Effectiveness of Warm Packs, Perineal Massage and Hands Off During Labour in the Perineal Outcomes.

Universidade Federal de Pernambuco

Status: Unknown

Conditions: Perineal Tear

Treatments: Procedure: Perineal massage; Procedure: Warm packs

Study type: Interventional

Funder types: Other

Identifiers

NCT02588508

0335932

Details and patient eligibility

About

This study evaluates the effectiveness of warm packs, perineal massage and hands off, during labour, in the perineal outcomes. The perineal outcomes are perineal tears, grade of perineal tears, need of suture, perineal edema, perineal pain, use of drugs for perineal pain, and satisfaction with the technique used.

Full description

This study is a randomised controled trial.

Enrollment: 201 estimated patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• parturient in active phase of labour
• single fetus at term (37-42 weeks)
• bent cephalic fetal presentation
• parity less than four children

Exclusion criteria

• use any perineal preparation techniques during pregnancy
• clinical indication for caesarean section

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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201 participants in 3 patient groups

Warm packs

Experimental group

Description:

The warm packs are held in the mother's perineum during birth. The warm packs are changed as needed to maintain warmth.

Treatment:

Procedure: Warm packs

Perineal massage

Experimental group

Description:

The perineal massage will be gently held in the longitudinal direction of the muscle fibers, with movements of the thumb and forefinger, like "count coins".

Treatment:

Procedure: Perineal massage

Hands off

No Intervention group

Description:

Hands off group does not receive any perineal manipulation and they are only observed.