Abstract
Objective: To identify the main factors related to perineal trauma. Methodology: study of type integrative review, we used the following descriptors: normal delivery, perineum, emergencies, midwifery to search for articles, selected databases were: Latin American and Caribbean Health Sciences , Scientific Electronic Library Online, the Brazilian Institute of Information Science and Technology, Online System Search and Medical Literature Analysis. Results: After data analysis states that the main factors related to perineal trauma are practicing too much of episiotomy, epidural analgesia, Nulliparity, prematurity, Apgar <7 in the first minute, lack of training of professionals regarding the practice episiotomy and dissemination of information on this subject to their patients the lack of knowledge of these on the procedure, the association between tear and pull apart from the fact of being a primipara. Conclusion: In view of these data, it is observed that the main factors that cause pregnant women to have a perineal trauma, can be avoided with simple actions such as a decrease in the practice of episiotomy, the training of professionals who perform this procedure, replacing the epidural analgesia and especially the transfer of information on this customer who perform prenatal.