Objective To assess the scientific evidence for management and preservation of perineal
integrity during the expulsive stage of labor. Study design Integrative review that employed
the Population, Intervention, Comparison, Outcome strategy to formulate the research
question: Which perineal measure (s) is (are) effective in maintaining perineal integrity
during labor? The search was performed in the databases MEDLINE, LILACS, BDENF and
SciELO. The ten selected studies were analyzed based on their level of evidence and grade …