Perineal Massage Performed During the Labour

NCT ID: NCT05962918

Last Updated: 2023-07-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

182 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-01

Study Completion Date

2019-04-01

Brief Summary

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In this study, perineal massage was applied to primiparous women who did not give birth before, as a quasi-experimental control group to determine the effects of massage on birth comfort, perineal trauma and perineal pain.

Detailed Description

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In this study, perineal massage was applied to primiparous women who did not give birth before, as a quasi-experimental control group to determine the effects of massage on birth comfort, perineal trauma and perineal pain. Perineal massage was administered to all pregnant women in the experimental group during both the labor and resting phases between contractions. The participants received an average of 5-10 minutes of perineal massage two, four and four to six times at the latent (0-3-cm cervical dilation), active (4-7-cm cervical dilation) and transition (8-10-cm cervical dilation) phases of labor, respectively. These women continued to receive perineal massage at every push throughout the second stage of labor. Before perineal massage, the researcher wore sterile gloves, placed two fingers into the 3-4-cm wide-open vagina and applied Vaseline routinely to lubricate the vagina in the delivery room. . Perineal massage was applied using all three of the "from one edge to the other", "U shape" and "pressure" massage techniques. The researcher gently applied a rhythmic "U" pressure with both fingers, moving them on the vagina downwards about 3 to 9 o'clock. Each pressure movement was maintained laterally for 1-2 minutes towards the rectum.

Conditions

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Delivery Problem Childrearing Satisfaction, Patient Perineum; Injury Perineal Tear Pain, Labor

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Paralel designed non randomized two armed study
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants
Since the researcher did the intervention and analysis, only the participants did not know which group they were in, so single blinding was done.

Study Groups

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perineal massage

intervention group with perineal massage

Group Type EXPERIMENTAL

Perinal massage

Intervention Type OTHER

Perineal massage was administered to all pregnant women in the experimental group during both the labor and resting phases between contractions. The participants received an average of 5-10 minutes of perineal massage two, four and four to six times at the latent (0-3-cm cervical dilation), active (4-7-cm cervical dilation) and transition (8-10-cm cervical dilation) phases of labor, respectively. These women continued to receive perineal massage at every push throughout the second stage of labor. The researcher midwife gently widened the perineal muscles by making stretching movements with her fingers. Perineal massage was applied using all three of the "from one edge to the other", "U shape" and "pressure" massage techniques. The researcher gently applied a rhythmic "U" pressure with both fingers, moving them on the vagina downwards about 3 to 9 o'clock. Each pressure movement was maintained laterally for 1-2 minutes towards the rectum.

control group

The group that received routine hospital protocol and was not massaged.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Perinal massage

Perineal massage was administered to all pregnant women in the experimental group during both the labor and resting phases between contractions. The participants received an average of 5-10 minutes of perineal massage two, four and four to six times at the latent (0-3-cm cervical dilation), active (4-7-cm cervical dilation) and transition (8-10-cm cervical dilation) phases of labor, respectively. These women continued to receive perineal massage at every push throughout the second stage of labor. The researcher midwife gently widened the perineal muscles by making stretching movements with her fingers. Perineal massage was applied using all three of the "from one edge to the other", "U shape" and "pressure" massage techniques. The researcher gently applied a rhythmic "U" pressure with both fingers, moving them on the vagina downwards about 3 to 9 o'clock. Each pressure movement was maintained laterally for 1-2 minutes towards the rectum.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having no complications for vaginal delivery
* Having no dystocia affecting the birth process (e.g., prolonged labor, precipitate labor, shoulder dystocia)
* Having a singleton pregnancy,
* Having a fetal head with an anterior cephalic position,
* Being at the latent phase of labor,
* Having no perineal scar tissue,
* Having no diagnosis of vaginal fungus or infection,
* Having a fetus with a birth weight between 2500 and 4000 g,
* Having no communication problems.

Exclusion Criteria

-All pregnant women who developed fetal distress during labor or had to undergo cesarean delivery were excluded from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Munzur University

OTHER

Sponsor Role lead

Responsible Party

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Habibe YAŞAR YETİŞMİŞ

Research assistant, Phd Student

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Munzur University

Tunceli, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Labrecque M, Eason E, Marcoux S, Lemieux F, Pinault JJ, Feldman P, Laperriere L. Randomized controlled trial of prevention of perineal trauma by perineal massage during pregnancy. Am J Obstet Gynecol. 1999 Mar;180(3 Pt 1):593-600. doi: 10.1016/s0002-9378(99)70260-7.

Reference Type BACKGROUND
PMID: 10076134 (View on PubMed)

Aquino CI, Guida M, Saccone G, Cruz Y, Vitagliano A, Zullo F, Berghella V. Perineal massage during labor: a systematic review and meta-analysis of randomized controlled trials. J Matern Fetal Neonatal Med. 2020 Mar;33(6):1051-1063. doi: 10.1080/14767058.2018.1512574. Epub 2018 Sep 19.

Reference Type BACKGROUND
PMID: 30107756 (View on PubMed)

Karacam Z, Ekmen H, Calisir H. The use of perineal massage in the second stage of labor and follow-up of postpartum perineal outcomes. Health Care Women Int. 2012;33(8):697-718. doi: 10.1080/07399332.2012.655385.

Reference Type BACKGROUND
PMID: 22827728 (View on PubMed)

Williams A, Herron-Marx S, Knibb R. The prevalence of enduring postnatal perineal morbidity and its relationship to type of birth and birth risk factors. J Clin Nurs. 2007 Mar;16(3):549-61. doi: 10.1111/j.1365-2702.2006.01593.x.

Reference Type BACKGROUND
PMID: 17335531 (View on PubMed)

Kalichman L. Perineal massage to prevent perineal trauma in childbirth. Isr Med Assoc J. 2008 Jul;10(7):531-3. No abstract available.

Reference Type BACKGROUND
PMID: 18751635 (View on PubMed)

Geranmayeh M, Rezaei Habibabadi Z, Fallahkish B, Farahani MA, Khakbazan Z, Mehran A. Reducing perineal trauma through perineal massage with vaseline in second stage of labor. Arch Gynecol Obstet. 2012 Jan;285(1):77-81. doi: 10.1007/s00404-011-1919-5. Epub 2011 May 26.

Reference Type BACKGROUND
PMID: 21614497 (View on PubMed)

Akhlaghi F, Sabeti Baygi Z, Miri M, Najaf Najafi M. Effect of Perineal Massage on the Rate of Episiotomy. J Family Reprod Health. 2019 Sep;13(3):160-166.

Reference Type RESULT
PMID: 32201491 (View on PubMed)

Related Links

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Other Identifiers

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habibe4721

Identifier Type: -

Identifier Source: org_study_id

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