Pelvic floor function, perineal injuries, perineal pain. Unspecified injury of abdomen, lower back, pelvis and external genitals
Conditions
Interventions
Intervention 1: Intervention group: This group will receive perineal massage and childbirth preparation training in a 90-minute session. This session will be addressed various topics such as perineal
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Iranian nationality Minimum education at primary level Primiparous Age 18-45 years Singleton pregnancy Cephalic presentation of the fetus Body mass index between 18 - 30 kg/m² Gestational age of 34 weeks (confirmed by first-trimester sonography) No other interventions performed on the perineal area Willingness to have a vaginal delivery
Exclusion criteria
Exclusion criteria: Contraindications for vaginal delivery (placenta previa, cephalopelvic disproportion, abnormal presentation) High risk of preterm birth (cerclage surgery, history of threatened abortion in recent pregnancy) Fetal abnormalities diagnosed by ultrasound High risk pregnancy (high blood pressure, cardiovascular disease, preeclampsia) Chronic constipation, chronic cough, pelvic organ prolapse before pregnancy History of urinary and anal incontinence before pregnancy Having muscle diseases (myasthenia gravis) and connective tissue diseases (rheumatoid arthritis, systemic lupus erythematosus) History of surgery in the pelvic, perineal, or anal areas Lesions in the vulvar area such as varicose veins, vulvar leukoplakia, genital warts, and genital herpes Having a mental illness (by self-reported) Smoking (cigarettes, hookah) Vegetarian diets Regular and specific exercises in the perineum and pelvis area.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The mean score of pelvic floor function. Timepoint: Before the intervention, week 6 postpartum. Method of measurement: PFDI-20 (Pelvic Floor Distress Inventory-20).;Perineal injuries during delivery. Timepoint: Immediately after delivery. Method of measurement: Perineal injury checklist. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of the second stage of labor. Timepoint: Immediately after delivery. Method of measurement: labor information form.;Perineal pain during fetal head delivery. Timepoint: Immediately after delivery. Method of measurement: VAS (Visual Analog Scale). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMaryam Keshavarz
Iran University of Medical Sciences
Outcome results
None listed