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Enfermería Global

On-line version ISSN 1695-6141


AVILES SAEZ, Zaraida; LOPEZ MARTINEZ, Esther María; DRIEGUEZ CASTANO, Celia  and  CONESA FERRER, María Belén. Comparative study analysing maternal recovery after childbirth according to Marjory Gordon’s Patterns. Enferm. glob. [online]. 2019, vol.18, n.53, pp.183-214.  Epub Oct 14, 2019. ISSN 1695-6141.


Analyse if there is any difference in recovery rate according to their puerperium stage depending on perineal lesion.

Material and method:

Prospective longitudinal descriptive quantitative study, following the Marjory Gordon’s Functional Health Patterns. Data collection will be performed in three phases (immediate, clinical and remote puerperium), through semi-structured interview completed in first instance in a face-to-face interview and phone call interview at 10 and 30 days, respectively.


In Spain there is an episiotomy, induction and assisted delivery rate much higher than recommended. Episiotomy technique lead to significant tear (16,7%) in this study. During immediate puerperium, women who were practiced an episiotomy shown mobility difficulties (p=0,0005), elimination (p=0,0007), baby care (p=0,015), rest (p=0,15) and perceived pain (p=0,005), whereas in the clinical puerperium are affected only mobility (p=0,05), elimination (p=0,042) and perceived pain (p=0,006). After 30 days, remote puerperium, there is not statistical significant differences in both groups. More research is needed to confirm these facts as well as provide new knowledge.


Episiotomy produce more negative effects than spontaneous tears at the immediate and clinical puerperium of women. Pain produced by this technique as a short, medium and long term limit many daily activities of women.

Keywords : episiotomy; tear; puerperium; pain; recovery.

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