Adriana de Souza Caroci da Costa is a nurse-midwife and instructor of undergraduate and graduate nursing program students at the Adventist University Center of Sao Paulo.
A Comparison of “Hands Off” Versus “Hands On” Techniques for Decreasing Perineal Lacerations During Birth
Article first published online: 24 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 2, pages 106–111, March-April 2006
How to Cite
de Souza, A., da Costa, C. and Riesco, M. L. G. (2006), A Comparison of “Hands Off” Versus “Hands On” Techniques for Decreasing Perineal Lacerations During Birth. Journal of Midwifery & Womens Health, 51: 106–111. doi: 10.1016/j.jmwh.2005.10.017
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
Our goal was to determine the frequency, degree, and location of perineal lacerations and the neonatal outcomes associated with the use of two techniques of perineal protection—expectant (“hands off) and interventionist (“hands on”)—during childbirth. We conducted a randomized controlled trial to compare the effectiveness of two techniques for perineum protection during spontaneous delivery. Study participants included 70 nulliparous expectant mothers, who were divided equally between the “hands off and “hands on” groups (n = 35 per group). Perineal laceration occurred in 81.4% of the women. Among these, first-degree lacerations were predominant (82.5%). Lacerations in the anterior and posterior regions of the perineum occurred with similar frequencies. Laceration rates did not differ between the “hands off and “hands on” groups (P > .05). Neonatal outcomes were similar in both groups. The use of “hands off technique of perineal protection does not alter the frequency or degree of perineal lacerations in childbirth, relative to a “hands on” technique.