Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial
Introduction and hypothesis The aim of this study was to evaluate the effectiveness of perineal massage, pelvic floor muscle training (PFMT) and a pelvic floor dysfunction (PFD) prevention educational program in pregnant women above the age of 35 years to prevent perineal tear and episiotomy. Method...
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| Veröffentlicht in: | International Urogynecology Journal 2020-03, Vol.31 (3), p.613-619 |
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| container_title | International Urogynecology Journal |
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| creator | Dieb, Amira S. Shoab, Amira Y. Nabil, Hala Gabr, Amir Abdallah, Ahmed A. Shaban, Mona M. Attia, Ahmed H. |
| description | Introduction and hypothesis
The aim of this study was to evaluate the effectiveness of perineal massage, pelvic floor muscle training (PFMT) and a pelvic floor dysfunction (PFD) prevention educational program in pregnant women above the age of 35 years to prevent perineal tear and episiotomy.
Methods
A randomized parallel assignment study involved two groups of pregnant women at the obstetrics outpatient clinic 4 weeks prior to their due date. The first group (
n
= 200) was educated to do digital perineal massage and pelvic floor muscle training and received an educational PFD prevention program. The second group (
n
= 200) received only the prevention education program. Occurrence of perineal laceration was reported at time of delivery as a primary outcome. Statistical analysis was done using the IBM SPSS computer program (Statistical Package for the Social Sciences; IBM Corp, Armonk, NY, USA), release 22 for Microsoft Windows.
Results
Delivery was significantly less complicated by perineal tear, episiotomy and postnatal pain in the first than in the second group (
p
|
| doi_str_mv | 10.1007/s00192-019-03937-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2202679322</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2201956052</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-6d659772761c888eed65f053330b364eed003c2d898f80a966ffd757067eb0d83</originalsourceid><addsrcrecordid>eNp9kcFO3DAQhi0EgoX2BThUlrhwSZl4EjvpDSFaKq1ED-3Z8saTJavE3tqJEDwNz9Inw-lCkTj0MtZ4vvls6WfsNIfPOYC6iAB5LbJUMsAaVSb32CIvEDMEgftsAfMlFlIcseMYNwBQQAmH7AihLvKiEAv2-INC58j0fDAxmjVx4ywfg-lc59Y8kJ0a4ttXKA2mwfDO8W2gtTNu5Pd-IMd9bynw8c44juWfpwcyIX7hhoek80P3SJY33o3B9z3N_s70H9hBa_pIH1_OE_br6_XPq5tsefvt-9XlMmtQlWMmrSxrpYSSeVNVFVHqWygREVYoi9QDYCNsVVdtBaaWsm2tKhVIRSuwFZ6w8513G_zvieKohy421PfGkZ-iFgKEVDUKkdCzd-jGT8Gl381UXpcSypkSO6oJPsZArd6GbjDhQeeg52T0Lhmdiv6bjJZp6dOLeloNZP-tvEaRANwBMY3cmsLb2__RPgN5npm3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2201956052</pqid></control><display><type>article</type><title>Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial</title><source>SpringerLink Journals</source><creator>Dieb, Amira S. ; Shoab, Amira Y. ; Nabil, Hala ; Gabr, Amir ; Abdallah, Ahmed A. ; Shaban, Mona M. ; Attia, Ahmed H.</creator><creatorcontrib>Dieb, Amira S. ; Shoab, Amira Y. ; Nabil, Hala ; Gabr, Amir ; Abdallah, Ahmed A. ; Shaban, Mona M. ; Attia, Ahmed H.</creatorcontrib><description>Introduction and hypothesis
The aim of this study was to evaluate the effectiveness of perineal massage, pelvic floor muscle training (PFMT) and a pelvic floor dysfunction (PFD) prevention educational program in pregnant women above the age of 35 years to prevent perineal tear and episiotomy.
Methods
A randomized parallel assignment study involved two groups of pregnant women at the obstetrics outpatient clinic 4 weeks prior to their due date. The first group (
n
= 200) was educated to do digital perineal massage and pelvic floor muscle training and received an educational PFD prevention program. The second group (
n
= 200) received only the prevention education program. Occurrence of perineal laceration was reported at time of delivery as a primary outcome. Statistical analysis was done using the IBM SPSS computer program (Statistical Package for the Social Sciences; IBM Corp, Armonk, NY, USA), release 22 for Microsoft Windows.
