Combined massage and warm compress to the perineum during active second stage of labor in nulliparas: A randomized trial
| Autor: | Peng Chiong Tan, Yi Pei Goh, Siti Zawiah Omar, Sofiah Sulaiman, Jesrine Gek Shan Hong |
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| Rok vydání: | 2021 |
| Předmět: |
Episiotomy
Perineal massage medicine.medical_specialty medicine.medical_treatment Perineum law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Labor Stage Second Pregnancy law medicine Humans 030212 general & internal medicine Massage 030219 obstetrics & reproductive medicine Obstetrics business.industry Obstetrics and Gynecology General Medicine Delivery Obstetric Confidence interval Obstetric Labor Complications medicine.anatomical_structure Relative risk Number needed to treat Female business |
| Zdroj: | International Journal of Gynecology & Obstetrics. 155:532-538 |
| ISSN: | 1879-3479 0020-7292 |
| Popis: | OBJECTIVE To evaluate the combined effect of massage and warm compress to the perineum (MassComp) compared with standard "hands-off" in the second stage of labor. METHODS A randomized trial was conducted in a University hospital in Malaysia. Nulliparous women at term who were about to start pushing were randomized to massage during pushing and warm compress to the perineum in between pushes or to standard "hands-off" care. Primary outcome was suturing for perineal injury (episiotomy or tear). RESULTS A total of 156 participants were analyzed based on intention to treat. Perineal repair rates were 53/79 (67%) for MassComp versus 70/77 (91%) for control (relative risk [RR] 0.72, 95% confidence interval [CI] 0.61-0.98, number needed to treat for an additional beneficial outcome [NNTb ] 5, 95% CI 2.83-8.62, P |
| Databáze: | OpenAIRE |
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