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Hands off the perineum during delivery? (Avoiding perineal tears).
Keeping your hands off the perineum during delivery may lower the risk of a severe perineal tear and make an episiotomy less likely, Dr. Klaus Mayerhofer of the University of Vienna, and his associates reported.
In a prospective, multicenter study, 1,076 women with uncomplicated, term pregnancies were randomized to management with either the hands-on or hands-poised approach in the second stage of labor.
In the traditional hands-on method, the healthcare provider places the left hand on the infant's head to apply pressure in an attempt to increase flexion. The right hand supports the perineum to reduce trauma and provide lateral flexion to help deliver the shoulders. In the "hands-poised" method, the provider never ...
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Source: HighBeam Research, Hands off the perineum during delivery? (Avoiding perineal tears).