Nanny L. Bowe, C.N.M., F.N.P., originally from New York City, was formerly a junior high school English teacher and has been living in California for the past five years. Presently, she is on the faculty at University of California, San Francisco School of Nursing in the Family Nurse Practitioner Program with a joint appointment in the Division of Family and Community Medicine. She received the Master's of Health Services, Family Nurse Practitioner certification at the University of California, Davis in 1979, Nurse-Midwifery certification from Downstate Medical Center in 1974, A.A.S. in Nursing from Bronx Community College in 1971, and B.A. in English, University of Michigan in 1959. Ms. Bowe has worked in the Nurse-Midwifery Service at San Francisco General Hospital and as a midwife and family nurse practitioner in other clinical sites in the Bay area. She has three children.
INTACT PERINEUM: A Slow Delivery of the Head Does Not Adversely Affect the Outcome of the Newborn*
Version of Record online: 6 JAN 2011
1981 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 26, Issue 2, pages 5–11, March-April 1981
How to Cite
Bowe, N. L. (1981), INTACT PERINEUM: A Slow Delivery of the Head Does Not Adversely Affect the Outcome of the Newborn. Journal of Nurse-Midwifery, 26: 5–11. doi: 10.1016/0091-2182(81)90002-1
Research Project completed June 1979 as part of Master's degree studies at University of California, Davis.
- Issue online: 6 JAN 2011
- Version of Record online: 6 JAN 2011
Apgar scores at 1 and 5 min were compared in a retrospective study of two groups of primipara women in order to determine if a slow delivery of the head over an intact perineum compromises the well being of the newborn. Since the intact perineum group did not demonstrate significantly lower scores at either 1 or 5 min, it may be concluded that newborn well being is not compromised by a slow delivery of the head over an intact perineum. The statistical difference at 1 min was contributed to largely by the greater number of Apgar scores of 9 (49%) in the intact perineum group and the greater number of Apgar scores of 8 (44%) in the median episiotomy group. These higher scores in the newborns from the intact perineum group certainly support the need for additional study as well as raise significant questions concerning aspects of the rationale for the routine use of episiotomy in North American obstetrics.