<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272021000300437</article-id>
<article-id pub-id-type="doi">10.23938/assn.0976</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Actualización sobre la efectividad y evidencia del masaje perineal ante-natal]]></article-title>
<article-title xml:lang="en"><![CDATA[Update on the effectiveness and evidence of ante-natal perineal massage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Azón]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mir]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilón]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Satústegui]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,C.S. Villarroya Sierra  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidad Móvil Emergencias 061 Aragón ]]></institution>
<addr-line><![CDATA[Calatayud. Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Miguel Servet  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Alcañiz  ]]></institution>
<addr-line><![CDATA[Teruel ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Unidad Móvil Emergencias Monzón 061 Aragón ]]></institution>
<addr-line><![CDATA[Huesca ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>3</numero>
<fpage>437</fpage>
<lpage>444</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272021000300437&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272021000300437&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272021000300437&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El impacto y la morbilidad que genera el trauma perineal durante el parto vaginal justifica la necesidad de encontrar estrategias que lo minimicen. El masaje perineal antenatal (MPA) se plantea como una técnica que incrementa la elasticidad del periné y que podría reducir el daño en el suelo pélvico. La presente revisión pretendió conocer la efectividad y la evidencia científica que avala este procedimiento. Se consultaron las bases de datos Medline, Cochrane, Tripdatabase y Cuiden, en español y en inglés, de los últimos seis años. Se encontraron diez artículos con diferentes niveles de evidencia. Todos ellos fueron favorables al empleo de esta técnica. Aunque es necesaria investigación adicional, la evidencia disponible actualmente sugiere que el uso del MPA al final del embarazo podría ser un procedimiento efectivo y seguro para reducir el trauma perineal en el parto, especialmente en primigestas, y el dolor postparto en multíparas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The impact and morbidity generated by perineal trauma during vaginal delivery justifies the need to find strategies to minimize it. Ante-natal perineal massage (APM) is proposed as a technique that increases the elasticity of the perineum and that could reduce damage to the pelvic floor. This review set out to discover the effectiveness and the scientific evidence that supports this procedure. The Medline, Cochrane, Tripdatabase and Cuiden databases for the last six years were consulted, in Spanish and English. Ten studies with different levels of evidence were found. All of them favoured the use of this technique. Although further research is needed, evidence currently available suggests that the use of APM in late pregnancy could be an effective and safe procedure to reduce perineal trauma in childbirth, especially in primiparous women, and postpartum pain in multi-parous women.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Masaje]]></kwd>
<kwd lng="es"><![CDATA[Perineo]]></kwd>
<kwd lng="es"><![CDATA[Trauma perineal]]></kwd>
<kwd lng="es"><![CDATA[Cuidado prenatal]]></kwd>
<kwd lng="en"><![CDATA[Massage]]></kwd>
<kwd lng="en"><![CDATA[Perineum]]></kwd>
<kwd lng="en"><![CDATA[Perineal trauma]]></kwd>
<kwd lng="en"><![CDATA[Prenatal care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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