Results
Delivery was significantly less complicated by perineal tear, episiotomy and postnatal pain in the first than in the second group (
p
< 0.05). Grades of perineal tear were mostly of first and second degree in the first group compared with the second group. We found a significantly lower need for analgesia and fewer ampoules required during the hospital stay in the first group (
p
< 0.001, 0.002, respectively).
Conclusions
Performing antenatal digital perineal massage and PFMT in addition to health education is recommended to reduce perineal complications.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-019-03937-6</identifier><identifier>PMID: 30941442</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Childbirth & labor ; Clinical trials ; Fecal incontinence ; Gynecology ; Health education ; Hospitals ; Medicine ; Medicine & Public Health ; Obstetrics ; Original Article ; Outpatient care facilities ; Pain ; Pregnancy ; Prevention ; Trauma ; Urology ; Womens health</subject><ispartof>International Urogynecology Journal, 2020-03, Vol.31 (3), p.613-619</ispartof><rights>The International Urogynecological Association 2019</rights><rights>International Urogynecology Journal is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6d659772761c888eed65f053330b364eed003c2d898f80a966ffd757067eb0d83</citedby><cites>FETCH-LOGICAL-c375t-6d659772761c888eed65f053330b364eed003c2d898f80a966ffd757067eb0d83</cites><orcidid>0000-0003-3517-6324</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-019-03937-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-019-03937-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30941442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dieb, Amira S.</creatorcontrib><creatorcontrib>Shoab, Amira Y.</creatorcontrib><creatorcontrib>Nabil, Hala</creatorcontrib><creatorcontrib>Gabr, Amir</creatorcontrib><creatorcontrib>Abdallah, Ahmed A.</creatorcontrib><creatorcontrib>Shaban, Mona M.</creatorcontrib><creatorcontrib>Attia, Ahmed H.</creatorcontrib><title>Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
The aim of this study was to evaluate the effectiveness of perineal massage, pelvic floor muscle training (PFMT) and a pelvic floor dysfunction (PFD) prevention educational program in pregnant women above the age of 35 years to prevent perineal tear and episiotomy.
Methods
A randomized parallel assignment study involved two groups of pregnant women at the obstetrics outpatient clinic 4 weeks prior to their due date. The first group (
n
= 200) was educated to do digital perineal massage and pelvic floor muscle training and received an educational PFD prevention program. The second group (
n
= 200) received only the prevention education program. Occurrence of perineal laceration was reported at time of delivery as a primary outcome. Statistical analysis was done using the IBM SPSS computer program (Statistical Package for the Social Sciences; IBM Corp, Armonk, NY, USA), release 22 for Microsoft Windows.
Results
Delivery was significantly less complicated by perineal tear, episiotomy and postnatal pain in the first than in the second group (
p
< 0.05). Grades of perineal tear were mostly of first and second degree in the first group compared with the second group. We found a significantly lower need for analgesia and fewer ampoules required during the hospital stay in the first group (
p
< 0.001, 0.002, respectively).
