TY - JOUR T1 - Effects of two methods ,do not touch the perineum and maneuver Ritgen on second stage in managing the outcoms of labor TT - تآثیر دو روش انجام مانور ریتگن و عدم لمس پرینه در اداره مرحله دوم زایمان بر پیامدهای زایمان JF - sjimu JO - sjimu VL - 21 IS - 4 UR - http://sjimu.medilam.ac.ir/article-1-375-en.html Y1 - 2013 SP - 255 EP - 262 KW - Hand-poised method KW - Hands-on method KW - Perineal trauma KW - Delivery outcome N2 - Introduction: The objective of the present study is to evaluate the effect of the two methods of delivery " hands-on" versus "hand-poised" on perineal trauma and delivery outcome in primiparous women. hands-on method or Ritgen’s maneuver, used to control fetal head is associated with higher need for episiotomy and perineal traumas. Thus, hand-poised method, which is done without touching the perineum in the second labor stage, is preferred. Materials & Methods: This is a clinical trial in which 100 low risk primiparous parturients were randomly assigned to two groups hands-on and hand-poised (hands-off). In the hands-on group, in the second stage of labor hands-on method was used to control fetal head, i.e., the fingers of one hand supports fetal occiput and the other hand applies slight pressure on the head to control the delivery of the head during the crowning process. In the hands-off group, the midwife observes the parturient and do not touch perineum during the second labor stage while fetal head is delivering. Then, the two groups were compared in terms of perineal trauma, as well as delivery outcome. Findings: The findings demonstrated that the two groups were significantly different in terms of perineal trauma resulted from episiotomy, and the need for episiotomy was smaller in the hands-off group (p M3 ER -