Perineal Massage in Pregnancy to Reduce the Levator Ani Coactivation
Does Perineal Massage in Pregnancy Reduce the Levator Ani Muscle Co-activation?
Azienda Sanitaria Universitaria Friuli Centrale
58 participants
Aug 1, 2024
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to test the efficacy of the perineal massage in reducing the levator ani muscle (LAM) co-activation. This phenomenon is characterized by the LAM contraction rather than its relaxation during the Valsalva maneuver and it is associated with adverse obstetric outcome. Participants who co-activate will be enrolled and randomized in 2 groups: group A, where women themselves perform the perineal massage during the third trimester of pregnancy and group B, where women undergo the standard care. Researchers will compare these groups to see if the perineal massage is able to reduce LAM co-activation.
Eligibility
Inclusion Criteria4
- nulliparous
- single pregnancy
- cephalic presentation of the fetus
- Italian language fluency
Exclusion Criteria7
- multiparous
- age \< 18 y, age \> 40 y
- previous urinary or fecal incontinence
- contraindications to vaginal delivery (such as placenta previa, vasa previa, etc)
- twin pregnancy
- language barrier
- BMI at or \> 30
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Interventions
women affected by LAM co-activation allocated to the intervention "perineal massage" are asked to perform the perineal massage once daily from 34 gestational weeks until delivery. Women are trained to correctly perform the perineal massage at 30 gestaitonal weeks.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06296134