ArticleBMC pregnancy and childbirth2011
Fear causes tears - perineal injuries in home birth settings. A Swedish interview study.
Article in BMC pregnancy and childbirth, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Place and space in relation to childbirth: a critical interpretive synthesis.International journal of qualitative studies on health and well-being · 2020Pooled it
- Effect of maternal birth positions on duration of second stage of labor: systematic review and meta-analysis.BMC pregnancy and childbirth · 2019Pooled it
- Artificial Intelligence and Tacit Knowledge Integration in Midwifery: Policy Implications for Improving Healthcare Outcomes.International nursing review · 2025Review
- Illuminating birth: exploring the impact of birthing environment lighting on labor.Frontiers in global women's health · 2025Article
- Navigating intensive altered states of consciousness: How can the set and setting key parameters promote the science of human birth?Frontiers in psychiatry · 2023Article
- Effect of Flexible Sacrum Position on Maternal and Neonatal Outcomes in Public Health Facilities, Amhara Regional State, Ethiopia: A Quasi-Experimental Study.International journal of environmental research and public health · 2022Article
- Women's experiences of the OASI Care Bundle; a package of care to reduce severe perineal trauma.International urogynecology journal · 2021Article
- Are women attending a midwifery-led birthing center at increased risk of anal sphincter injury?International urogynecology journal · 2020Article
- INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?Acta clinica Croatica · 2019Review
- Third and Fourth Degree Perineal Tear in Four-Year Period at Sestre Milosrdnice University Hospital Center, Zagreb, Croatia.Open access Macedonian journal of medical sciences · 2018Article
- Midwives' Management during the Second Stage of Labor in Relation to Second-Degree Tears-An Experimental Study.Birth (Berkeley, Calif.) · 2017Article
- Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth.BMC pregnancy and childbirth · 2016Article
- Snoezelen Room and Childbirth Outcome: A Randomized Clinical Trial.Iranian Red Crescent medical journal · 2015Article
- Prevalence and patterns of prenatal use of traditional medicine among women at selected harare clinics: a cross-sectional study.BMC complementary and alternative medicine · 2012Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerineal injury is a serious complication of vaginal delivery that has a severe impact on the quality of life of healthy women. The prevalence of perineal injuries among women who give birth in hospital has increased over the last decade, while it is lower among women who give birth at home. The aim of this study was to describe the practice of midwives in home birth settings with the focus on the occurrence of perineal injuries.
methodsTwenty midwives who had assisted home births for between one and 29 years were interviewed using an interview guide. The midwives also had experience of working in a hospital delivery ward. All the interviews were tape-recorded and transcribed. Content analysis was used.
resultsThe overall theme was "No rushing and tearing about", describing the midwives' focus on the natural process taking its time. The subcategories 1) preparing for the birth; 2) going along with the physiological process; 3) creating a sense of security; 4) the critical moment and 5) midwifery skills illuminate the management of labor as experienced by the midwives when assisting births at home.
conclusionsMidwives who assist women who give birth at home take many things into account in order to minimize the risk of complications during birth. Protection of the woman's perineum is an act of awareness that is not limited to the actual moment of the pushing phase but starts earlier, along with the communication between the midwife and the woman.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.