| Are routine interventions necessary in normal birth? | |
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MedLine Citation:
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PMID: 17175486 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Chen-Yu Chen; Kuo-Gon Wang |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Taiwanese journal of obstetrics & gynecology Volume: 45 ISSN: 1875-6263 ISO Abbreviation: - Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-12-18 Completed Date: 2007-02-26 Revised Date: 2007-12-28 |
Medline Journal Info:
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Nlm Unique ID: 101213819 Medline TA: Taiwan J Obstet Gynecol Country: China |
Other Details:
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Languages: eng Pagination: 302-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Delivery, Obstetric
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methods* Enema* / utilization Episiotomy* / utilization Female Fetal Monitoring* / adverse effects, methods, utilization Humans Pregnancy Taiwan |
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