The Effect of Perineal Massage in Childbirth

Obstetric Labor Complications Clinical Trial

Official title:

The Effect of Perineal Massage in Childbirth: the Rate of Episiotomy Procedures, Perineal Tears and the Length of the Second Stage of Labour

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02201615
• Other study ID #: SBF - 005
• Secondary ID: GD01MD2958058
• Status: Completed
• Phase: N/A
• First received: July 23, 2014
• Last updated: August 26, 2014
• Start date: January 2010

Study information

• Verified date: August 2014
• Source: Cumhuriyet University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Turkey: Ethics Committee
• Study type: Interventional

Clinical Trial Summary

Objective To examine the effects of perineal massage applied during the action of birth on the frequency of episiotomy procedures, perineal tearing and the duration of the second stage of birth.

Methods The present study was a randomized controlled experimental. Women (284 women) were informed on the study and provided their written consent. 10-minute perineal massage with glycerine was applied to the women in the test group for 4 times during the first stage and 1 time in the second stage of birth. The women in the control group received the routine care procedure at the clinic.

Results According to the study findings, 31% of the women in the test group and 69.7% of the women in the control group were made subject to episiotomy (p<0.05). In the test and control group 9.2%, 2.4% of the women developed spontaneous perineal laceration (p>0.05). The average duration of the action of birth was 25.33 minutes in the test group and 28.18 minutes in the control group (p<0.05).

Conclusion The study results indicate that perineal massage applied during the action of birth decreased the rate of episiotomy procedure and shortened the duration of the second stage of birth.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 284
• Est. primary completion date: May 2011
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 19 Years to 49 Years

Eligibility

Inclusion Criteria:

• With no pregnancy-related complications diagnosed during pregnancy,

• No definitive indication for C-section,

• Satisfying the pregnancy week in terms of the fetal dimensions,

• At the 37th-42nd gestation week,

• Applying to have her first or second birth,

• With no systemic condition,

• With head presentation,

• At the latent phase of the first stage of birth with a dilatation under 4 cm and effacement below 50%,

• That have provided written consent specifying their voluntariness in participating in the study.

Exclusion Criteria:

• With pregnancy-related complications diagnosed during pregnancy,

• Definitive indication for C-section,

• No satisfying the pregnancy week in terms of the fetal dimensions,

• At the <37th- >42nd gestation week,

• With systemic condition,

• With no head presentation,

• At the latent phase of the first stage of birth with a dilatation above 4 cm

• No have provided written consent specifying their voluntariness in participating in the study.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver), Primary Purpose: Prevention

Related Conditions & MeSH terms

• Obstetric Labor Complications

Intervention

Other:
• Perineal massage in childbirth

Locations

Country	Name	City	State
Turkey	Cumhuriyet University	Sivas

Sponsors (1)

Lead Sponsor	Collaborator
Cumhuriyet University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Episiotomy procedures		until completed the second stage of labour, about from 30 min to 24 h	No
Secondary	Length of the second stage of labour		until completed the second stage of labour, about from 30 min to 24 h	No