiveness of Kegel Exercise for the Acceleration of Perineum Wound Healing on Postpartum Women." In 1st International Conference on Science, Health, Economics, Education and Technology (ICoSHEET 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/ahsr.k.200723.101.
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Hall, Timothy L., Christopher R. Hempel, Brian J. Sabb, William W. Roberts, Kullervo Hynynen, and Jacques Souquet. "Analysis of Acoustic Access to the Prostate Through the Abdomen and Perineum for Extracorporeal Ablation." In 9TH INTERNATIONAL SYMPOSIUM ON THERAPEUTIC ULTRASOUND: ISTU—2009. AIP, 2010. http://dx.doi.org/10.1063/1.3367146.
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Hamid, Turahim Abd, and Basir Nordin. "Green campus initiative: Introducing RWH system in Kolej Perindu 3 UiTM Malaysia." In Environment (ISESEE). IEEE, 2011. http://dx.doi.org/10.1109/isesee.2011.5977121.
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Hunter, ChaKaria, Marco Cesante, Sheng Xu, Bradford J. Wood, and Reza Seifabadi. "Sensor-Less Fully Transperineal Fusion-Guided Prostate Biopsy." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3356.
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Prostate cancer is the most common male cancer in the United States with an estimated 181,000 new cases and 26,000 deaths in 2016 [1]. Transrectal ultrasound (TRUS) guided biopsy is the gold standard for definitive diagnosis in which the imaging and needle insertion are both done transrectally. Since ultrasound guidance results in insufficient sensitivity of prostate cancer diagnosis (40–60%), fusion of preoperative MRI with real-time US has been proposed to increase the sensitivity (∼ 90%). Transperineal biopsies have recently gained attention using a brachytherapy grid to biopsy through the perineum rather than the rectum, practically eliminating the possibility of infection. To enable MR-US fusion, electromagnetic tracking system is commonly used to make a 3D volume out of a stack of 2D US images acquired during an initial sweep of prostate. The EM tracking however is somewhat undesirable as it adds to the cost of the procedure and is prone to inaccuracies. Therefore, in this study, we propose a method that eliminates the need for such external tracking devices and inserts the needle transperineally thus reducing infection risks. Also, the procedure is more comfortable to the patient since the TRUS probe is eliminated. A patient specific grid template is designed based on the MR image of the patient.
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Wigati, Putri Wahyu, and Dewi Kartika Sari. "Relationship between Diet Restriction and Acceleration of Perineum Wound Healing in Post Partum Normal Delivery Mothers in Tiron Public Health Center, Kediri, East Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.51.
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ABSTRACT Background: There are several factors, one of which is the cultural factor that influences the postpartum mother’s experience of changing abstinence behavior from the cultural aspect, and should be encouraged. Taboo foods are well known in almost all human societies. Indirectly this can affect the level of health and recovery in postpartum mothers. This study aimed to determine the relationship between diet restirctions and acceleration of perineum wound healing in post-partum normal delivery mothers in Tiron Community Health Center, Kediri, East Java. Subjects and Method: This was a cross sectional study conducted at working area Tiron community health center from June to July 2019. A sample of 32 respondents selected by purposive sampling. The data was analyzed by Spearman Rank. Results: Perineal wound healing in postpartum mothers was associated with diet restrictions, and it was statistically significant. Conclusion: Perineal wound healing in postpartum mothers is associated with diet restriction in working area of Tiron Community Health Center, Kediri, East Java. Keywords: diet restriction, perineal wound healing in postpartum mothers, postpartum Correspondence: Putri Wahyu Wigati. Faculty of Health Sciences, Universitas Kadiri. Jln. Selomangleng No 1, Kediri, East Java, Indonesia. Email: putriwahyuwigati@unik-kediri.ac.id DOI: https://doi.org/10.26911/the7thicph.03.51
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Wigati, Putri Wahyu, and Dewi Kartika Sari. "RELATIONSHIP BETWEEN DIET RESTRICTION AND ACCELERATION OF PERINEUM WOUND HEALING IN POST PARTUM NORMAL DELIVERY MOTHERS IN TIRON PUBLIC HEALTH CENTER, KEDIRI, EAST JAVA." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph-fp.03.06.
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Kuznecov, S. A., E. A. SHejko, L. YU SHashkina, E. I. Triandafilidi, and O. V. Bykadorova. "The treatment of extensive hemangioma of the perineum and the inner surface of the left hips in a child of the first year of life. Clinical case." In Scientific achievements of the third millennium. LJournal, 2019. http://dx.doi.org/10.18411/scienceconf-09-2019-18.
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Meena, J., A. Parthasarathy, R. Vatsa, N. Singh, S. Kumar, K. K. Roy, and S. Singhal. "Radical excision of a massive vulvo-vaginal mass." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685391.
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Background: Vulvo-vaginal masses has a varied presentation and causes. The most common differential diagnosis are condylomata acuminata, vulvular abscess, vulvular/vaginal cysts, vulval carcinoma, vulval lipoma, angiomyofibroblastoma and aggressive angiomyxoma. Surgical excision of the mass is the main method of treatment and the outcome differs with the histological diagnosis. We present a video of excision of a massive Vulvo vaginal mass in toto. Case: A 45 year old P3 L3 female, presented with complaint of mass in perineal area and discharge per vaginum for 2 years. The mass was growing progressively and reached the present size. On examination there was a 9 × 8 cm irregular firm to cystic mass, arising from posterior wall of vagina and protruding out of introitus with bossellated surface. The mass also extended into right ischiorectal fossa, 10 × 10 cm mass with cystic, smooth surface that was irreducible with no cough impulse. CECT abdomen and pelvis revealed a well-defined 12 × 10 × 8 cm mass in right perineum arising from right lower lateral vaginal wall with ischiorectal fossa extension. There was no extension into cervix, bladder or rectum. Biopsy taken from the mass was inconclusive. A wide local excision was done under general anesthesia wherein an ischiorectal and vaginal mass of size 30 × 10 cm with irregular margin was excised in toto. Histopathology was suggestive of aggressive angiomyxoma. The patient is under follow up. Discussion: Aggressive Angiomyxoma is a rare slow growing locally invasive mesenchymal tumor and has a substantial potential for recurrence. It is often misdiagnosed. Pre-operative diagnosis is difficult due to rarity of this entity and absence of diagnostic features, but it should be considered in case of masses in genital, perianal and pelvic region in a woman of reproductive age. Radical surgical excision is the first line of management. A long term follow up of the case is necessary and MRI is preferred method for detecting recurrences.