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Potential excess of vaginal examinations during the management of labor: frequency and associated factors in 13 Peruvian hospitals.

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dc.contributor.author Zafra-Tanaka, Jessica Hanae
dc.contributor.author Montesinos-Segura, Renee
dc.contributor.author Flores-Gonzales, Pamela D.
dc.contributor.author Taype-Rondan, Alvaro
dc.date.accessioned 2019-12-06T21:02:53Z
dc.date.available 2019-12-06T21:02:53Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7470
dc.description.abstract BACKGROUND: A high number of vaginal examinations (VEs) may lead to a higher risk of infections, as well as discomfort/dissatisfaction with intrapartum care. OBJECTIVE: To determine the frequency of potential excess of vaginal examinations (PEVE) during the management of labor and identify its associated factors, in Peruvian hospitals. METHODS: Secondary analysis of the data collected in the DisrespEct and abuse during ChIlDbirth in pEru (DECIDE) study, held between April and May 2016. In this study, women hospitalized in Peruvian hospitals right after giving birth were surveyed by trained personnel. PEVE, the main outcome, was considered as five or more vaginal examinations (VEs) performed during the management of labor. Poisson regression models with robust variance were performed to calculate crude and adjusted prevalence ratios (cPR and aPR) as well as their 95% confidence intervals (95% CI). RESULTS: One thousand four hundred twenty registries of 13 hospitals from 8 Peruvian cities were evaluated. The number of women studied at each hospital ranged between 100 and 129. The median age was 26 years (interquartile rank: 22-31). The median number of VEs was 3 (interquartile rank: 2-5). The proportion of women who underwent PEVE was 33.9%, this ranged from 0.9 to 69.9% at the studied hospitals. The frequency of PEVE was higher in women who attended > 2 obstetric psychoprophylaxis sessions, compared to those who attended </= 2 sessions (aPR: 1.78 95% CI: 1.01-3.12); and among women who gave birth between 18:00 h and 23:59 h, compared to those who did it between 7:00 and 17:59 h (aPR: 1.28 95% CI: 1.04-1.57). CONCLUSION: Around one in three women underwent a PEVE, although this frequency varied widely across the evaluated hospitals. Women with more psychoprophylaxis sessions, and who gave birth between 18:00 h and 23:59 h, had a higher PEVE frequency. Future studies should assess in depth the causes and consequences of this high frequency. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries Reproductive Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject adult en_US
dc.subject article en_US
dc.subject case report en_US
dc.subject Childbirth en_US
dc.subject city en_US
dc.subject clinical article en_US
dc.subject disrespect en_US
dc.subject female en_US
dc.subject human en_US
dc.subject human experiment en_US
dc.subject labor management en_US
dc.subject Obstetric labor en_US
dc.subject pelvic examination en_US
dc.subject prevalence en_US
dc.subject secondary analysis en_US
dc.subject Vaginal examinations en_US
dc.title Potential excess of vaginal examinations during the management of labor: frequency and associated factors in 13 Peruvian hospitals. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12978-019-0811-9
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.02
dc.relation.issn 1742-4755


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