Combined massage and warm compress to the perineum during active second stage of labor in nulliparas: A randomized trial.
active second-stage pushing | nulliparas
perineal massage
warm compress
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
revised:
28
12
2020
received:
31
10
2020
accepted:
21
01
2020
pubmed:
24
1
2021
medline:
4
11
2021
entrez:
23
1
2021
Statut:
ppublish
Résumé
To evaluate the combined effect of massage and warm compress to the perineum (MassComp) compared with standard "hands-off" in the second stage of labor. A randomized trial was conducted in a University hospital in Malaysia. Nulliparous women at term who were about to start pushing were randomized to massage during pushing and warm compress to the perineum in between pushes or to standard "hands-off" care. Primary outcome was suturing for perineal injury (episiotomy or tear). A total of 156 participants were analyzed based on intention to treat. Perineal repair rates were 53/79 (67%) for MassComp versus 70/77 (91%) for control (relative risk [RR] 0.72, 95% confidence interval [CI] 0.61-0.98, number needed to treat for an additional beneficial outcome [NNT Massage and warm compress during pushing decreased the perineal suturing, major perineal injury, and episiotomy rates and improved maternal satisfaction. https://doi.org/10.1186/ISRCTN42773879.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
532-538Subventions
Organisme : University of Malaya
Informations de copyright
© 2021 International Federation of Gynecology and Obstetrics.
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