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RECOMENDACIONES DE LA OMS

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EXPULSIVO

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Spain

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RECOMENDACIONES DE LA OMS
 

RECOMENDACIONES DE LA OMSOnline version

EXPULSIVO

by Jesús Tutor EIR Matronas HUPA
1

Técnicas para reducir el traumatismo perineal: masajes perineales, compresas tibias y conducta de protección activa del periné.

2

Emplear como definición el tiempo comprendido entre la dilatación completa y el nacimiento. Este periodo por lo general se completa en 3 horas en nulíparas y en 2 en multíparas.

3

Adoptar la posición de su elección, incluidas erguidas en mujeres con y sin peridural.

4

Aplicación del fondo uterino para facilitar el parto.

5

Alentar a que siga su propia necesidad de pujar.

6

Retrasar el pujo durante 1-2 horas en mujeres con epidural hasta que recupere la necesidad sensorial de pujo, siempre que se cuente con recursos para prolongar el expulsivo evaluando la hipoxia.

7

Uso de rutina de episiotomía.

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