{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T06:42:59Z","timestamp":1793169779517,"version":"4.5.0"},"reference-count":18,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["ajogmfm.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics & Gynecology MFM"],"published-print":{"date-parts":[[2022,9]]},"DOI":"10.1016\/j.ajogmf.2022.100675","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T15:48:58Z","timestamp":1654876138000},"page":"100675","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Hands-on vs hands-off technique for the prevention of perineal injury: a randomized clinical trial"],"prefix":"10.1016","volume":"4","author":[{"given":"Gianluigi","family":"Califano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Saccone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Diana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Coll\u00e0 Ruvolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Ioffredo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Nappi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonella","family":"Annella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7963-2144","authenticated-orcid":false,"given":"Elisabetta","family":"Gragnano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Guida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulvio","family":"Zullo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariavittoria","family":"Locci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajogmf.2022.100675_bib0001","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1080\/14767058.2019.1619686","article-title":"Hands-on versus hands-off techniques for the prevention of perineal trauma during vaginal delivery: a systematic review and meta-analysis of randomized controlled trials","volume":"34","author":"Pierce-Williams","year":"2021","journal-title":"J Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0002","doi-asserted-by":"crossref","first-page":"580.e1","DOI":"10.1016\/j.ajog.2020.02.044","article-title":"Accurate diagnosis and repair of obstetric anal sphincter injuries: why and how","volume":"222","author":"Hickman","year":"2020","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0003","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1186\/s12884-015-0742-6","article-title":"Sexual life and dysfunction after maternal morbidity: a systematic review","volume":"15","author":"Andreucci","year":"2015","journal-title":"BMC Preg Childbirth"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0004","first-page":"80","article-title":"Third and fourth degree perineal injury after vaginal delivery: does race make a difference?","volume":"73","author":"de Silva","year":"2014","journal-title":"Hawaii J Med Public Health"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0005","doi-asserted-by":"crossref","first-page":"4166","DOI":"10.1080\/14767058.2018.1482271","article-title":"Use of lubricant gel to shorten the second stage of labor during vaginal delivery","volume":"32","author":"Aquino","year":"2019","journal-title":"J Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0006","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1080\/14767058.2018.1512574","article-title":"Perineal massage during labor: a systematic review and meta-analysis of randomized controlled trials","volume":"33","author":"Aquino","year":"2020","journal-title":"J Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0007","doi-asserted-by":"crossref","first-page":"3185","DOI":"10.1080\/14767058.2019.1568984","article-title":"Is Ritgen's maneuver associated with decreased perineal lacerations and pain at delivery?","volume":"33","author":"Aquino","year":"2020","journal-title":"J Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0008","first-page":"1","article-title":"Birthing ball for reducing labor pain: a systematic review and meta-analysis of randomized controlled trials","author":"Grenvik","year":"2021","journal-title":"J Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0009","article-title":"Perineal techniques during the second stage of labour for reducing perineal trauma","volume":"6","author":"Aasheim","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0010","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.jmwh.2005.10.017","article-title":"A comparison of \u201chands off\u201d versus \u201chands on\u201d techniques for decreasing perineal lacerations during birth","volume":"51","author":"de Souza Caroci da Costa","year":"2006","journal-title":"J Midwifery Womens Health"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0011","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1111\/j.1471-0528.1998.tb10004.x","article-title":"A randomised controlled trial of care of the perineum during second stage of normal labour","volume":"105","author":"McCandlish","year":"1998","journal-title":"Br J Obstet Gynaecol"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0012","first-page":"477","article-title":"Traditional care of the perineum during birth. A prospective, randomized, multicenter study of 1,076 women","volume":"47","author":"Mayerhofer","year":"2002","journal-title":"J Reprod Med"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0013","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1007\/s13224-014-0535-2","article-title":"A comparison of the \u201chands-off\u201d and \u201chands-on\u201d methods to reduce perineal lacerations: a randomised clinical trial","volume":"64","author":"Rezaei","year":"2014","journal-title":"J Obstet Gynaecol India"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0014","first-page":"235","article-title":"A comparison of hands off versus hands on techniques on perineal trauma during birth in nulliparous women","volume":"9","author":"Kushavar","year":"2009","journal-title":"J Ardabil Univ Med Sci"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0015","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1002\/nau.24802","article-title":"YouTubeTM as a source of information on bladder pain syndrome: a contemporary analysis","volume":"41","author":"Morra","year":"2022","journal-title":"Neurourol Urodyn"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0016","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/ajo.13127","article-title":"Third- and fourth-degree tears: a review of the current evidence for prevention and management","volume":"60","author":"Wilson","year":"2020","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0017","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1097\/AOG.0000000000001146","article-title":"ACOG Committee Opinion No. 647 summary: limitations of perineal lacerations as an obstetric quality measure","volume":"126","year":"2015","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2022.100675_bib0018","first-page":"315","article-title":"Sexual function in women with multiple sclerosis","volume":"52","author":"Ghajarzadeh","year":"2014","journal-title":"Acta Med Iran"}],"container-title":["American Journal of Obstetrics & Gynecology MFM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589933322001100?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589933322001100?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T23:51:19Z","timestamp":1762905079000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589933322001100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["S2589933322001100"],"URL":"https:\/\/doi.org\/10.1016\/j.ajogmf.2022.100675","relation":{},"ISSN":["2589-9333"],"issn-type":[{"value":"2589-9333","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hands-on vs hands-off technique for the prevention of perineal injury: a randomized clinical trial","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics & Gynecology MFM","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajogmf.2022.100675","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"100675"}}