Clinical trial NCT05962918: Perineal Massage Performed During the Labour
Official title: The Effects of Perineal Massage Performed During Labor on Childbirth Comfort, Perineal Pain and Trauma in Nulliparous Women: A Quasi Experimental Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Delivery Problem
Childrearing
Satisfaction, Patient
Perineum; Injury
Perineal Tear
Pain, Labor
Keywords: Childbirth comfort
Perineal massage
Perineal tear
Perineal pain
midwifery
Lead sponsor: Munzur University
Sponsor class: OTHER
First posted: 2023-07-27
Enrollment: 182
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Paralel designed non randomized two armed study
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Change in perineal pain scores
timeFrame: 4-6 hours after the childbirth
measure: Change in childbirth comfort scores
timeFrame: 4-6 hours after coming to labor
measure: Change in perineal trauma scores
timeFrame: 4-6 hours after the childbirth.
Secondary outcomes:
Other outcomes:
Locations:
city: Tunceli
country: Turkey
facility: Munzur University
Study officials:
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: Kalichman L. Perineal massage to prevent perineal trauma in childbirth. Isr Med Assoc J. 2008 Jul;10(7):531-3. No abstract available.
citation: 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.
citation: 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.