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208493

Effect of Late Pregnancy Self-Perineal Massage on the Perineal State of the Primiparturients

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Last updated: 25 Dec 2024

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Abstract

Perineal massage help to stretch the vaginal opening and surrounding perineal muscles through applying of external manual pressure, It increases the flexibility of the perineal muscles, thereby reducing muscle resistance, causing the perineum to stretch during labor without rupture and no need for an episiotomy. Aim: This study aimed to assess the effect of late pregnancy self-perineal massage on the perineal state of the primi-parturients. Methods: Quasi experimental design was used to conduct this study at a private hospital of obstetrics and gynecology specialty at El- Mahalla El –Kobra city, Gharbia Governorate, Egypt. A nonprobability purposive sample of 68 pregnant women were invited to participate in the study and were divided into two groups (n=34 per each group); the intervention group (underwent late pregnancy self-perineal massage) and control group (underwent conventional hospital protocol of care). Two tools were used to collect the data; the first tool was a structured interview schedule to assess participants' basic characteristics. The second tool was assessment sheet to assess the duration of labor, perineal state and neonatal outcomes after delivery. Results: Post intervention, there was statistical significant difference between the studied groups regarding perineal trauma in which 82.4% of the subjects in the perineal massage group had intact perineum compared to 64.7% of the control group. The mean duration of second stage of labor was shorter in the perineal massage group compared to control group (54.411 ± 3.105 & 57.176 ± 2.989, respectively). Conclusion: The current study findings highlighted those primi-parturient women who perform late pregnancy selfperineal massage exhibits shorter duration of labor and experiences lower perineal trauma as well as reports lower postpartal perineal pain. This study recommended that late pregnancy self-perineal massage technique should be considered as a part of the routine perinatal care to reduce the incidence of perineal trauma.

DOI

10.21608/tsnj.2021.208493

Authors

First Name

Nadia

Last Name

Abd-Ella

MiddleName

Youssef

Affiliation

Lecturer of Woman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, Egypt

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Orcid

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First Name

Hanan

Last Name

Kandeel

MiddleName

Abderahman Mostafa

Affiliation

Assistant professor of Obstetric and Gynecologic Nursing, Faculty of Nursing, Alexandria University, Egypt

Email

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City

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Orcid

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First Name

Ahlam

Last Name

Gouda

MiddleName

Mohammed Ibrahim

Affiliation

Assistant professor of Woman's Health & Midwifery, Nursing Department, Faculty of Nursing, Mansoura University, Egypt

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Volume

23

Article Issue

4

Related Issue

27831

Issue Date

2021-11-01

Receive Date

2021-09-09

Publish Date

2021-11-01

Page Start

52

Page End

73

Print ISSN

2314-5595

Online ISSN

2735-5519

Link

https://tsnj.journals.ekb.eg/article_208493.html

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https://tsnj.journals.ekb.eg/service?article_code=208493

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3

Type

Original Article

Type Code

1,053

Publication Type

Journal

Publication Title

Tanta Scientific Nursing Journal

Publication Link

https://tsnj.journals.ekb.eg/

MainTitle

Effect of Late Pregnancy Self-Perineal Massage on the Perineal State of the Primiparturients

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Article

Created At

22 Jan 2023