{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:57:34Z","timestamp":1792292254918,"version":"4.4.0"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Midwifery"],"published-print":{"date-parts":[[2017,7]]},"DOI":"10.1016\/j.midw.2017.03.015","type":"journal-article","created":{"date-parts":[[2017,3,27]],"date-time":"2017-03-27T17:31:07Z","timestamp":1490635867000},"page":"72-77","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":56,"special_numbering":"C","title":["Influence of a pelvic floor training programme to prevent perineal trauma: A quasi-randomised controlled trial"],"prefix":"10.1016","volume":"50","author":[{"given":"Fatima","family":"Leon-Larios","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Corrales-Gutierrez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Casado-Mej\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Suarez-Serrano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.midw.2017.03.015_bib1","article-title":"T\u00e9cnicas perineales durante el per\u00edodo expulsivo del trabajo de parto para reducir el traumatismo perineal","author":"Aasheim","year":"2011","journal-title":"Cochrane Database of Systematic Review"},{"key":"10.1016\/j.midw.2017.03.015_bib2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.jmwh.2005.05.012","article-title":"Midwifery care measures in the second stage of labor and reduction of genital tract trauma at birth: a ramdomized trial","volume":"50","author":"Albers","year":"2005","journal-title":"Journal of Midwifery and Womens Health"},{"key":"10.1016\/j.midw.2017.03.015_bib3","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/j.1471-0528.2006.00799.x","article-title":"Occult anal sphincter injuries--myth or reality?","volume":"113","author":"Andrews","year":"2006","journal-title":"BJOG"},{"key":"10.1016\/j.midw.2017.03.015_bib4","series-title":"Masaje perineal antes del parto para la reducci\u00f3n del trauma perineal. En: la biblioteca Cochrane Plus, 2008, n\u00famero 2","author":"Beckmann","year":"2008"},{"key":"10.1016\/j.midw.2017.03.015_bib5","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1111\/aogs.12894","article-title":"Variations in rates of severe perineal tears and episiotomies in 20 European countries: a study based on routine national data in Euro-Peristat Project","volume":"95","author":"Blondel","year":"2016","journal-title":"Acta Obstetricia et Gynecologica Scandinavical"},{"issue":"1","key":"10.1016\/j.midw.2017.03.015_bib6","first-page":"CD000081","volume":"21","author":"Carroli","year":"2009","journal-title":"Episiotomy for Vaginal Birth Cochrane Database Syst Rev"},{"key":"10.1016\/j.midw.2017.03.015_bib7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmj.324.7348.1241","article-title":"Promoting urinary continence in women after delivery: randomised controlled trial","volume":"324","author":"Chiarelli","year":"2002","journal-title":"BMJ"},{"key":"10.1016\/j.midw.2017.03.015_bib8","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1067\/mob.2003.547","article-title":"Risk factors for perineal injury during delivery","volume":"189","author":"Christianson","year":"2003","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2017.03.015_bib9","article-title":"Immersion in water in labour and birth","author":"Cluett","year":"2012","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"10.1016\/j.midw.2017.03.015_bib10","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.midw.2006.04.004","article-title":"An Australian prospective cohort study of risk factors for severe perineal trauma during childbirth","volume":"23","author":"Dahlen","year":"2007","journal-title":"Midwifery"},{"key":"10.1016\/j.midw.2017.03.015_bib11","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1007\/s00192-015-2654-4","article-title":"The effect of antenatal pelvic floor muscle training on labor and delivery outcomes: a systematic review with meta-analysis","volume":"6","author":"Du","year":"2015","journal-title":"International Urogynecology Journal"},{"key":"10.1016\/j.midw.2017.03.015_bib12","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1097\/01.AOG.0000135274.92416.62","article-title":"Physiotherapy for persistent postnatal stress urinary incontinence: a randomized controlled trial","volume":"104","author":"Dumoulin","year":"2004","journal-title":"Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2017.03.015_bib13","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1111\/birt.12267","article-title":"Midwives' Management during the Second Stage of Labor in Relation to Second-Degree Tears-An Experimental Study","volume":"44","author":"Edqvist","year":"2017","journal-title":"Birth"},{"key":"10.1016\/j.midw.2017.03.015_bib14","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1186\/s12913-015-0753-z","article-title":"Cross-sectional study comparing public and private hospitals in Catalonia: is the practice of routine episiotomy changing?","volume":"15","author":"Escuriet","year":"2015","journal-title":"BMC Health Services Research"},{"key":"10.1016\/j.midw.2017.03.015_bib15","unstructured":"EURO-PERISTAT Project with SCPE and EUROCAT, 2013.\u00a0European Perinatal Health Report. The health and care of pregnant women and babies in Europe in 2010. Available \u3008www.europeristat.com\u3009, Accessed 26 January 2017."