The Effect of Perineal Massage in Childbirth

NCT ID: NCT02201615

Last Updated: 2014-08-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 284 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-01-31

Brief Summary

Objective To examine the effects of perineal massage applied during the action of birth on the frequency of episiotomy procedures, perineal tearing and the duration of the second stage of birth.

Methods The present study was a randomized controlled experimental. Women (284 women) were informed on the study and provided their written consent. 10-minute perineal massage with glycerine was applied to the women in the test group for 4 times during the first stage and 1 time in the second stage of birth. The women in the control group received the routine care procedure at the clinic.

Results According to the study findings, 31% of the women in the test group and 69.7% of the women in the control group were made subject to episiotomy (p<0.05). In the test and control group 9.2%, 2.4% of the women developed spontaneous perineal laceration (p>0.05). The average duration of the action of birth was 25.33 minutes in the test group and 28.18 minutes in the control group (p<0.05).

Conclusion The study results indicate that perineal massage applied during the action of birth decreased the rate of episiotomy procedure and shortened the duration of the second stage of birth.

Conditions

Obstetric Labor Complications

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Perineal Massage & Control

Perineal Massage every 30 min, a 10 min 4 times in the first stage of labour, 1 times in the second stage of labour.

Control routine care procedure at the clinic.

Group Type: EXPERIMENTAL

Perineal massage in childbirth

Intervention Type: OTHER

Interventions

Perineal massage in childbirth

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• With no pregnancy-related complications diagnosed during pregnancy,
• No definitive indication for C-section,
• Satisfying the pregnancy week in terms of the fetal dimensions,
• At the 37th-42nd gestation week,
• Applying to have her first or second birth,
• With no systemic condition,
• With head presentation,
• At the latent phase of the first stage of birth with a dilatation under 4 cm and effacement below 50%,
• That have provided written consent specifying their voluntariness in participating in the study.

Exclusion Criteria

• With pregnancy-related complications diagnosed during pregnancy,
• Definitive indication for C-section,
• No satisfying the pregnancy week in terms of the fetal dimensions,
• At the <37th- >42nd gestation week,
• With systemic condition,
• With no head presentation,
• At the latent phase of the first stage of birth with a dilatation above 4 cm
• No have provided written consent specifying their voluntariness in participating in the study.

• Minimum Eligible Age: 19 Years
• Maximum Eligible Age: 49 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Cumhuriyet University

OTHER

Sponsor Role: lead

Responsible Party

Gulbahtiyar DEMİREL

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Cumhuriyet University

Sivas, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Demirel G, Golbasi Z. Effect of perineal massage on the rate of episiotomy and perineal tearing. Int J Gynaecol Obstet. 2015 Nov;131(2):183-6. doi: 10.1016/j.ijgo.2015.04.048. Epub 2015 Jul 26.

Reference Type: DERIVED

PMID: 26410801 (View on PubMed)

Other Identifiers

GD01MD2958058

Identifier Type: REGISTRY

Identifier Source: secondary_id

SBF - 005

Identifier Type: -

Identifier Source: org_study_id