Perineal Preparation for Pregnant Ladies.

Kasr El Aini Hospital

Status: Completed

Conditions: Pelvic Floor Muscle Weakness; Pelvic Floor; Perineal Rupture, Obstetric; Delivery; Trauma

Treatments: Other: 3 program; Other: one program

Study type: Interventional

Funder types: Other

Identifiers

NCT03287258

perineal preparation study

Details and patient eligibility

About

Pregnant participants will be recruited at the obstetrics outpatient clinic during their visits 4 weeks before the due date. They are randomized into two groups. The first group will be educated to do digital perineal massage. They will be also educated to do pelvic floor muscle exercises and will receive the usual education program for strengthening the pelvic floor. The second group will receive the usual education program for strengthening the pelvic floor. Occurrence of perineal laceration will be reported at time of delivery.

Full description

Pregnant participants will be recruited at the obstetrics outpatient clinic during their visits 4 weeks before the due date. They are randomized into two groups. The first group will be educated to do digital perineal massage. They will be also educated to do pelvic floor muscle exercises and will receive the usual educational pelvic floor dysfunction prevention program for strengthening the pelvic floor. The second group will receive the usual education program for strengthening the pelvic floor. Occurrence of perineal laceration will be reported at time of delivery.

Enrollment: 400 patients

Sex: Female

Ages: 35 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pregnant women ≥ 35 years old
• Primigravida or multi gravida

Exclusion criteria

• History of chronic constipation
• History of chronic cough
• Current or past urinary or anal incontinence
• History of genital prolapse before pregnancy
• History of neuromuscular disorders or connective tissue disorders
• History of medical disorders
• History of preterm or precipitate labour
• History of premature preterm rupture of membranes.
• Genital infections

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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400 participants in 2 patient groups

three program

Active Comparator group

Description:

200 patients are subjected to educational Pelvic floor dysfunction prevention program with perineal massage and Pelvic floor muscle exercise.

Treatment:

Other: 3 program

one program

Active Comparator group

Description:

200 patients are subjected to educational Pelvic floor dysfunction prevention program

Treatment:

Other: one program