},{"key":"10.1016\/j.midw.2017.03.015_bib16","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1080\/01443610500231435","article-title":"Obstetric risk factors for urinary incontinence and preventative pelvic floor exercises: cohort study and nested randomized controlled trial","volume":"25","author":"Ewings","year":"2005","journal-title":"Journal of Obstetrics and Gynaecology"},{"key":"10.1016\/j.midw.2017.03.015_bib17","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1111\/j.1471-0528.1995.tb09132.x","article-title":"Postnatal maternal morbidity: extent, causes, prevention and treatment","volume":"102","author":"Glazener","year":"1995","journal-title":"BJOG"},{"issue":"12","key":"10.1016\/j.midw.2017.03.015_bib18","first-page":"628","article-title":"Effect of pelvic floor exercise during pregnancy and puerperium on prevention of urinary stress incontinence","volume":"72","author":"Gorbea Chavez","year":"2004","journal-title":"Ginecol Obstet Mex"},{"key":"10.1016\/j.midw.2017.03.015_bib19","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1111\/j.1471-0528.2012.03409.x","article-title":"Obstetric anal sphincter injury: a clinical audit","volume":"119","author":"Gupta","year":"2012","journal-title":"BJOG"},{"key":"10.1016\/j.midw.2017.03.015_bib20","series-title":"Atenci\u00f3n por comadronas versus otros modelos de atenci\u00f3n para las mujeres durante el parto (Revision Cochrane traducida)","first-page":"3","author":"Hatem","year":"2009"},{"key":"10.1016\/j.midw.2017.03.015_bib21","volume":"2","author":"Hay-Smith","year":"2000"},{"key":"10.1016\/j.midw.2017.03.015_bib22","series-title":"Rectal analgesia for pain from perineal trauma following childbirth. Cochrane Database of Systematic Reviews 2003, Issue 3. In: the Cochrane Library","first-page":"2","author":"Hedayati","year":"2003"},{"key":"10.1016\/j.midw.2017.03.015_bib23","series-title":"Continuous support for women during childbirth. Cochrane Database of Systematic Reviews Issue 2","author":"Hodnett","year":"2011"},{"key":"10.1016\/j.midw.2017.03.015_bib24","first-page":"447","article-title":"Can antenatal pelvic floor exercises prevent postnatal incontinence","volume":"20","author":"Hughes","year":"2001","journal-title":"Neurourology and Urodynamics"},{"key":"10.1016\/j.midw.2017.03.015_bib25","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1111\/1471-0528.13924","article-title":"Does the Epi-No(\u00ae) birth trainer prevent vaginal birth-related pelvic floor trauma? A multicentre prospective randomised controlled trial","volume":"123","author":"Kamisan Atan","year":"2016","journal-title":"BJOG"},{"key":"10.1016\/j.midw.2017.03.015_bib26","first-page":"CD008070","article-title":"Position in the second stage of labour for women with epidural anaesthesia","author":"Kemp","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"10.1016\/j.midw.2017.03.015_bib27","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1111\/birt.12101","article-title":"Does a large infant head or a short perineal body increase the risk of obstetrical perineal trauma?","volume":"41","author":"Komorowski","year":"2014","journal-title":"Birth"},{"key":"10.1016\/j.midw.2017.03.015_bib28","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/S0002-9378(99)70260-7","article-title":"Randomized controlled trial of prevention of perineal trauma by perineal massage during pregnancy","volume":"180","author":"Labrecque","year":"1999","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2017.03.015_bib29","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1111\/birt.12258","article-title":"The Effect of Perineal Lacerations on Pelvic Floor Function and Anatomy at 6 Months Postpartum in a Prospective Cohort of Nulliparous Women","volume":"43","author":"Leeman","year":"2016","journal-title":"Birth"},{"key":"10.1016\/j.midw.2017.03.015_bib30","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1016\/j.ajog.2004.02.064","article-title":"Incidence, severity, and determinants of perineal pain after vaginal delivery: a prospective cohort study","volume":"191","author":"Macarthur","year":"2004","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2017.03.015_bib31","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":"Journal of Reproductive Medivine"},{"key":"10.1016\/j.midw.2017.03.015_bib32","first-page":"499","article-title":"Perineal massage during pregnancy: a prospective controlled trial","volume":"10","author":"Mei-dan","year":"2008","journal-title":"Israel Medicine Association Journal"},{"key":"10.1016\/j.midw.2017.03.015_bib33","first-page":"673","article-title":"Pelvic floor education after vaginal delivery","volume":"97","author":"Meyer","year":"2001","journal-title":"Obstetrics and Gynecology"},{"issue":"2","key":"10.1016\/j.midw.2017.03.015_bib34","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/j.1523-536X.2012.00529.x","article-title":"Maternal position and other variables: effects on perineal outcomes in 557 births","volume":"39","author":"Meyvis","year":"2012","journal-title":"Birth Jun"},{"key":"10.1016\/j.midw.2017.03.015_bib35","series-title":"Estrategia de Atenci\u00f3n al Parto Normal en el Sistema Nacional de Salud","author":"Ministerio de Sanidad y Consumo","year":"2007"},{"key":"10.1016\/j.midw.2017.03.015_bib36","first-page":"313","article-title":"Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial","volume":"101","author":"Morkved","year":"2003","journal-title":"Obstetrics & Gynecology"},{"key":"10.1016\/j.midw.2017.03.015_bib37","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1007\/s00192-015-2687-8","article-title":"Antepartum use of Epi-No birth trainer for preventing perineal trauma: systematic review","volume":"26","author":"Oliveira Brito","year":"2015","journal-title":"International Urogynecology Journal"},{"key":"10.1016\/j.midw.2017.03.015_bib38","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1186\/s12884-015-0703-0","article-title":"A retrospective study on perineal lacerations in vaginal delivery and the individual performance of experienced midwives","volume":"15","author":"Ott","year":"2015","journal-title":"BMC Pregnancy and Childbirth"},{"issue":"1","key":"10.1016\/j.midw.2017.03.015_bib39","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1111\/j.1471-0528.2002.t01-1-01116.x","article-title":"Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises","volume":"109","author":"Reilly","year":"2002","journal-title":"BJOG"},{"key":"10.1016\/j.midw.2017.03.015_bib40","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1111\/j.1479-828X.2009.01044.x","article-title":"Prospective randomised multicentre trial with the birth trainer EPI-NO for the prevention of perineal trauma","volume":"49","author":"Ruckhaberle","year":"2009","journal-title":"Australian and New Zealand Journal of Obstetrics and Gynaecology"},{"key":"10.1016\/j.midw.2017.03.015_bib41","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1136\/bmj.38163.724306.3A","article-title":"Randomised controlled trial of pelvic floor muscle training during pregnancy","volume":"329","author":"Salvesen","year":"2004","journal-title":"BMJ"},{"key":"10.1016\/j.midw.2017.03.015_bib42","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.jmwh.2008.02.015","article-title":"Use of hyaluronidase to prevent perineal trauma during spontaneous delivery: a pilot study","volume":"53","author":"Scarabotto","year":"2008","journal-title":"Journal Midwifery Womens Health"},{"key":"10.1016\/j.midw.2017.03.015_bib43","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1111\/j.1471-0528.1997.tb12021.x","article-title":"Antenatal perineal massage and subsequent perineal outcomes: a randomised controlled trial","volume":"104","author":"Shipman","year":"1997","journal-title":"BJOG"},{"issue":"3","key":"10.1016\/j.midw.2017.03.015_bib44","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/00006199-200505000-00002","article-title":"Effects of immediate versus delayed pushing during second-stage labor on fetal well-being: a randomized clinical trial","volume":"54","author":"Simpson","year":"2005","journal-title":"Nurs. Res."},{"key":"10.1016\/j.midw.2017.03.015_bib45","first-page":"106","article-title":"A randomized controlled trial to evaluate intrapartum pelvic floor exercise as a method of preventing urinary incontinence","volume":"167","author":"Stothers","year":"2002","journal-title":"Journal of Urology"},{"issue":"5","key":"10.1016\/j.midw.2017.03.015_bib46","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.wombi.2016.01.010","article-title":"Randomised controlled trial using smartphone website vs leaflet to support antenatal perineal massage practice for pregnant women","volume":"29","author":"Takeuchi","year":"2016","journal-title":"Women and Birth"},{"key":"10.1016\/j.midw.2017.03.015_bib47","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s00192-015-2795-5","article-title":"Risk factors for severe obstetric perineal lacerations","volume":"27","author":"Vale de Castro Monteiro","year":"2016","journal-title":"International Urogynecology Journal"},{"key":"10.1016\/j.midw.2017.03.015_bib48","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/j.ajog.2010.05.028","article-title":"Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis","volume":"203","author":"Wax","year":"2010","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"10.1016\/j.midw.2017.03.015_bib49","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s00192-006-0175-x","article-title":"Pelvic floor muscle training is not effective in women with UI in pregnancy: a randomised controlled trial","volume":"18","author":"Woldringh","year":"2007","journal-title":"International Urogynecology Journal and Pelvic floor Dysfunctiont"}],"container-title":["Midwifery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613817302267?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0266613817302267?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T15:52:12Z","timestamp":1759420332000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0266613817302267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":49,"alternative-id":["S0266613817302267"],"URL":"https:\/\/doi.org\/10.1016\/j.midw.2017.03.015","relation":{},"ISSN":["0266-6138"],"issn-type":[{"value":"0266-6138","type":"print"}],"subject":[],"published":{"date-parts":[[2017,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Influence of a pelvic floor training programme to prevent perineal trauma: A quasi-randomised controlled trial","name":"articletitle","label":"Article Title"},{"value":"Midwifery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.midw.2017.03.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}