| Abstract |
Clinical parturient perineal injury is very easy to cause during vaginal delivery, and the degree of perineal injury of primipara is the most serious, resulting in a certain relationship with spontaneity and human intervention. If there is perineal injury during childbirth, it will cause maternal incontinence, perineal pain, bleeding, infection and other complications, and even long-term can also cause maternal pelvic organ prolapse, sexual dysfunction and other serious complications. In this case, maternal psychology and physiology are seriously affected. In this paper, the present situation and prospect of intervention methods to reduce perineal injury during labor are discussed. At present, the relevant guidelines and expert consensus on perineal injury in China are not perfect, and the guidelines of the American College of Obstetricians and Gynecologists also have some deficiencies. However, the prevention, recognition and repair of vaginal laceration, as well as the management of vaginal appliance delivery are relatively clear and accurate, and clear recommendations are made. It is necessary for China to construct a systematic, scientific and localized perineal management model based on the combination of evidence-based and international clinical guidelines. Obstetric care providers must respect womens individual differences and choices and select perineal protection techniques based on the best scientific evidence, combined with clinical judgment, to achieve a safe, high-quality natural vaginal delivery.
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