top of page
AdobeStock_352149697.jpeg

Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial

Cite

Full Text Link

Randomized Controlled Trial

-

Visceral and pregnancy

Int Urogynecol J.2020 Mar;31(3):613-619.

Authors:

A S Dieb, A Y Shoab, H Nabil, A Gabr, A A Abdallah, M M Shaban, A H Attia

Abstract.

Introduction and hypothesis: The aim of this study was to evaluate the effectiveness of perineal massage, pelvic floor muscle training (PFMT) and a pelvic floor dysfunction (PFD) prevention educational program in pregnant women above the age of 35 years to prevent perineal tear and episiotomy. Methods: A randomized parallel assignment study involved two groups of pregnant women at the obstetrics outpatient clinic 4 weeks prior to their due date. The first group (n = 200) was educated to do digital perineal massage and pelvic floor muscle training and received an educational PFD prevention program. The second group (n = 200) received only the prevention education program. Occurrence of perineal laceration was reported at time of delivery as a primary outcome. Statistical analysis was done using the IBM SPSS computer program (Statistical Package for the Social Sciences; IBM Corp, Armonk, NY, USA), release 22 for Microsoft Windows. Results: Delivery was significantly less complicated by perineal tear, episiotomy and postnatal pain in the first than in the second group (p < 0.05). Grades of perineal tear were mostly of first and second degree in the first group compared with the second group. We found a significantly lower need for analgesia and fewer ampoules required during the hospital stay in the first group (p < 0.001, 0.002, respectively). Conclusions: Performing antenatal digital perineal massage and PFMT in addition to health education is recommended to reduce perineal complications.

Publication Date: 

2020 Mar

OEID: 

6398

Dieb, SA., Shoab, YA., Nabil, H., Gabr, A., Abdallah, AA., Shaban, MM., Attia, HA. (2020) 'Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial', Int Urogynecol J.2020 Mar;31(3):613-619.

Sponsored by 

logo-footer-k.png

Search    Explore    About    Join    Web Policy     Contact Us

Copyright © 2023 OsteoEvidence. All Rights Reserved.
 

bottom of page