Effect of Perineal Massage on Perineal Traumas for Nulliparous Women during Labor

Document Type : Original Article

Authors

1 Lecturer of Maternity, Obstetrical and Gynecological Nursing, Faculty of Nursing, Suez Canal University

2 Assistant Professor of Maternity, Obstetrical and Gynecological Nursing, Faculty of Nursing, Port Said University

Abstract

Background: Short and long-term morbidity in women is associated with perineal trauma, mainly
caused by subsequent vaginal delivery. Interventions that increase the likelihood of intact perineum
are therefore needed. Purpose: This study aimed to evaluate the effect of perineal massage on
perineal traumas for nulliparous women during labor. Methods: This Comparative quasi
experimental design was conducted in the labor unit at Suez Canal University Hospital. A purposive
sample of 74 laboring women in the labor unit. Three tools were used for data collection,
interviewing questionnaire for assessing demographic characteristics. Observational checklist and
visual Analogue Scale (RAS). Results: The incidence of perineal trauma was significantly lower for
women who received perineal massage during labor than those who did not (54.05% in the massage
group had intact perineum compared to 29.73% in the control group). The perineal pain score
among women in the massage group is also lower than in the control group at the end of labor and
the fourth stage of labor. Conclusions: This study concluded that perineum massage performed in
the active phase of labor is safe, increases the occurrence of an intact perineum, decreased the risk
of episiotomy and severe perineal trauma. As well as perineal pain, which improves the quality of
life in women post vaginal delivery. Implications for Practice: Awareness program for healthy
nulliparous women regarding the benefits of perineal massage by their health care providers.

Keywords

Egyptian Journal of Health Care
Volume 11, Issue 1
March 2020
Pages 435-444

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