Conclusions
Performing antenatal digital perineal massage and PFMT in addition to health education is recommended to reduce perineal complications.</description><subject>Childbirth & labor</subject><subject>Clinical trials</subject><subject>Fecal incontinence</subject><subject>Gynecology</subject><subject>Health education</subject><subject>Hospitals</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics</subject><subject>Original Article</subject><subject>Outpatient care facilities</subject><subject>Pain</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Trauma</subject><subject>Urology</subject><subject>Womens health</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcFO3DAQhi0EgoX2BThUlrhwSZl4EjvpDSFaKq1ED-3Z8saTJavE3tqJEDwNz9Inw-lCkTj0MtZ4vvls6WfsNIfPOYC6iAB5LbJUMsAaVSb32CIvEDMEgftsAfMlFlIcseMYNwBQQAmH7AihLvKiEAv2-INC58j0fDAxmjVx4ywfg-lc59Y8kJ0a4ttXKA2mwfDO8W2gtTNu5Pd-IMd9bynw8c44juWfpwcyIX7hhoek80P3SJY33o3B9z3N_s70H9hBa_pIH1_OE_br6_XPq5tsefvt-9XlMmtQlWMmrSxrpYSSeVNVFVHqWygREVYoi9QDYCNsVVdtBaaWsm2tKhVIRSuwFZ6w8513G_zvieKohy421PfGkZ-iFgKEVDUKkdCzd-jGT8Gl381UXpcSypkSO6oJPsZArd6GbjDhQeeg52T0Lhmdiv6bjJZp6dOLeloNZP-tvEaRANwBMY3cmsLb2__RPgN5npm3</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Dieb, Amira S.</creator><creator>Shoab, Amira Y.</creator><creator>Nabil, Hala</creator><creator>Gabr, Amir</creator><creator>Abdallah, Ahmed A.</creator><creator>Shaban, Mona M.</creator><creator>Attia, Ahmed H.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3517-6324</orcidid></search><sort><creationdate>20200301</creationdate><title>Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial</title><author>Dieb, Amira S. ; Shoab, Amira Y. ; Nabil, Hala ; Gabr, Amir ; Abdallah, Ahmed A. ; Shaban, Mona M. ; Attia, Ahmed H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-6d659772761c888eed65f053330b364eed003c2d898f80a966ffd757067eb0d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Childbirth & labor</topic><topic>Clinical trials</topic><topic>Fecal incontinence</topic><topic>Gynecology</topic><topic>Health education</topic><topic>Hospitals</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics</topic><topic>Original Article</topic><topic>Outpatient care facilities</topic><topic>Pain</topic><topic>Pregnancy</topic><topic>Prevention</topic><topic>Trauma</topic><topic>Urology</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dieb, Amira S.</creatorcontrib><creatorcontrib>Shoab, Amira Y.</creatorcontrib><creatorcontrib>Nabil, Hala</creatorcontrib><creatorcontrib>Gabr, Amir</creatorcontrib><creatorcontrib>Abdallah, Ahmed A.</creatorcontrib><creatorcontrib>Shaban, Mona M.</creatorcontrib><creatorcontrib>Attia, Ahmed H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dieb, Amira S.</au><au>Shoab, Amira Y.</au><au>Nabil, Hala</au><au>Gabr, Amir</au><au>Abdallah, Ahmed A.</au><au>Shaban, Mona M.</au><au>Attia, Ahmed H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>31</volume><issue>3</issue><spage>613</spage><epage>619</epage><pages>613-619</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
The aim of this study was to evaluate the effectiveness of perineal massage, pelvic floor muscle training (PFMT) and a pelvic floor dysfunction (PFD) prevention educational program in pregnant women above the age of 35 years to prevent perineal tear and episiotomy.
Methods
A randomized parallel assignment study involved two groups of pregnant women at the obstetrics outpatient clinic 4 weeks prior to their due date. The first group (
n
= 200) was educated to do digital perineal massage and pelvic floor muscle training and received an educational PFD prevention program. The second group (
n
= 200) received only the prevention education program. Occurrence of perineal laceration was reported at time of delivery as a primary outcome. Statistical analysis was done using the IBM SPSS computer program (Statistical Package for the Social Sciences; IBM Corp, Armonk, NY, USA), release 22 for Microsoft Windows.
Results
Delivery was significantly less complicated by perineal tear, episiotomy and postnatal pain in the first than in the second group (
p
< 0.05). Grades of perineal tear were mostly of first and second degree in the first group compared with the second group. We found a significantly lower need for analgesia and fewer ampoules required during the hospital stay in the first group (
p
< 0.001, 0.002, respectively).
Conclusions
Performing antenatal digital perineal massage and PFMT in addition to health education is recommended to reduce perineal complications.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30941442</pmid><doi>10.1007/s00192-019-03937-6</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3517-6324</orcidid></addata></record> |
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| identifier | ISSN: 0937-3462 |
| ispartof | International Urogynecology Journal, 2020-03, Vol.31 (3), p.613-619 |
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| language | eng |
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| source | SpringerLink Journals |
| subjects | Childbirth & labor Clinical trials Fecal incontinence Gynecology Health education Hospitals Medicine Medicine & Public Health Obstetrics Original Article Outpatient care facilities Pain Pregnancy Prevention Trauma Urology Womens health |
| title | Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial |
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