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Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial.
- Source :
- International Urogynecology Journal; Mar2020, Vol. 31 Issue 3, p613-619, 7p
- Publication Year :
- 2020
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- OLDER women
PREGNANT women
RANDOMIZED controlled trials
PELVIC floor
MASSAGE
Subjects
Details
- Language :
- English
- ISSN :
- 09373462
- Volume :
- 31
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Urogynecology Journal
- Publication Type :
- Academic Journal
- Accession number :
- 142409672
- Full Text :
- https://doi.org/10.1007/s00192-019-03937-6