Bmc Pregnancy Childb
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Bmc Pregnancy Childb · Feb 2017
Duration of second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: population-based study.
We sought to investigate the impact of the duration of second stage of labor on risk of severe perineal lacerations (third and fourth degree). ⋯ The risk of severe perineal laceration increases with duration until the third hour of second stage of labor. Instrumental delivery is the most significant risk factor for severe lacerations, followed by duration of second stage of labor, fetal size and occiput posterior fetal position.
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Bmc Pregnancy Childb · Feb 2017
ReviewUmbilical cord-care practices in low- and middle-income countries: a systematic review.
Neonatal sepsis is the third leading cause of deaths for infants in their first month of life. The newly cut umbilical cord can be a pathway for bacteria that can cause newborn sepsis and death. Optimal umbilical cord care practices for newborns and during the first week of life, especially in settings with poor hygiene, has the potential to avoid these preventable neonatal deaths. The purpose of this review of cord care practices is to assist in the development of behavior-change strategies to support introduction of novel cord-care regimens, particularly 7.1% chlorhexidine digluconate for umbilical cord care. ⋯ This desire to actively care for the umbilical cord of a newborn-as noted in the variety of cord care practices and beliefs identified in this review-points toward the need to contextualize any behavior change approach to align with the local culture.