Objective

To assess the available scientific evidence about the midwife’s interventions in order to prevent perineal trauma.

Method

Identification of articles that incorporate scientific evidence on preventing perineal trauma, using the following databases: Medline, Elsevier, Nursing Reference, Cochrane Database of Systematic Reviews, which resulted in 14 articles.

Results/Discussion

The performance of the midwife in the prevention of perineal trauma must follow a sequential set of interventions: to encourage moderate exercise three times a week during pregnancy; to encourage women to perform the perineal massage from the 30th week of pregnancy; to promote the restriction of perineal manipulation during labor, doing only a gentle massage, encouraging spontaneous pushing, changing the position of the mother, applying hot dressings in the perineum, and preferring a simple perineal support when Ritgen maneuver is applied. During all this process, to promote the empowerment of the mother, by giving support and confidence.

Conclusion

The aforementioned interventions are referred as beneficial to the prevention of perineal trauma and to the practice of episiotomy. However, their application requires more evidence, as well as an effective divulgation of the results by the multidisciplinary teams and community with the presentation of the benefits to the health of women, family and society.

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