Pregnancy Clinical Trial
Official title:
Phd Student Msc Midwife
This study aimed to evaluate the effect of perineal protection package application on labor outcomes, perineal integrity, postpartum urinary incontinence and pelvic floor muscle strength.In this study, a package including practices that have been proven to protect the perineum in labor was created and it was aimed to examine the effect of this perineal protection package; as a whole. The;perineal protective package; applications created by the researchers consisted of positioning on the gynecologic table (the back of the table was erected, the legs were removed from the hooks and placed on the sides of the table), open glottis pushing instead of closed glottis pushing, hot compress protection of the perineum instead of dry compress protection of the perineum, instead of lithotomy position in the second stage, which reduces the tension of the perineum and allows it to be observed and protected manually.
Status | Not yet recruiting |
Enrollment | 60 |
Est. completion date | May 15, 2025 |
Est. primary completion date | May 15, 2025 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 35 Years |
Eligibility | Inclusion Criteria: - 18- 35 years old - Primipar - Singleton pregnancy in the vertex position between 38 and 42 weeks - A reactive NST tracing - Without a systemic disease (heart, HT, diabetes) - No problem speaking and understanding Turkish - Who agreed to participate in the study Exclusion Criteria: - Obese pregnant women - Pregnant women who gained more than 25 kilograms during pregnancy - Pregnant women with urinary incontinence according to UDI-6 - Multiple pregnancies - Pregnant women with a neurological disease affecting the pelvic floor - Pregnant women who have undergone pelvic surgery - Contraindications for normal delivery (placenta previa, anomalies of presentation, etc.) - Estimated fetal weight of 4000 g or more - Who wants to opt out of the study - Pregnant women who are scheduled for cesarean section at any time of trauma |
Country | Name | City | State |
---|---|---|---|
Turkey | Karabuk Training and Research Hospital, obstetrics clinic | Karabük |
Lead Sponsor | Collaborator |
---|---|
Öznur Hayat Öktem |
Turkey,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Perineal muscle strengt | Perineal muscle strength will be measured in cmH2o with a perineometer. | On initial admission to the delivery room and after 6 weeks postpartum | |
Primary | Perineal Pain | Perineal pain will be assessed by VAS at the beginning and end of the second stage of labor and at the end of the 1st hour postpartum. | 1st hour postpartum | |
Secondary | Episiotomy and laseration status | Episypotomy will be measured in cm with a paper ruler according to the application status. | 1st hour postpartum | |
Secondary | Urinary incontinence status | Urinary incontinence status will be measured with UDI-6 and IIQ-7. | 6 weeks postpartum |
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