Naslov
MODIFIED RITGEN MANEUVER IN PERINEAL PROTECTION – SIXTY-YEAR EXPERIENCE

Autori
Habek, Dubravko ; Tikvica Luetić, Ana ; Marton, Ingrid ; Prka, Matija ; Pavlović, Goran ; Kuljak, Željka ; Švaljug, Deana ; Mužina, Zdenka

Izvornik
Acta clinica Croatica (0353-9466) 57 (2018); 116-121

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Delivery ; obstetric ; Perineum – injuries ; Anal canal – injuries ; Lacerations – prevention and control ; Croatia

Sažetak
The aim is to present the 60-year experience in modifi ed Ritgen maneuver according to perineal injuries. Th is retrospective clinical observational study (1950-2010) analyzed the impact of modifi ed Ritgen maneuver delivery technique (controlled fetal head defl exion with left hand and synchronous reduction of perineal strain with extended right hand thumb along the right side of the vulva and perineum without pushing) on peripartum perineal tears at the Maternity Ward, Bjelovar General Hospital in Bjelovar, Croatia, divided into fi ve-year intervals. Th e rate of perineal tear in general was less than 5% until 2000. Th e rate of perineal tear grade I was very low until 1995, then increased to 8.6% in 2010, yet never exceeding 10%. Th e rate of perineal tear grade II never exceeded 2%, whereas perineal tear grade III was a sporadic event never exceeding 0.4% of the study material with a single case of grade IV tear. Th e rate of intact perineum in vaginal deliveries without episiotomy ranged from 96.2% to 100% in the 1950-1960 period, with a decrease to 46% in 2010. Th e study revealed the modifi cation of Ritgen maneuver described to have resulted in signifi cant reduction of all grades of perineal tear over decades.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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