Effect of Regular Perineal Massage during Last Month of Pregnancy on Perineal Outcomes | ||
| Zagazig Nursing Journal | ||
| Article 3, Volume 7, Issue 1 - Serial Number 2011, 2011, Pages 33-50 PDF (173.54 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/znj.2011.38600 | ||
| Authors | ||
| Hoda Abed El-Azim Mohamed1; Nahed Saied Elngger2 | ||
| 1Lecturer of Obstetrics & Gynecology Nursing, Faculty of Nursing, El-Minia University | ||
| 2Lecturer of Pediatric Nursing, Faculty of Nursing, Ain Shams University | ||
| Abstract | ||
| Antenatal perineal massage has been proposed as one method of decreasing the incidence of perineal trauma. It contributes to the softening of the tissues and relaxation of the pelvic floor muscles also decrease resistance to pressure during delivery. Most women are keen to give birth without perineal tears, cuts and stitches, as those often cause pain and discomfort afterwards, and can impact negatively on sexual functioning. The aim of this study was to evaluate the effect of regular perineal massage during last month of pregnancy on perineal outcomes. The research design used for the study was the quasi experimental design. A total of sixty pregnant women (massage and control groups each group consisted of 30 women) was recruited randomly for this study from the ante natal clinic and labor ward at El- Minia General Hospital. Tools used for data collection consisted of interviewing sheet, Intrapartum assessment sheet, Visual Analogue Scale (VAS), and follow up sheet. The Results of the study revealed that two thirds of massage group had intact perineum as compared to around one third in the control group. Also the first degree tears was less among the massage group (10.0%) compared to (23.3 %) in the control group, the third and fourth degree tear were observed in only one woman in the control group. The study concluded that perineal massage was effective in reducing perineal trauma, better labor progress and perineal outcomes. On the light of the study findings it is recommended that explanation about perineal massage should be a routine part of childbirth preparation, which is usually offered by nurses. Emphasize on the importance of antenatal follow up for women’s education about perineal massage and specific recommendation for future research would be to replicate this study in other settings with different patient population is needed to increase the ability to generalize the findings. | ||
| Keywords | ||
| perineal massage; perineal trauma; Second stage of labor | ||
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