Document Detail

Are routine interventions necessary in normal birth?
MedLine Citation:
PMID:  17175486     Owner:  NLM     Status:  MEDLINE    
Routine interventions during labor and birth, such as perineal shaving and enemas before vaginal delivery, continuous intrapartum electronic fetal monitoring (EFM), and episiotomy are prevalent in Taiwan, but they may not always be necessary. Numerous studies investigating these interventions have failed to find absolute benefits for women with uncomplicated and low-risk pregnancies. No evidence-based benefits support routine perineal shaving or enemas during labor for reducing the risk of perineal wound infection or neonatal infection. The use of EFM is associated with an increased rate of operative interventions (vacuum, forceps, cesarean delivery) but does not result in a significant decrease in the incidence of perinatal death or cerebral palsy. Routine episiotomy does not have demonstrable advantages over restrictive episiotomy in the frequency or severity of perineal damage or pelvic relaxation.
Chen-Yu Chen; Kuo-Gon Wang
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  45     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-18     Completed Date:  2007-02-26     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  302-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Delivery, Obstetric / methods*
Enema* / utilization
Episiotomy* / utilization
Fetal Monitoring* / adverse effects,  methods,  utilization

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