<?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>1988-348X</journal-id>
<journal-title><![CDATA[Ene]]></journal-title>
<abbrev-journal-title><![CDATA[Ene.]]></abbrev-journal-title>
<issn>1988-348X</issn>
<publisher>
<publisher-name><![CDATA[Martín Rodríguez Álvaro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1988-348X2018000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia del dispositivo Epi-no como prevención del daño perineal del parto]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of the Epi-no device as prevention of perineal damage of childbirth]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García García]]></surname>
<given-names><![CDATA[Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marquez Carrasco]]></surname>
<given-names><![CDATA[Angeles]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aragundez Marcos]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital JR Jiménez  ]]></institution>
<addr-line><![CDATA[Huelva ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Virgen del Rocío  ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1988-348X2018000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1988-348X2018000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1988-348X2018000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción  El dispositivo Epi-no fue creado con el fin de lograr una dilatación vaginal y perineal para su adaptación al descenso fetal en el parto. También sirve para aumentar la tonificación perineal en el postparto.  Objetivo: Conocer el funcionamiento y la eficacia del dispositivo Epi-no en la prevención del daño perineal por el parto.  Metodología: Revisión bibliográfica en bases de datos PubMed, Scielo, CUIDEN y en Cochrane, limitando la búsqueda a artículos publicados en los últimos 10 años, en idiomas español, inglés o portugués, realizado con mujeres durante el período perinatal y postparto.  Resultados: Existe controversia en los estudios sobre los efectos atribuibles al dispositivo en cuanto a mayor distensibilidad perineal, perinés intactos, disminución de la tasa de episiotomías, acortamiento de la segunda fase del parto y necesidad de instrumentación.  Conclusiones: No existe suficiente evidencia científica sobre su utilidad y eficacia, ni difusión entre los profesionales sanitarios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The Epi-no device was created in order to achieve a vaginal and perineal dilation for its adaptation to fetal descent in childbirth. It also serves to increase perineal toning in the postpartum.  Objective: To know the functioning and effectiveness of the Epi-no device in the prevention of perineal damage due to childbirth.  Methodology: Bibliographic review in PubMed, Scielo, CUIDEN and Cochrane databases, limiting the search to articles published in the last 10 years, in Spanish, English or Portuguese, with women during the perinatal and postpartum period.  Results: There is controversy in the studies on the effects attributable to the device in terms of greater perineal compliance, intact perineum, decrease in the rate of episiotomies, shortening of the second stage of labor and need for instrumentation.  Conclusions: There is not enough scientific evidence about its usefulness and efficacy, nor dissemination among health professionals.]]></p></abstract>
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<kwd lng="es"><![CDATA[episiotomía]]></kwd>
<kwd lng="es"><![CDATA[parto obstétrico]]></kwd>
<kwd lng="es"><![CDATA[perineo]]></kwd>
<kwd lng="es"><![CDATA[diafragma pélvico]]></kwd>
<kwd lng="es"><![CDATA[dispositivo Epi-no]]></kwd>
<kwd lng="en"><![CDATA[episiotomy]]></kwd>
<kwd lng="en"><![CDATA[delivery obstetric]]></kwd>
<kwd lng="en"><![CDATA[perineum]]></kwd>
<kwd lng="en"><![CDATA[pelvic floor]]></kwd>
<kwd lng="en"><![CDATA[Epi-no device]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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