Rupture, natural childbirth, episiotomy, Perineum, Postpartum Period, pregnancy
Conditions
Interventions
Experimental group: 318 pregnant women with normal obstetric risk pregnancies, will make digital perineal massage daily for 5 to 10 minutes, until the day of delivery. Massage can also be performed by
Behavioural
E02.190.599.750.750
Sponsors
Programa de Pós-graduação em Enfermagem da Universidade Federal de Santa Catarina - PEn/UFSC
Programa de Pós-graduação em Enfermagem da Universidade Federal de Santa Catarina - PEn/UFSC
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pretend to give birth in one of the two participating hospitals; gestational age less than or equal to 35 weeks; single pregnancy, low risk pregnancy, with a live fetus; refer that she is available digital perineal massage daily 5 - 10 min; want to have vaginal delivery; ability to understand, read and speak in Portuguese; ability to understand the instructions of the perineal massage.
Exclusion criteria
Exclusion criteria: Previous cesarean section indication in labor; restriction of severe fetal growth; premature birth; elective cesarean indication ; fetal malformation; placenta previa; presentation not cephalic at birth; pre eclampsia; active genital herpes lesion after 34 weeks gestation; injury genital HPV at delivery; allergy almond oil; already be performing perineal massage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perineal conditions: intact perineum, 1st degree laceration non sutureless; 1st degree laceration with suture; 2nd degree laceration; 3rd degree laceration; 4th degree laceration; episiotomy. The data will be collected in medical records and through interviews with puerperal women in the 24-48 hours after birth. | — |
Secondary
| Measure | Time frame |
|---|---|
| Occurrence of symptoms related to the perineum 45 days and 3 months after delivery, according to reports of puerperal through telephone interview: * Perineal pain: pain in the perineal region, classified as visual analog scale (VAS) - numerical scale ranging from 0 to 10 (0 = no pain, 5 = moderate pain, and 10 = worst pain), according to the puerperal sexual relationship; * Return of sexual relationship: number of days elapsed between delivery and the return of sexual relationship; * Dyspareunia: pain during intercourse, classified as numerical scale ranging from 0 to 10 (0 = no pain, 5 = moderate pain, and 10 = worst pain) * Sexual satisfaction: sexual satisfaction classfied from the woman: absence of sexual relations; very dissatisfied, dissatisfied, satisfied, very satisfied, very much satisfied; * Urinary incontinence: involuntary loss of urine, classified as: never; less than once per day; once a day or more; * Fecal incontinence: involuntary loss of stool, classified as: never; less than once per day; once a day or more | — |
Countries
Brazil
Contacts
Public ContactJuliana Monguilhott
Programa de Pós-graduação em Enfermagem da Universidade Federal de Santa Catarina - PEn/UFSC
Outcome results
None listed