Comparing the effect of perineal massage in pregnancy and delivery on episiotomy and perineal injuries in nulliparous women

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20240705062332N2

Enrollment

180

Registered

2024-08-17

Start date

2024-08-25

Completion date

Unknown

Last updated

2024-08-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Condition 1: Episiotomy in nulliparous women. Condition 2: First degree perineal laceration. Condition 3: Second degree perineal laceration. Condition 4: Third degree perineal laceration. Condition 5: Fourth degree perineal laceration. Spontaneous vertex delivery First degree perineal laceration during delivery Second degree perineal laceration during delivery Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery

Interventions

Intervention 1: Intervention group 1: Perineal massage in pregnancy. Intervention 2: Intervention group 2: Perineal massage during delivery. Intervention 3: Control group: Routine care.

Eligibility

Sex/Gender

Female

Age

18 Years to 35 Years

Inclusion criteria

Inclusion criteria: Nulliparous women aged 18 to 35 Low risk pregnancy Gestational age 34 to 36 weeks Singleton pregnancy Cephalic presentation

Exclusion criteria

Exclusion criteria: Premature rupture of membrane Contraindications to natural vaginal delivery Vaginal bleeding Macrosomia according to the last ultrasound History of surgery in the perineum and anus Lesions of the vulva area such as leukoplakia, varicose veins Vaginal infection or genital herpes Forceps or vacuum delivery Abnormal presentation Post-term pregnancy

Design outcomes

Primary

Measure	Time frame
Episiotomy rate. Timepoint: During delivery. Method of measurement: Observation.;First degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.;Second degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.;Third degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.;Fourth degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.	—

Measure

Time frame

Episiotomy rate. Timepoint: During delivery. Method of measurement: Observation.;First degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.;Second degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.;Third degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.;Fourth degree perineal laceration rate. Timepoint: After delivery. Method of measurement: Observation.

—

Secondary

Measure	Time frame
Bleeding rate. Timepoint: After delivery. Method of measurement: CC (Number of blood gases).	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactNila Norouzi

Ahvaz University of Medical Sciences

Nilanorouzi2878@gmail.com+98 61 3373 8396

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026