Prospective randomised multicentre trial with the birth trainer EPI-NO® for the prevention of perineal trauma
Background: In several non‐randomised trials training with EPI‐NO® increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain killers. Aims: To verify the preliminary results with EPI‐NO® in a prospective randomised trial. Metho...
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| Veröffentlicht in: | Australian & New Zealand journal of obstetrics & gynaecology 2009-10, Vol.49 (5), p.478-483 |
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| container_title | Australian & New Zealand journal of obstetrics & gynaecology |
| container_volume | 49 |
| creator | RUCKHÄBERLE, Eugen JUNDT, Katharina BÄUERLE, Martin BRISCH, Karl-Heinz ULM, Kurt DANNECKER, Christian SCHNEIDER, Karl Theo Mario |
| description | Background: In several non‐randomised trials training with EPI‐NO® increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain killers.
Aims: To verify the preliminary results with EPI‐NO® in a prospective randomised trial.
Methods: Randomised, single‐blind multicentre trial in four university hospitals in Germany including 276 primigravidae.
Results: After training with EPI‐NO® we observed a significant increase in the incidence of intact perineum (37.4% vs 25.7%; P = 0.05) and a tendency towards lower episiotomy rates (41.9% vs 50.5%; P = 0.11). We found no significant differences between the two groups regarding incidence of perineal tears, duration of second stage of labour, use of pain relief and rate of vaginal infection.
Conclusions: Training with EPI‐NO® increases significantly the likelihood of having an intact perineum and reduces the episiotomy rate. |
| doi_str_mv | 10.1111/j.1479-828X.2009.01044.x |
| format | Article |
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Aims: To verify the preliminary results with EPI‐NO® in a prospective randomised trial.
Methods: Randomised, single‐blind multicentre trial in four university hospitals in Germany including 276 primigravidae.
Results: After training with EPI‐NO® we observed a significant increase in the incidence of intact perineum (37.4% vs 25.7%; P = 0.05) and a tendency towards lower episiotomy rates (41.9% vs 50.5%; P = 0.11). We found no significant differences between the two groups regarding incidence of perineal tears, duration of second stage of labour, use of pain relief and rate of vaginal infection.
Conclusions: Training with EPI‐NO® increases significantly the likelihood of having an intact perineum and reduces the episiotomy rate.</description><identifier>ISSN: 0004-8666</identifier><identifier>EISSN: 1479-828X</identifier><identifier>DOI: 10.1111/j.1479-828X.2009.01044.x</identifier><identifier>PMID: 19780729</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; birth trainer ; EPI-NO ; episiotomy ; Episiotomy - adverse effects ; Episiotomy - education ; Exercise Therapy - education ; Exercise Therapy - instrumentation ; Female ; Humans ; Obstetric Labor Complications - prevention & control ; Patient Education as Topic ; perineal trauma ; Perineum - injuries ; Pregnancy ; Prospective Studies</subject><ispartof>Australian & New Zealand journal of obstetrics & gynaecology, 2009-10, Vol.49 (5), p.478-483</ispartof><rights>2009 The Authors. Journal compilation © 2009 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3364-3d67ef4d825064aca89cac1c989cd4e06b6b43112527a6b91e36e76fde4ad1383</citedby><cites>FETCH-LOGICAL-c3364-3d67ef4d825064aca89cac1c989cd4e06b6b43112527a6b91e36e76fde4ad1383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1479-828X.2009.01044.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1479-828X.2009.01044.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19780729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RUCKHÄBERLE, Eugen</creatorcontrib><creatorcontrib>JUNDT, Katharina</creatorcontrib><creatorcontrib>BÄUERLE, Martin</creatorcontrib><creatorcontrib>BRISCH, Karl-Heinz</creatorcontrib><creatorcontrib>ULM, Kurt</creatorcontrib><creatorcontrib>DANNECKER, Christian</creatorcontrib><creatorcontrib>SCHNEIDER, Karl Theo Mario</creatorcontrib><title>Prospective randomised multicentre trial with the birth trainer EPI-NO® for the prevention of perineal trauma</title><title>Australian & New Zealand journal of obstetrics & gynaecology</title><addtitle>Aust N Z J Obstet Gynaecol</addtitle><description>Background: In several non‐randomised trials training with EPI‐NO® increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain killers.
Aims: To verify the preliminary results with EPI‐NO® in a prospective randomised trial.
Methods: Randomised, single‐blind multicentre trial in four university hospitals in Germany including 276 primigravidae.
Results: After training with EPI‐NO® we observed a significant increase in the incidence of intact perineum (37.4% vs 25.7%; P = 0.05) and a tendency towards lower episiotomy rates (41.9% vs 50.5%; P = 0.11). We found no significant differences between the two groups regarding incidence of perineal tears, duration of second stage of labour, use of pain relief and rate of vaginal infection.
