The Effect of Using Perineal Warm Compress Techniques During the Second Stage of Labor on Perineal Outcomes

Tribhuvan University (TU)

Status: Completed

Conditions: Labor; Pain; Perineal Tear; Heat Therapy

Treatments: Procedure: Perineal warm compression Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05955352

TribhuvaU

Details and patient eligibility

About

The goal of the clinical trial is to determine the effect of second-stage warm compress application on perineal pain and trauma among primiparous women. The main questions may reveal the pain intensity and the perineal outcome of the warm compress which might be helpful to the women during labor and related authority of the hospital.

The intervention with warm perineal compression will be done among primiparous mothes during second stage of labor

Full description

Participants

• After full dilatation of the cervix, assign participants in a 1:1 ratio to the study and control groups randomly.
• Ask women to select one closed envelope containing a card with the group allocation (study or control groups)
• Provide usual care according to the unit protocol to all the women until the second stage of labor.
• Provide the participants of the study group with a warm perineal compress during the whole second stage of labor
• Provide usual care according to the unit protocol to the participants of control group during the whole second stage of labor.

The process of applying the warm perineal compress

• Fill a clean container with warm water (45-59°C)
• Soak a clean pad in the water, squeeze then place gently on the perineum during each uterine contraction.
• Maintain the temperature between 38-44°C during its application.
• Re-soak the pad in warm water between contractions, to maintain warmth and then reapply.
• Replace the water in the container every 15 minutes until delivery or if the temperature drop below 45°C

Enrollment: 46 patients

Sex: Female

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: Low-risk pregnant mothers such as no hypertension, Headache, Bleeding Infection etc -

Exclusion Criteria: Pregnancy with any health problems such as Preeclampsia, Bleeding, Obstructed Labour, Cesarean section

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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46 participants in 1 patient group

Procedural intervention and Control group with standard care

Experimental group

Description:

There will be two groups. Interventional group will receive perineal warm compression and control group will receive standard care

Treatment:

Procedure: Perineal warm compression Technique