A high number of vaginal examinations (VEs) may lead to a higher risk of infections, as well as discomfort/dissatisfaction with intrapartum care. To determine the frequency of potential excess of vaginal examinations (PEVE) during the management of labor and identify its associated factors, in Peruvian hospitals. Secondary analysis of the data collected in the DisrespEct and abuse during ChIlDbirth in pEru (DECIDE) study, held between April and May 2016. In this study, women hospitalized in Peruvian hospitals right after giving birth were surveyed by trained personnel. PEVE, the main outcome, was considered as five or more vaginal examinations (VEs) performed during the management of labor. Poisson regression models with robust variance were performed to calculate crude and adjusted prevalence ratios (cPR and aPR) as well as their 95% confidence intervals (95% CI). One thousand four hundred twenty registries of 13 hospitals from 8 Peruvian cities were evaluated. The number of women studied at each hospital ranged between 100 and 129. The median age was 26 years (interquartile rank: 22–31). The median number of VEs was 3 (interquartile rank: 2–5). The proportion of women who underwent PEVE was 33.9%, this ranged from 0.9 to 69.9% at the studied hospitals. The frequency of PEVE was higher in women who attended > 2 obstetric psychoprophylaxis sessions, compared to those who attended ≤ 2 sessions (aPR: 1.78 95% CI: 1.01–3.12); and among women who gave birth between 18:00 h and 23:59 h, compared to those who did it between 7:00 and 17:59 h (aPR: 1.28 95% CI: 1.04–1.57). Around one in three women underwent a PEVE, although this frequency varied widely across the evaluated hospitals. Women with more psychoprophylaxis sessions, and who gave birth between 18:00 h and 23:59 h, had a higher PEVE frequency. Future studies should assess in depth the causes and consequences of this high frequency.

中文翻译：

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分娩过程中阴道检查的潜在过量：13家秘鲁医院的频率和相关因素

大量的阴道检查（VEs）可能导致较高的感染风险，以及产时护理的不适感/不满感。要确定在人工管理过程中阴道检查（PEVE）潜在过量的频率，并确定其相关因素，请在秘鲁的医院中进行。于2016年4月至5月进行的第二次研究分析了在儿童出生后的离散和虐待期间收集的数据（DECIDE）。在这项研究中，由受过训练的人员对在秘鲁分娩后住院的妇女进行了调查。PEVE是主要结局，被认为是在分娩过程中进行了五次或更多次阴道检查（VEs）。进行了具有稳健方差的Poisson回归模型，以计算粗略和调整的患病率（cPR和aPR）以及它们的95％置信区间（95％CI）。对来自秘鲁8个城市的13家医院的1,420个注册进行了评估。在每家医院接受研究的妇女人数在100到129之间。中位年龄为26岁（四分位等级：22-31）。VE的中位数为3（四分位数等级：2–5）。接受PEVE的女性比例为33.9％，在所研究的医院中，这一比例从0.9％到69.9％不等。与参加≤2次产科的妇女相比，参加≥2次产科心理预防的妇女的PEVE频率更高（aPR：1.78 95％CI：1.01–3.12）；在18:00至23:59之间分娩的妇女中，与在7:00至17之间分娩的妇女相比：59小时（实际年利率：1.28 95％CI：1.04-1.57）。尽管在所评估的医院中，这一频率差异很大，但大约有三分之一的妇女接受了PEVE治疗。进行更多心理预防活动且在18:00至23:59之间分娩的妇女的PEVE频率较高。未来的研究应深入评估这种高频率的原因和后果。