Maniobra de Ritgen y masaje perineal en período expulsivo en nulíparas adolescentes del Hospital Matilde Hidalgo de Procel desde agosto 2016 a enero 2017
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
A lo largo de la vida todas las mujeres se convierten en madres, y para ello es necesario
cumplir el proceso del trabajo de parto, la mayoría de ellas sufre traumas perineales y
en mayor cantidad las adolescentes nulíparas ya que nunca han experimentado un
parto vaginal. El objetivo de este estudio es conocer la eficacia la de la maniobra de
Ritgen potenciando la aplicación del masaje perineal para evitar traumas perineales
durante el periodo expulsivo en adolescentes nulíparas atendidas en el Hospital Matilde
Hidalgo de Procel desde agosto 2016 a enero del 2017; a través de un estudio
prospectivo, experimental de corte transversal, establecer la edad más frecuente en la
que se produce desgarros, comprobar el grado de desgarro que se presentó usando
maniobra de Ritgen con y sin masaje perineal. Dentro de las 295 pacientes
adolescentes que fueron estudiadas, se encontró 172 pacientes que se les realizó
maniobra de Ritgen y masaje perineal, y 123 pacientes adolescentes a los que no se
les realizaron masaje perineal. Se obtuvo una tasa inferior de desgarro perineal con
un porcentaje de 42%, mientras a las pacientes que no le realizaron se obtuvo una
tasa de 53% pacientes que presentaron desgarros perineales. En conclusión, el
masaje perineal se puede incluir con la maniobra de Ritgen ya que es una técnica
que puede ser utilizada previo al proceso del parto para relajar los músculos de esta
zona y disminuir la frecuencia de desgarro.
Throughout the life all the women become mothers, and for this it is necessary to fulfill the process of the labor, the majority of them suffer perineal traumas and in greater amount the nulliparous adolescents since they have never experienced a vaginal delivery. The objective of this study is to know the effectiveness of the Ritgen maneuver by enhancing the application of perineal massage to avoid perineal trauma during the expulsive period in nulliparous adolescents treated at the Hospital Matilde Hidalgo de Procel from August 2016 to January 2017; Through a prospective, cross-sectional experimental study, to establish the most frequent age at which tears occur, to verify the degree of tear that was presented using Ritgen's maneuver with and without perineal massage. Among the 295 adolescent patients that were studied, 172 patients were found to have Ritgen maneuver and perineal massage, and in which they did not apply perineal massage were 123 adolescent patients. A lower rate of perineal tear was obtained with a percentage of 42% while patients who did not performed a rate of 53% patients who presented perineal tears In conclusion, perineal massage can be included with the Ritgen maneuver since it is a technique that can be used prior to the labor process to relax the muscles of this area and decrease the frequency of tearing. A
Throughout the life all the women become mothers, and for this it is necessary to fulfill the process of the labor, the majority of them suffer perineal traumas and in greater amount the nulliparous adolescents since they have never experienced a vaginal delivery. The objective of this study is to know the effectiveness of the Ritgen maneuver by enhancing the application of perineal massage to avoid perineal trauma during the expulsive period in nulliparous adolescents treated at the Hospital Matilde Hidalgo de Procel from August 2016 to January 2017; Through a prospective, cross-sectional experimental study, to establish the most frequent age at which tears occur, to verify the degree of tear that was presented using Ritgen's maneuver with and without perineal massage. Among the 295 adolescent patients that were studied, 172 patients were found to have Ritgen maneuver and perineal massage, and in which they did not apply perineal massage were 123 adolescent patients. A lower rate of perineal tear was obtained with a percentage of 42% while patients who did not performed a rate of 53% patients who presented perineal tears In conclusion, perineal massage can be included with the Ritgen maneuver since it is a technique that can be used prior to the labor process to relax the muscles of this area and decrease the frequency of tearing. A
Descripción
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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Palabras clave
Adolescente, Nulíparas, Maniobra de Ritgen, Masaje perineal, Desgarro perineal, Estudios prospectivos, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador