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

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dc.contributor.author Dahlen, Hannah en_US
dc.contributor.author Homer, Caroline en_US
dc.contributor.author Leap, Nicky en_US
dc.contributor.author Tracy, Sally en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-02-02T10:58:58Z
dc.date.available 2012-02-02T10:58:58Z
dc.date.issued 2011 en_US
dc.identifier 2010005427 en_US
dc.identifier.citation Dahlen Hannah et al. 2011, 'From social to surgical: historical perspectives on perineal care during labour and birth', Elsevier BV, vol. 24, no. 3, pp. 105-111. en_US
dc.identifier.issn 1871-5192 en_US
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 reemergence 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. en_US
dc.language en_US
dc.publisher Elsevier BV en_US
dc.relation.isbasedon http://dx.doi.org/10.1016/j.wombi.2010.09.002 en_US
dc.title From social to surgical: historical perspectives on perineal care during labour and birth en_US
dc.parent Women and Birth en_US
dc.journal.volume 24 en_US
dc.journal.number 3 en_US
dc.publocation Netherlands en_US
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.for 119900 en_US
dc.personcode 0000070772 en_US
dc.personcode 995146 en_US
dc.personcode 995272 en_US
dc.personcode 990020 en_US
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.location.activity en_US
dc.description.keywords Midwifery; Obstetrics; Birth; Perineum; Surgical en_US
dc.staffid 990020 en_US


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