{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:51:24Z","timestamp":1789545084316,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":1756,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2006,3,4]]},"abstract":"<jats:p>Our goal was to determine the frequency, degree, and location of perineal lacerations and the neonatal outcomes associated with the use of two techniques of perineal protection\u2014expectant (\u201chands off) and interventionist (\u201chands on\u201d)\u2014during childbirth. We conducted a randomized controlled trial to compare the effectiveness of two techniques for perineum protection during spontaneous delivery. Study participants included 70 nulliparous expectant mothers, who were divided equally between the \u201chands off and \u201chands on\u201d groups (n = 35 per group). Perineal laceration occurred in 81.4% of the women. Among these, first\u2010degree lacerations were predominant (82.5%). Lacerations in the anterior and posterior regions of the perineum occurred with similar frequencies. Laceration rates did not differ between the \u201chands off and \u201chands on\u201d groups (<jats:italic>P<\/jats:italic> &gt; .05). Neonatal outcomes were similar in both groups. The use of \u201chands off technique of perineal protection does not alter the frequency or degree of perineal lacerations in childbirth, relative to a \u201chands on\u201d technique.<\/jats:p>","DOI":"10.1016\/j.jmwh.2005.10.017","type":"journal-article","created":{"date-parts":[[2006,3,1]],"date-time":"2006-03-01T20:16:15Z","timestamp":1141244175000},"page":"106-111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["A Comparison of \u201cHands Off\u201d Versus \u201cHands On\u201d Techniques for Decreasing Perineal Lacerations During Birth"],"prefix":"10.1111","volume":"51","author":[{"given":"Adriana","family":"de Souza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroci","family":"da Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Luiza Gonzalez","family":"Riesco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70506-4"},{"key":"e_1_2_13_3_2","volume-title":"Assist\u00eancia ao parto normal: Um guia pr\u00e1tico","author":"Organiza\u00e7\u00e3o Mundial da Sa\u00fade\u2010OMS","year":"1996"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200003000-00030"},{"key":"e_1_2_13_5_2","first-page":"477","article-title":"Traditional care of the perineum during birth","volume":"47","author":"Mayerhofer K","year":"2002","journal-title":"J Reprod Med"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10004.x"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.1998.00226.x"},{"key":"e_1_2_13_8_2","unstructured":"SilvaSF CarociAS RiescoMLG BasileALO.Ocorr\u00eancia de episiotomia e rotura perineal no Centro de Parto Normal do Hospital Geral de Itapecerica da Serra\u2010SP. 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Fortaleza: Japan International Cooperation Agency 2000:89."},{"key":"e_1_2_13_14_2","volume-title":"Anais do: 3\u00b0 Congresso Brasileiro de Enfermagem Obst\u00e9trica e Neonatal, 2002 July 16\u201319","author":"Costa ASC","year":"2002"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2005.05.012"},{"key":"e_1_2_13_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0091-2182(94)00086-L"},{"key":"e_1_2_13_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/0091-2182(96)00042-0"},{"key":"e_1_2_13_18_2","unstructured":"BasileALO.Estudo randomizado controlado entre as posi\u00e7\u00f5es de parto: Litot\u00f4mica e lateral esquerda[dissertation]. 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