Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial
Autor: | Raquel Leirós-Rodríguez, Lorena Álvarez-Barrio, María Álvarez-González, Ana F López-Rodríguez |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Episiotomy
medicine.medical_specialty Perineal massage obstetric labour complications medicine.medical_treatment primary prevention perineum Article musculoskeletal manipulations law.invention Randomized controlled trial law Perineal tear medicine Massage physical therapy modalities business.industry Chronic pain General Medicine medicine.disease Lithotomy position Perineum medicine.anatomical_structure Physical therapy Medicine business chronic pain |
Zdroj: | Journal of Clinical Medicine Volume 10 Issue 21 Journal of Clinical Medicine, Vol 10, Iss 4934, p 4934 (2021) |
ISSN: | 2077-0383 |
Popis: | Perineal massage increases elasticity of myofascial perineal tissue and decreases the burning and perineal pain during labour, thus optimising child birth, although an application protocol has not been standardised yet. The objective of this study is to determine the efficiency of massage in perineal tear prevention and identification of possible differences in massage application. Total of 90 pregnant participants were divided into three groups: perineal massage and EPI-NO® device group, applied by an expert physiotherapist, self-massage group, where women were instructed to apply perineal massage in domestic household, and a control group, which received ordinary obstetric attention. Results: The results showed significant differences among the control group and the two perineal massage groups in perineal postpartum pain. Correlations in perineal postpartum pain, labour duration and the baby’s weight were not statistically significant. Lithotomy posture was significantly less prevalent in the massage group than in the other two this variable is known to have a direct effect on episiotomy incidence and could act as a causal covariate of the different incidence of episiotomy in the groups. Perineal massage reduces postpartum perineal pain, prevalence and severity of perineal tear during delivery. |
Databáze: | OpenAIRE |
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