O períneo íntegro na saúde da mulher no pós-parto: scoping review
DOI:
https://doi.org/10.37914/riis.v9.431Palavras-chave:
parto, períneo, saúde da mulherResumo
Enquadramento: a integridade perineal é um indicador da qualidade dos cuidados obstétricos e um determinante da saúde da mulher no pós-parto, com impacto em múltiplos domínios, incluindo a dor perineal, a continência urinária e fecal, a função sexual, a função muscular do pavimento pélvico e a saúde mental. A evidência disponível encontra-se dispersa e carece de mapeamento integrador. Objetivo: mapear a evidência disponível sobre os desfechos de saúde associados à integridade perineal no pós-parto. Metodologia: scoping review conduzida nas bases de dados CINAHL, Scopus, MEDLINE, Eric, MedicLatina e Cochrane Library, complementada por pesquisa de literatura cinzenta no RCAAP. Foram incluídos 32 estudos publicados entre 1994 e 2024. Resultados: os estudos incluídos mapeiam cinco domínios de desfecho: dor perineal (n=15), função sexual (n=13), incontinência urinária e anal (n=8), função muscular do pavimento pélvico (n=7) e saúde mental (n=1). Os estudos estratificam os achados por condição perineal documentando uma tendência aparente de menor frequência e intensidade dos desfechos adversos em mulheres com períneo íntegro, todavia sem que seja possível estabelecer relações causais. Conclusão: a evidência mapeada sustenta a relevância clínica da preservação perineal, reconhecendo-se que a heterogeneidade metodológica do corpus limita a transferibilidade dos achados e impõe cautela interpretativa.
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Direitos de Autor (c) 2026 Alexandrina Cardoso, Filipa Ramos
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