The Effect of Prineal Massage on Prineal Trauma
- Conditions
- Delivery.Single spontaneous delivery
- Registration Number
- IRCT2013090314556N1
- Lead Sponsor
- Kurdistan University of Medical Sciences
- Brief Summary
The Effect of Perineal Massage during the Second Stage of Birth on Perineal Lacerations, Episiotomy, and Perineal Pain in Nulliparous Women <br /> <br /> Introduction: Childbirth and puerperium are of the most important periods in women’s life and can affect different aspects of their life . Although childbirth is a physiological process, there is a risk of perineal trauma when neonate’s head is exiting, and thus, an episiotomy may be needed. This study was conducted to determine the effect of perineal massage in the second stage of labor on perineal lacerations, episiotomy, and perineal pain in nulliparous women going to childbirth unit of Besat Hospital in Sanandaj, Iran.<br /> Material & Methods: The study population included all nulliparous women going to childbirth unit of Besat Hospital in 2013-2014. The participants were selected through convenience sampling and randomly assigned to groups such that nulliparous women with inclusion criteria were alternately assigned to the case and control groups. All of them were taught about postpartum perineal pain and its severity, and the researcher followed them up 3 days, 10 days, and 3 months after childbirth by telephone.<br /> <br /> Results: The results showed mean and standard deviation of the participants in the case group (receiving perineal massage) as 25.62 ± 4.25 years and those in the control group as 25.31 ± 3.86 years. The participants in both groups were mostly 21-25 years old. The results revealed 23.16% of first-degree perineal laceration and 2.11% of second-degree perineal laceration in the case group, and no vestibular laceration and third- and fourth-degree lacerations in the case group. However, there were 5.13% of vestibular laceration, 7.69% of first-degree laceration, 2.56% of second-degree laceration, and 1.05% of third-degree laceration (one woman) in the control group.<br /> Based on the results, the postpartum perineal pain was different in both group. Comparison of degrees of pain in the two groups showed that the severity of pain 3 days and 3 months after childbirth was significant (P = 0.01 & P = 0.008, respectively), but the severity of pain in the 10th day did not differ significantly (P = 0.78) (Table 5). The results on frequency of complications did not show any significant difference between groups (P = 0.413).<br />
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- Female
- Target Recruitment
- 150
nuliparity with gestational age 38-42 weeks; singleton; cephalic presentation; without PROM; placenta abruption; cephalo pelvic disproportion; fetal distress; do not have vaginal infections and herpes; do not have kegel exercise and professional sport.
Exclusion criteria: failure in progress; fetal distress; getting sedative; getting oxytocin; having operative delivery; being red rush and prineal edema; mother request for disconnect the massage; need to cesarean; shoulder dystocia; occiput posterior; baby more than 4000 gram or below 2500.
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Doing episiotomy. Timepoint: During delivery. Method of measurement: Clinical examination.;Safe prieneal. Timepoint: During delivery. Method of measurement: Prieneal examination.
- Secondary Outcome Measures
Name Time Method Prineal trauma. Timepoint: After delivery. Method of measurement: Clinical examination.;Prineal pain. Timepoint: 3 and 10 days after delivery and 3 months after delivery. Method of measurement: Pain questioner.