Conclusions: Training with EPI‐NO® increases significantly the likelihood of having an intact perineum and reduces the episiotomy rate.</description><subject>Adult</subject><subject>birth trainer</subject><subject>EPI-NO</subject><subject>episiotomy</subject><subject>Episiotomy - adverse effects</subject><subject>Episiotomy - education</subject><subject>Exercise Therapy - education</subject><subject>Exercise Therapy - instrumentation</subject><subject>Female</subject><subject>Humans</subject><subject>Obstetric Labor Complications - prevention & control</subject><subject>Patient Education as Topic</subject><subject>perineal trauma</subject><subject>Perineum - injuries</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><issn>0004-8666</issn><issn>1479-828X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM9O3DAQh62qqGxpX6Hyraekduy140MPCMECWrF7gLbqxXKcifA2_2onsLwUD8GT4bAruOLLjDS_b0b-EMKUpDS-H5uUcqmSPMv_pBkhKiWUcJ5uP6DZ6-AjmhFCeJILIQ7R5xA2hFA1p_wTOqRK5kRmaobate9CD3Zwd4C9acuucQFK3Iz14Cy0gwc8eGdqfO-GWzzcAi6cnzpvXAsen64vkqvV0yOuOv8y7j3cRc51Le4q3IOPsYjH_NiYL-igMnWAr_t6hG7OTq9PzpPlanFxcrxMLGOCJ6wUEipe5tmcCG6syZU1lloVa8mBiEIUnFGazTNpRKEoMAFSVCVwU1KWsyP0fbe3993_EcKg47cs1LVpoRuDlowTQZTKYjLfJW0UETxUuveuMf5BU6In2XqjJ6d6cqon2fpFtt5G9Nv-yFg0UL6Be7sx8HMXuHc1PLx7sT6-XE1d5JMd78IA21fe-H9aSCbn-vfVQq8Z4cvrvwv9iz0D2kmfgg</recordid><startdate>200910</startdate><enddate>200910</enddate><creator>RUCKHÄBERLE, Eugen</creator><creator>JUNDT, Katharina</creator><creator>BÄUERLE, Martin</creator><creator>BRISCH, Karl-Heinz</creator><creator>ULM, Kurt</creator><creator>DANNECKER, Christian</creator><creator>SCHNEIDER, Karl Theo Mario</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200910</creationdate><title>Prospective randomised multicentre trial with the birth trainer EPI-NO® for the prevention of perineal trauma</title><author>RUCKHÄBERLE, Eugen ; JUNDT, Katharina ; BÄUERLE, Martin ; BRISCH, Karl-Heinz ; ULM, Kurt ; DANNECKER, Christian ; SCHNEIDER, Karl Theo Mario</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3364-3d67ef4d825064aca89cac1c989cd4e06b6b43112527a6b91e36e76fde4ad1383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>birth trainer</topic><topic>EPI-NO</topic><topic>episiotomy</topic><topic>Episiotomy - adverse effects</topic><topic>Episiotomy - education</topic><topic>Exercise Therapy - education</topic><topic>Exercise Therapy - instrumentation</topic><topic>Female</topic><topic>Humans</topic><topic>Obstetric Labor Complications - prevention & control</topic><topic>Patient Education as Topic</topic><topic>perineal trauma</topic><topic>Perineum - injuries</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RUCKHÄBERLE, Eugen</creatorcontrib><creatorcontrib>JUNDT, Katharina</creatorcontrib><creatorcontrib>BÄUERLE, Martin</creatorcontrib><creatorcontrib>BRISCH, Karl-Heinz</creatorcontrib><creatorcontrib>ULM, Kurt</creatorcontrib><creatorcontrib>DANNECKER, Christian</creatorcontrib><creatorcontrib>SCHNEIDER, Karl Theo Mario</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RUCKHÄBERLE, Eugen</au><au>JUNDT, Katharina</au><au>BÄUERLE, Martin</au><au>BRISCH, Karl-Heinz</au><au>ULM, Kurt</au><au>DANNECKER, Christian</au><au>SCHNEIDER, Karl Theo Mario</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective randomised multicentre trial with the birth trainer EPI-NO® for the prevention of perineal trauma</atitle><jtitle>Australian & New Zealand journal of obstetrics & gynaecology</jtitle><addtitle>Aust N Z J Obstet Gynaecol</addtitle><date>2009-10</date><risdate>2009</risdate><volume>49</volume><issue>5</issue><spage>478</spage><epage>483</epage><pages>478-483</pages><issn>0004-8666</issn><eissn>1479-828X</eissn><abstract>Background: In several non‐randomised trials training with EPI‐NO® increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain killers.
Aims: To verify the preliminary results with EPI‐NO® in a prospective randomised trial.
Methods: Randomised, single‐blind multicentre trial in four university hospitals in Germany including 276 primigravidae.
Results: After training with EPI‐NO® we observed a significant increase in the incidence of intact perineum (37.4% vs 25.7%; P = 0.05) and a tendency towards lower episiotomy rates (41.9% vs 50.5%; P = 0.11). We found no significant differences between the two groups regarding incidence of perineal tears, duration of second stage of labour, use of pain relief and rate of vaginal infection.
Conclusions: Training with EPI‐NO® increases significantly the likelihood of having an intact perineum and reduces the episiotomy rate.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19780729</pmid><doi>10.1111/j.1479-828X.2009.01044.x</doi><tpages>6</tpages></addata></record> |
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| ispartof | Australian & New Zealand journal of obstetrics & gynaecology, 2009-10, Vol.49 (5), p.478-483 |
| issn | 0004-8666 1479-828X |
| language | eng |
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| source | MEDLINE; Wiley Journals |
| subjects | Adult birth trainer EPI-NO episiotomy Episiotomy - adverse effects Episiotomy - education Exercise Therapy - education Exercise Therapy - instrumentation Female Humans Obstetric Labor Complications - prevention & control Patient Education as Topic perineal trauma Perineum - injuries Pregnancy Prospective Studies |
| title | Prospective randomised multicentre trial with the birth trainer EPI-NO® for the prevention of perineal trauma |
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