RecruitingNot ApplicableNCT07099690

Perineal Massage During Labor for the Prevention of Perineal Trauma

Sponsor

Federal University of Rio Grande do Sul

Enrollment

466 participants

Start Date

Apr 2, 2024

Study Type

INTERVENTIONAL

Conditions

Obstetric; Injury Pelvic Floor

Summary

The purpose of this study is to evaluate whether perineal massage during labor can help prevent perineal trauma, such as lacerations or episiotomies. The study will test two hypotheses: Null hypothesis: Perineal massage during labor does not prevent perineal trauma. Alternative hypothesis: Perineal massage during labor helps prevent perineal trauma. Participants will be randomly assigned to one of two groups: Perineal massage group: Participants will receive perineal massage during labor. Control group: Participants will receive the standard care provided by the labor and delivery unit. A randomization process will be used to assign participants to each group.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 50 Years

Inclusion Criteria4

Patients currently in labor
Gestational age between 37 and 42 weeks
Fetus presenting in cephalic position
No prior perineal massage performed during prenatal care

Exclusion Criteria3

Patients who progress to cesarean delivery
Diagnosis of HELLP syndrome
Unstable vital signs of the laboring woman or fetus

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Interventions

PROCEDUREPerineal massage

Perineal massage will be performed during labor, either between or during contractions, regardless of the position chosen by the laboring woman. The researcher, wearing gloves, will insert one or two fingers (index and middle) into the participant's vaginal canal and move them from side to side in a "U"-shaped motion, for approximately one second in each direction. Light downward pressure will be applied toward the rectum, according to the woman's tolerance, until relaxation of the massaged perineal muscles is observed. A water-based lubricant will be used to facilitate the procedure. The massage will last no longer than 5 minutes.

Locations(1)

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

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NCT07099690