Perineal care and repair

    Research output: Chapter in Book / Conference PaperChapter

    Abstract

    ![CDATA[Perineal trauma can have lifelong effects on the quality of women's lives. Midwives should try to minimise this trauma, and after correctly identifying it should be able to undertake perineal repair competently, using the best suturing techniques and materials, to minimise any associated short- and long-term morbidity. Prevention of perineal trauma and improvement of second-stage comfort are important components of perineal care. The pelvic floor is the term given to the structures that fill the outlet of the bony pelvis. These muscles have important functions, and disruption to their integrity can have serious consequences for a woman's health. It is important for a midwife to have an understanding of the structure and function of the pelvic floor muscles and perineal body in order to minimise damage and prevent long-term morbidity. Care and advice given to the woman, following the birth, regarding her perineum and pelvic floor is often not evidence based and in some cases remains virtually absent. It is important for a woman to have the best possible support and advice in the postnatal period in order to be able to care for herself and ensure optimal perineal and pelvic floor muscle health. The midwife's role in giving support and evidence-based advice in the antenatal and postnatal periods can ensure that women minimise long-term morbidity, such as incontinence and sexual dysfunction.]]
    Original languageEnglish
    Title of host publicationMidwifery: Preparation for Practice (3rd ed.)
    EditorsSally Pairman, Jan Pincombe, Carol Thorgood, Sally Tracy
    Place of PublicationChatswood, N.S.W.
    PublisherChurchill Livingstone
    Pages693-715
    Number of pages23
    Edition3rd ed.
    ISBN (Electronic)9780729583350
    ISBN (Print)9780729541749
    Publication statusPublished - 2015

    Keywords

    • urinary incontinence
    • episiotomy
    • perineum
    • midwifery

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