Antenatal perineal massage and subsequent perineal outcomes: a randomised controlled trial

@article{Shipman1997AntenatalPM,
  title={Antenatal perineal massage and subsequent perineal outcomes: a randomised controlled trial},
  author={Michael Shipman and Dean Boniface and M. E. Tefft and F McCloghry},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
  year={1997},
  volume={104}
}
Objective To study the effects of antenatal perineal massage on subsequent perineal outcomes at delivery. 

Women's views on the practice of prenatal perineal massage

To determine how women who practised perineal massage during pregnancy assessed the technique, a large number of them said they believed the technique was safe to use during pregnancy.

Systematic review of pelvic floor interventions during pregnancy

Pelvic floor interventions during pregnancy could reduce the impact of pregnancy and delivery on the pelvic floor and improve the chances of safe and effective delivery.

Le massage périnéal ante-partum : revue des essais randomisés

Journal de Gynecologie Obstetrique et Biologie de la Reproduction - Vol. 30 - N° 6 - p. 565-571

Perineal trauma: prevention and treatment.

Prospective randomised multicentre trial with the birth trainer EPI‐NO® for the prevention of perineal trauma

Background: In several non‐randomised trials training with EPI‐NO® increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain

Does antepartum perineal massage reduce intrapartum lacerations

Perineal massage reduces both the incidence of perineal trauma requiring suturing and the likelihood of episiotomy in women who have never given birth vaginally.

Antenatal perineal massage: Part 2

Although the number of eligible women receiving information on perineal massage was well below the audit target, a 6% reduction inPerineal trauma was noted in women who had a vaginal delivery and would repeat it in a subsequent pregnancy.

Antenatal perineal massage: Part 1

A review of literature review on perineal massage and an evaluation of the massage training of midwives working in antenatal clinics found that some midwives actively promoting the service while others had no interest in the project and did not give information on antenatal perineAL massage to their women.

Effect of Prenatal Perineal Massage on Postpartum Perineal Injury and Postpartum Complications: A Meta-Analysis

Compared with no prenatal perineal massage, prenatal perneal massage can reduce the risk of perineals injury, the incidence of lateral perineAL resection, and the incidenceof long-term pain.

Prevention of Perineal Trauma

Proven strategies include the practice of perineal massage in the antenatal period, delayed pushing in the second stage of labor with an epidural in situ, restrictive use of episiotomy, preference of a mediolateral over a midline episiotome, and the use of a vacuum extractor instead of forceps for instrumental delivery.
...

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Prevention of perineal trauma by perineal massage during pregnancy: a pilot study.

Based on the results of this pilot study, a randomized, controlled trial to evaluate the efficacy ofperineal massage in preventing perineal trauma at birth appears feasible.

A randomized study of two methods of teaching perineal massage: effects on practice rates, episiotomy rates, and lacerations.

Even though the rate of practice of perineal massage almost doubled among experimental group women, the videotape instruction method was statistically nonsignificant and Episiotomy and laceration rates were not affected by teaching method.

Alternative positions in the second stage of labour: a randomized controlled trial

Alternative positions in the second stage of labour, in particular kneeling, are achievable even without specific birth aids and antenatal preparation and arc easily integrated into modern labour ward practice; they may have clinical advantages which need further investigation.