The Use of St. John's Wort Oil With Massage in the Perineum During Childbirth

NCT ID: NCT05164926

Last Updated: 2024-07-31

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-15
• Study Completion Date: 2024-12-30

Brief Summary

Perineal trauma, whether spontaneous or episiotomy, is a condition that affects the quality of life in primiparous women . In women who have experienced perineal trauma, problems such as dyspareunia, urinary and fecal incontinence, and delayed attachment of mother and baby occur in their later lives. Episiotomy, which is applied to reduce perineal trauma, is not recommended today, but it is still widely used.Different techniques such as perineal massage, hot compress, and Ritgen maneuver are applied to reduce perineal trauma. Perineal Massage can be applied together with oil. There are studies in which massage is applied together with oils.St. John's Wort (St. John's Wort) is a plant used in traditional practice in Turkish medicine against ulcers in the gastrointestinal tract, diabetes, jaundice, hepatic and biliary diseases. Antitumoral , antimicrobial , antiviral activities have been demonstrated. St. John's Wort oil can be used orally for dyspeptic complaints, and there is also a way to apply it through the skin. When applied for this purpose, it benefits from its facilitating feature of wound healing. It is useful in wound healing, myalgia and minor bruises, burn pain .

The investigators'aim in this study is to investigate the effects of perineal massage with St. John's Wort oil on episiotomy, perineal damage and wound healing.

Detailed Description

The study is a Prospective Cross-sectional Case Control study. 60 pregnant women who were admitted to the Delivery Room Clinic of the hospital for delivery and were in active labor and had a 6 cm gap of 70-80% in the examination were included in the study. High-risk pregnant women, pregnant women planned for cesarean delivery, and pregnant women with additional disease were excluded from the study. First of all, a patient follow-up form, which includes the demographic information of the pregnant women, examination and perineal length, ultrasound information including the estimated fetal weight of the baby, will be filled. 30 case group pregnant women will receive their consent following a detailed explanation. Then, perineal massage will be applied to the pregnant women who have reached full disclosure, which will last for 10 minutes in the 1st stage of labor, accompanied by centaury oil, to stretch the perineal muscles with the help of fingers. Also, the pregnant women who have reached full patency will be given a perineal massage until the head descends on the delivery table. Another 10-minute centaury oil massage will be applied.

The control group will consist of 30 pregnant women who were applied perineal massage without using centaury oil as a requirement of midwifery care service.

The rates of 3rd and 4th degree perineal damage will be recorded from the groups that received St. John's Wort oil after delivery and those who did not. The current cut-out size and depth and its localization will also be recorded. At the same time, the patient will be evaluated for VAS for postpartum perineal pain.

In the follow-up one week after discharge, the scar thickness and pelvic muscle strength assessment of the existing episioes and eruptions will be recorded. The presence of urinary or fecal incontinence will be recorded by asking.

The data will be saved in the IBM-SPSS program. When comparing the two groups, normally distributed data will be analyzed using the independent simple t test, and data not normally distributed will be analyzed using the Mann-Whitney U-Test. P value less than 0.05 will be considered significant.

Conditions

Perineal Injury

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Experimental group, whose perineum was massaged with St. John's Wort oil during labor

St. John's Wort oil will be applied to this group during perineal massage during labor.

Group Type: EXPERIMENTAL

perineal massage with St. John's Wort oil

Intervention Type: OTHER

perineal massage with St. John's Wort oil during labor

Interventions

perineal massage with St. John's Wort oil

perineal massage with St. John's Wort oil during labor

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• normal pregnant women
• active labor during the examination
• pregnant woman who is likely to have a vaginal delivery

Exclusion Criteria

.Pregnant women with risky pregnancies

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Ankara City Hospital Bilkent

OTHER

Sponsor Role: lead

Responsible Party

Rahime Bedir Fındık

Associate Professor Dr

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Rahime Bedir Findik, Dr

Role: PRINCIPAL_INVESTIGATOR

Ankara City Hospital Bilkent

Locations

Rahime Bedir Findik

Ankara, Çankaya, Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Rahime Bedir Findik, Dr

Role: CONTACT

drbedir75@gmail.com

+905053166532

Zuhal Yapıcı Coşkun, Dr

Role: CONTACT

zuhalyapici@yahoo.com

+905327070119

Facility Contacts

Rahime Bedir Findik

Role: primary

drbedir75@gmail.com

Zuhal Yapici Coskun, Dr

Role: backup

zuhalyapici@yahoo.com

+905327070119

Other Identifiers

AnkaraCHBilkent-MH-RBF-02

Identifier Type: -

Identifier Source: org_study_id