A elaboração e implantação de um protocolo para redução da taxa de Episiotomia: um relato de experiência

Abstract

The liberal and routine use of episiotomy is strongly detrimental and ineffective and may increase the risk of third and fourth degree perineal laceration of infection and severe bleeding without reducing long-term problems of pain and urinary and fecal incontinence. The aim of this study is to report the experience of the elaboration and implementation of a protocol to reduce the rate of episiotomy. The present research is an experience report of the elaboration and implantation of a protocol for the reduction of the rate of episiotomy in a philanthropic maternity that attends pregnant women of the Unified Health System. A literature review was carried out in the library of the Ministry of Health and in nursing journals arranged in electronic means, besides the field diary produced during the experience. This experience contributed to the fact that the professionals perceived the relevance of the phenomenon of inadequate episiotomy, and how this could negatively impact the woman's life, as well as, it contributes to the reduction of the episiotomy cases in the study maternity.