Effect of perineal massage in the second stage of labour, on the incidence of episiotomy and perineal tears

@article{Raja2019EffectOP,
  title={Effect of perineal massage in the second stage of labour, on the incidence of episiotomy and perineal tears},
  author={Abinaya Raja and Pallavee P. and Rupal Samal},
  journal={International Journal of Reproduction, Contraception, Obstetrics and Gynecology},
  year={2019}
}
  • Abinaya RajaP. P.Rupal Samal
  • Published 26 March 2019
  • Medicine
  • International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: This study aimed to investigate whether perineal massage during second stage of labour could decrease perineal trauma in the form of episiotomy and perineal tears.Methods: One hundred and fifty term antenatal women in labour were randomly assigned to two groups, one of which received perineal massage and the other received routine care during the second stage. Frequency of episiotomies, perineal tears, intact perineums, degrees of perineal tears, duration of second stage of labour… 
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References

SHOWING 1-10 OF 14 REFERENCES

Perineal massage in labour and prevention of perineal trauma: randomised controlled trial

The practice of perineal massage in labour does not increase the likelihood of an intact perineum or reduce the risk of pain, dyspareunia, or urinary and faecal problems, and support midwives in following their usual practice while taking account of the preferences of individual women.

Reducing perineal trauma through perineal massage with vaseline in second stage of labor

The findings showed that the perineal massage with Vaseline in the second stage of labor increasesperineal integrity and decreases perneal traumas (episiotomy and tears).

Perineal techniques during the second stage of labour for reducing perineal trauma.

The use of warm compresses on the perineum is associated with a decreased occurrence of perineal trauma and this procedure may be offered to women.

The Use of Perineal Massage in the Second Stage of Labor and Follow-Up of Postpartum Perineal Outcomes

It can be concluded that perineal massage decreases the amount of suture material required for episiotomy and thereby the size of the episiotome and the rate of episiotomies and lacerations.

Perineal massage to prevent perineal trauma in childbirth.

Recently, several studies showed that perineal massage can reduce the likelihood ofperineal trauma and ongoing perineAL pain and is generally well accepted by women.

Prenatal perineal massage: preventing lacerations during delivery.

Teaching perineal massage to primiparous women and multiparae who had episiotomies with their previous births is a useful intervention and it is suggested that further study may help clarify the optimum frequency, timing, and technique of massage.

Perineal massage for prevention of perineal trauma in childbirth

Getting Through Birth in One Piece: Protecting the Perineum

Use of oils/lubricants increased lacerations, as did lithotomy positioning, and warm compresses were protective in this study, which found that ethnicity and education were related to episiotomy and that warm compressing were protective.

Lower genital tract and anal sphincter trauma.

  • A. SultanR. Thakar
  • Medicine
    Best practice & research. Clinical obstetrics & gynaecology
  • 2002
This chapter aims to highlight issues based on previous and current teaching and to recommend a protocol based on the best available evidence on the management of acute anal sphincter rupture.