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Enfermería Global

On-line version ISSN 1695-6141

Abstract

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.  http://dx.doi.org/10.6018/eglobal.18.1.303051.

Objective:

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.

Results:

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.

Conclusions:

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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