From social to surgical: Historical perspectives on perineal care during labour and birth

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dc.contributor.author Dahlen, HG
dc.contributor.author Homer, CSE
dc.contributor.author Leap, N
dc.contributor.author Tracy, SK
dc.date.accessioned 2012-02-02T10:58:58Z
dc.date.issued 2011-09
dc.identifier.citation Women and Birth, 2011, 24 (3), pp. 105 - 111
dc.identifier.issn 1871-5192
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/15511
dc.description.abstract A review of key historical texts that mentioned perineal care was undertaken from the time of Soranus (98-138. A.D.) to modern times as part of a PhD into perineal care. Historically, perineal protection and comfort were key priorities for midwives, most of whom traditionally practised under a social model of care. With the advent of the Man-Midwife in the seventeenth and eighteenth century, the perineum became pathologised and eventually a site for routine surgical intervention - most notably seen in the widespread use of episiotomy. There were several key factors that led to the development of a surgical rather than a social model in perineal care. These factors included a move from upright to supine birth positions, the preparation of the perineum as a surgical site through perineal shaving and elaborate aseptic procedures; and the distancing of the woman from her support people, and most notably from her own perineum. In the last 30 years, in much of the developed world, there has been a re-emergence of care aimed at preserving and protecting the perineum. A dichotomy now exists with a dominant surgical model competing with the re-emerging social model of perineal care. Historical perspectives on perineal care can help us gain useful insights into past practices that could be beneficial for childbearing women today. These perspectives also inform future practice and research into perineal care, whilst making us cautious about political influences that could lead to harmful trends in clinical practice. © 2010 Australian College of Midwives.
dc.language eng
dc.relation.isbasedon 10.1016/j.wombi.2010.09.002
dc.title From social to surgical: Historical perspectives on perineal care during labour and birth
dc.type Journal Article
dc.parent Women and Birth
dc.journal.volume 3
dc.journal.volume 24
dc.journal.number 3 en_US
dc.publocation Netherlands en_US
dc.publocation Perth
dc.identifier.startpage 105 en_US
dc.identifier.endpage 111 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.conference Interior: A state of becoming An IDEA (InteriorDesign/Interior Architecture Educators Association) Symposium
dc.for 1199 Other Medical and Health Sciences
dc.personcode 990020
dc.personcode 995272
dc.personcode 995146
dc.percentage 100 en_US
dc.classification.name Other Medical and Health Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.date.activity 2012-09-06
dc.location.activity en_US
dc.location.activity Perth, Australia
dc.description.keywords Birth
dc.description.keywords Midwifery
dc.description.keywords Obstetrics
dc.description.keywords Perineum
dc.description.keywords Surgical
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)
utslib.collection.history Uncategorised (ID: 363)


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