Leah Albers CNM, DrPH, FACNM, FAAN is a midwifery teacher and researcher at the University of New Mexico.
Reducing Genital Tract Trauma at Birth: Launching a Clinical Trial in Midwifery
Version of Record online: 24 DEC 2010
2003 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 48, Issue 2, pages 105–110, March-April 2003
How to Cite
Albers, L. L. (2003), Reducing Genital Tract Trauma at Birth: Launching a Clinical Trial in Midwifery. Journal of Midwifery & Womens Health, 48: 105–110. doi: 10.1016/S1526-9523(02)00415-4
- Issue online: 24 DEC 2010
- Version of Record online: 24 DEC 2010
- perineal management;
- genital trauma;
- second stage labor;
- perineal lacerations
Genital tract trauma is a common outcome of vaginal birth, and can cause short-term and long-term problems for new mothers. Preventive measures have not been fully explicated. Midwives use a variety of hand maneuvers late in the second stage of labor, in the belief that genital trauma can be reduced. However, none of these care measures have been rigorously tested to determine if they are effective. A midwifery practice offers an ideal setting to study the relationship of hand techniques by the birth attendant to reduction of genital tract trauma.