Delivery; Trauma, Pelvic Floor Muscle Weakness, Pelvic Floor; Perineal Rupture, Obstetric
Conditions
Keywords
perineal massage, health education, perineal tear, episiotomy, pelvic floor muscle exercise
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
OTHER3 program
The participants will receive 3 programs.The educational pelvic floor dysfunction prevention program, pelvic floor muscle exercise program and perineal massage program will be educated by an investigator during the participant visit 4 weeks before her due date
OTHERone program
The participants will receive one program. That is the educational pelvic floor dysfunction prevention program.The instructions of the program will be given by an investigator once during the participant visit 4 weeks before her due date.
Sponsors
Kasr El Aini Hospital
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
Yes
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 |
|---|---|---|
| perineal tears Proportion of perineal tears will be assessed by an investigator who will attend the participant delivery | At 15 minutes from delivery | Proportion of participants who have perineal tears |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| episiotomy need Proportion of participants who need episiotomy at time of delivery will be assessed by an investigator | At 15 minutes from delivery | Proportion of participants who need episiotomy at time of delivery |
| Duration of the second stage of labour | 2 hours | Duration of the second stage of labour will be assessed by an investigator |
Countries
Egypt
Outcome results
None listed