الفهرس 
P ELVIC A NATOMYOnly 14 pages are availabe for public view
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Abstract
Background: Different intrapartum interventions have been described for prevention of perineal trauma during child birth. Different techniques of manual perineal protection (MPP) have been described for the protection of the perineum and prevention of obstetric anal sphincter injuries (OASIs).
Aim of the Work: To optimize the placement of the middle finger during Manual Perineal Protection to describe the position of fetal Bregma relative to the maternal fourchette and to generate normo-grams (normal values) of bregma – fourchette distance (BFD), after crowning and just before applying MPP or cutting an episiotomy, whichever comes first.
Patients and Methods: This cross-sectional study was conducted at tertiary care hospital at Ain Shams University Maternity hospital (ASUMH) from January 2021 till August 2021 and performed on total 50 women having their first vaginal birth at ASUMH. Sixty patients were assessed for eligibility and 50 patients were included in the study. Of all eligible patients, 8 patients were excluded from the study based on the inclusion criteria and 2 patients refused to participate in of the study.
Results: There was no statistically significant difference according to need to episiotomy regarding maternal characteristics (age and BMI), fetal characteristics (HC and neonatal weight) with no statistically significant difference regarding perineal body length (PBL) and BFD.
Conclusion: As evident from the current study, perineal trauma were statistically correlated with the length 2nd stage of labor, BFD and fetal weight.