Delivery; Injury, Maternal
Conditions
Brief summary
Pregnant participants will be recruited at the obstetrics outpatient clinic during their visits 4 weeks before the due date. They are randomized into two groups. The first group will be educated to do digital perineal massage. They will be also educated to do pelvic floor muscle exercises and will receive the usual education program for strengthening the pelvic floor. The second group will receive the usual education program for strengthening the pelvic floor. Occurrence of perineal laceration will be reported at time of delivery.
Detailed description
Pregnant participants will be recruited at the obstetrics outpatient clinic during their visits 4 weeks before the due date. They are randomized into two groups. The first group will be educated to do digital perineal massage. They will be also educated to do pelvic floor muscle exercises and will receive the usual educational pelvic floor dysfunction prevention program for strengthening the pelvic floor. The second group will receive the usual education program for strengthening the pelvic floor. Occurrence of perineal laceration will be reported at time of delivery.
Interventions
OTHERperineal massage program
The participant will perform digital massage of her perineal area 5 minutes daily starting four weeks before delivery till her actual labour day
The participant will perform pelvic floor muscle exercise daily starting four weeks before delivery till her actual labour day
OTHEREducational pelvic floor dysfunction prevention program
This educational pelvic floor dysfunction prevention program includes instructions about: control of her weight, adequate cleaning for the perineal area, adequate fluid intake, smoking cessation, right posture and frequency of micturition and adequate ingestion of fiber to avoid constipation
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
35 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Pregnant women ≥ 35 years old * Primigravida or multi gravida
Exclusion criteria
* History of chronic constipation * History of chronic cough * Current or past urinary or anal incontinence * History of genital prolapse before pregnancy * History of neuromuscular disorders or connective tissue disorders * History of medical disorders * History of preterm or precipitate labour * History of premature preterm rupture of membranes. * Genital infections
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants who have perineal tears | At 15 minutes from delivery | Proportion of perineal tears will be assessed by an investigator who will attend the participant delivery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants who need episiotomy at time of delivery | At 15 minutes from delivery | Proportion of participants who need episiotomy at time of delivery will be assessed by an investigator |
| Duration of the second stage of labour | At 15 minutes from delivery | Duration of the second stage of labour will be assessed by an investigator |
Countries
Egypt
Outcome results
None listed