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Is Ritgen’s maneuver associated with decreased perineal lacerations and pain at delivery? by Carmen Imma Aquino; Gabriele Saccone; Jacopo Troisi; Maurizio Guida; Fulvio Zullo; Vincenzo Berghella is a Medicine article available to read on EtoBox.

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Different techniques have been studied to prevent the risk of perineal trauma during labor and post-partum pain. Limited information is available on the effect of Ritgen's maneuver. The aim of this review was to analyze whether Ritgen's maneuver during vaginal delivery has an effect on the risks of perineal trauma. Electronic databases were searched from their inception until April 2018. No restrictions for language or geographic location were applied. We included all randomized controlled trials (RCTs) comparing the use of Ritgen's maneuver with a control group in women with singleton gestation and cephalic presentation at ≥37 weeks. Ritgen's maneuver was defined as an upward pressure from the coccygeal region to extend the head during vaginal delivery. Trials evaluating other technique (e.g. hands-on, perineal massage, warm compresses, etc.) were not included. All analyses were done using an intention-to-treat approach. The primary outcome was severe perineal laceration, defined as either third- or fourth-degree lacerations. Meta-analysis was performed using the random-effects model of DerSimonian and Laird to produce summary treatment effects in terms of either a relative risk (

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Author

Carmen Imma Aquino; Gabriele Saccone; Jacopo Troisi; Maurizio Guida; Fulvio Zullo; Vincenzo Berghella

Publisher

Informa UK Limited

Published

2019

Language

EN

Field

Medicine (Health Sciences)