Perineal Tear
Conditions
Keywords
perineal tear, pain, pelvic floor, Labour
Brief summary
This study evaluates the effectiveness of warm packs, perineal massage and hands off, during labour, in the perineal outcomes. The perineal outcomes are perineal tears, grade of perineal tears, need of suture, perineal edema, perineal pain, use of drugs for perineal pain, and satisfaction with the technique used.
Detailed description
This study is a randomised controled trial.
Interventions
PROCEDUREWarm packs
: The warm packs are held in the mother's perineum during birth. The warm packs are changed as needed to maintain warmth.
PROCEDUREPerineal massage
The perineal massage will be gently held in the longitudinal direction of the muscle fibers, with movements of the thumb and forefinger, like count coins.
Sponsors
Universidade Federal de Pernambuco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* parturient in active phase of labour * single fetus at term (37-42 weeks) * bent cephalic fetal presentation * parity less than four children
Exclusion criteria
* use any perineal preparation techniques during pregnancy * clinical indication for caesarean section
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Need of suture | 30 minutes | Number of participants with perineal tear after vaginal delivery requiring suture (evaluated as yes or no). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| perineal edema | 1 hour | Perineal edema is scored 0-4 (0 = no edema; 4 = edema invades the perineal body) . |
| Perineal pain | 24 hours | self reported ´perineal pain intensity. Perineal pain is scored 0-10 (0 = no pain; 10 = pain as bad as can be). |
| Grade of perineal tear | 30 minutes | Perineal tear ranked 1st, 2nd, 3rd and 4th degree |
| Satisfaction with the technique used | 24 hours | Satisfaction of the woman with the technique used for perineal care. Satisfaction is scored 0-4 (0 = very satisfied; 4 = very dissatisfied) |
| Perineal tear | 30 minutes | Number of participants with perineal tear after vaginal delivery (evaluated as yes or no). |
| Use of drugs for perineal pain | 24 hours | Number of participants using drugs for perineal pain at the time of 24 hours after vaginal delivery (evaluated as yes or no). |
Countries
Brazil
Contacts
Primary ContactJânio N Alves, Graduate
Backup ContactMelania MR Amorim, PHD
Outcome results
None listed