severe perineal tear perineal massage
Conditions
Interventions
In perineal massage group, the perineum was massaged with lubricated gloved with NSS solution using index and middle fingers just inside the lower vagina,Standard care during second stage of labor wit
Experimental Procedure/Surgery,Experimental Procedure/Surgery
perineal massage with NSS,standard care
Sponsors
Obstetrics and Gynecology department, Khonkaen hospital
Eligibility
Sex/Gender
Female
Age
18 Months to 40 Months
Inclusion criteria
Inclusion criteria: Thai, Nulliparous, singleton pregnant women more than 18 years old, more than 37 weeks of gestational age, with a cephalic presentation in second stage of labor who planned vaginal delivery and had good conscious and cooperative during perineal massage.
Exclusion criteria
Exclusion criteria: 1. Women with pelvic and genital tract infection (e.g., intraamniotic infection, condyloma accuminata, genital herpes simplex viral infection) 2. Women with respiratory infection (e.g., Covid-19 infection, TB infection) 3. Women with preeclampsia with severe features 4. Women with history of antenatal perineal massage 5. Women with history of perineal trauma 6. Women with hypersensitivity at perineum 7. Estimated fetal weight more than 3500 grams 8. Suspected persistent fetal occiput posterior 9. Nonreassuring fetal status (i.e., inability to remove doubt in health of fetus by a particular pattern) [1] 10. Fetus with gross anomaly
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| episiotomy rate 12 months percent,episiotomy rate 12 month percent | — |
Secondary
| Measure | Time frame |
|---|---|
| First and second degree perineal lacerations (%) 2. Severe perineal lacerations (third and fourth degree lacerations) (%) 12 months degree of perineal tear | — |
Countries
Thailand
Contacts
Public ContactKamonwan Sansom
Khonkaen Hospital
Outcome results
None listed