Postnatal Perineal and Pelvic Floor Symptoms
Conditions
Interventions
AI-Based Teaching Group :Participants will receive twice per weekly AI-guided instruction on perineal massage techniques, including digital simulations and partner-assisted demonstrations. Participant
Face-to-Face Teaching Group:Participants will receive conventional in-person instruction from trained midwives at 34 weeks gestation. Sessions will cover technique, benefits, and allow for demonstrati
Sponsors
Prince of Wales Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Nulliparous women aged >= 18 years 2. Singleton pregnancy from 12 weeks of gestation before 28weeks gestation during first antenatal visit at a tertiary hospital 3. Chinese-speaking 4. Willingness to perform perineal massage 5. Partner willing to participate 6. No contraindications for vaginal delivery
Exclusion criteria
Exclusion criteria: 1.Language barrier. 2.Consanguinity. 3.Drug addicts / substance abuse. 4.Multiple pregnancies. 5.Thalassaemia couples. 6.Abnormal fetal conditions in current pregnancy. 7.Medical complications e.g. cardiac or renal diseases, cancer, endocrine disorders, etc. 8.Deformities: Poliomyelitis, Scoliosis, Spondylosis. 9.History of trauma to spine or pelvis. 10.Uterine mass or adnexal cyst noted in current pregnancy. 11.Psychiatric illness / unstable mood / depression. 12.Active sexually transmitted disease e.g. HIV or syphilis etc. 13.Previous 2nd trimester abortion for fetal abnormality. 14.History of abnormal child, e.g. structural abnormalities, such as spina bifida; chromosomal abnormalities, such as Down's syndrome. 15.Past history of intrauterine death (IUD), neonatal death (NND). 16.Past history of gestational hypertension or pre-eclampsia. 17.Past history of molar pregnancy within 1 year.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Takeup rate of AI-based education and face-to-face midwife instruction in perineal massage practice with compliance of at least 2 times per week, and 10 minutes each time. The take-up rate is defined as follows: Participants are instructed to begin perineal massage starting from the 34th week of pregnancy, performing the massage twice a week for 10 minutes per session. A completed massage session in a given week is considered one take-up. Since the period from the 34th to the 38th week of gesta; | — |
Secondary
| Measure | Time frame |
|---|---|
| To be assessed the perineal pain will be measured using the Visual Analogue Scale (VAS). To record the wound healing will be assessed on postpartum Day 1 and Day 2 using the REEDA scale, which evaluates five parameters: redness, edema, ecchymosis, discharge, and approximation of wound edges. Marital satisfaction questionnaire and Female Sexual Function Index will assess the marital relationships per discussed. In addition, pelvic floor function will be assessed through validated questionnaires ; | — |
Countries
CHINA
Contacts
Public ContactSIU KA YI
Prince of Wales Hospital
Outcome results
None listed