Evidências científicas para a integridade perineal no parto

Abstract

The injury to the perineum is one of the most common injuries during child-birth, even that considered normal. The objective was to evaluate the evidence to preserve the perineal integrity in the second stage of the parturition labor. This is an integrative review conducted in the LILACS, SCIELO, and MEDLINE. Forty-four publications were found that attended the inclusion criteria, presented in four categories: maternal characteristics, fetal, parturition and interventions in the perineum. Other protective factors: the weight of the baby at birth less than 2.5 kg, missing the Kristeller maneuver, delivery with less intervention (oxytocin, induction, episiotomy and forceps), the extra hospital birth, the left lateral position woman at birth, use of baby guard in optimal therapeutic pressures, the largest professional experience and the decision to hold or not episiotomy based on scientific evidence. This research will sustain the construction of a care protocol for obstetric service in the Municipal Hospital of Iporá-GO will include the protection of conduct of perineal integrity, through the best scientific evidence, in order to reduce interventions thus promoting the reduction of high rates of episiotomy and lacerations of the perineum.