| Prospective randomised multicentre trial with the birth trainer EPI-NO for the prevention of perineal trauma. | |
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MedLine Citation:
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PMID: 19780729 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: In several non-randomised trials training with EPI-NO increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain killers. AIMS: To verify the preliminary results with EPI-NO in a prospective randomised trial. METHODS: Randomised, single-blind multicentre trial in four university hospitals in Germany including 276 primigravidae. RESULTS: After training with EPI-NO we observed a significant increase in the incidence of intact perineum (37.4% vs 25.7%; P = 0.05) and a tendency towards lower episiotomy rates (41.9% vs 50.5%; P = 0.11). We found no significant differences between the two groups regarding incidence of perineal tears, duration of second stage of labour, use of pain relief and rate of vaginal infection. CONCLUSIONS: Training with EPI-NO increases significantly the likelihood of having an intact perineum and reduces the episiotomy rate. |
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Authors:
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Eugen Ruckh??berle; Katharina Jundt; Martin B??uerle; Karl-Heinz Brisch; Kurt Ulm; Christian Dannecker; Karl Theo Mario Schneider |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial |
Journal Detail:
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Title: The Australian & New Zealand journal of obstetrics & gynaecology Volume: 49 ISSN: 1479-828X ISO Abbreviation: Aust N Z J Obstet Gynaecol Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-09-28 Completed Date: 2010-01-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0001027 Medline TA: Aust N Z J Obstet Gynaecol Country: Australia |
Other Details:
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Languages: eng Pagination: 478-83 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Johann Wolfgang Goethe University, Frankfurt, Germany. Eugen.ruckhaeberle@med.uni-frankfurt.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Episiotomy / adverse effects, education Exercise Therapy / education*, instrumentation* Female Humans Obstetric Labor Complications / prevention & control* Patient Education as Topic* Perineum / injuries* Pregnancy Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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