The Effect of Using Perineal Warm Compress Techniques During the Second Stage of Labor on Perineal Outcomes

Study Overview
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Brief Summary
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The goal of the clinical trial is to determine the effect of second-stage warm compress application on perineal pain and trauma among primiparous women. The main questions may reveal the pain intensity and the perineal outcome of the warm compress which might be helpful to the women during labor and related authority of the hospital. The intervention with warm perineal compression will be done among primiparous mothes during second stage of labor

Detailed Description
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Participants After full dilatation of the cervix, assign participants in a 1:1 ratio to the study and control groups randomly. Ask women to select one closed envelope containing a card with the group allocation (study or control groups) Provide usual care according to the unit protocol to all the women until the second stage of labor. Provide the participants of the study group with a warm perineal compress during the whole second stage of labor Provide usual care according to the unit protocol to the participants of control group during the whole second stage of labor. The process of applying the warm perineal compress Fill a clean container with warm water (45-59°C) Soak a clean pad in the water, squeeze then place gently on the perineum during each uterine contraction. Maintain the temperature between 38-44°C during its application. Re-soak the pad in warm water between contractions, to maintain warmth and then reapply. Replace the water in the container every 15 minutes until delivery or if the temperature drop below 45°C

Official Title
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The Effect of Using Perineal Warm Compress Techniques During the Second Stage of Labor on Perineal Outcomes

Conditions
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Heat Therapy, Perineal Tear, Pain, Labor

Intervention / Treatment
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* Procedure: Perineal warm compression Technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Low-risk pregnant mothers such as no hypertension, Headache, Bleeding Infection etc - Exclusion Criteria: Pregnancy with any health problems such as Preeclampsia, Bleeding, Obstructed Labour, Cesarean section -

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Interventional Model Description: there are two groups randomly selected. intervention and control group, One group will be used perineal heat application and the control group will be received standardized care.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Procedural intervention and Control group with standard care<br>There will be two groups. Interventional group will receive perineal warm compression and control group will receive standard care | Procedure: Perineal warm compression Technique<br>* There will be two groups. Interventional group will receive perineal warm compression and control group will receive standard care to asses the pain intensity and perineal tear<br>* Other names: Perineal heat therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| level of pain intensity | Pain intensity will be assessed using an NPRS after the application of warm compression on perineum during the second stage of labor and The scale ranges from 0 to 10, where 0 indicates no pain, and 10 represents the worst level of pain. In between these two extremes, words such as mild, moderate, severe, and very severe pain are assigned to each 2 cm distance on the line, respectively. | 15 minutes after application of warm compression | 
| Perineal outcomes | Perineal outcomes will be assessed as the degree of tears during childbirth as an effect of perineal warm compression | 1 hour after application of warm compression | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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perineal warm compression, Tear, Pain