Antenatal perineal massage benefits in reducing perineal trauma and postpartum morbidities: a systematic review and meta-analysis of randomized controlled trials

Abdelhakim, Ahmed Mohamed; El-Desouky, El-Sayed; Elmagd, Ibrahim Abo; Mohammed, Attia; Farag, Elsayed Aly; Mohammed, Abd Elhalim; Hamam, Khaled M.; Hussein, Ahmed; Ali, Ahmed Said; Keshta, Nawal Hamdy Ahmed; Hamza, M; Samy, Ahmed; Abdellatif, Ali A

doi:10.1007/s00192-020-04302-8

Cited by 38 publications

(38 citation statements)

References 27 publications

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“…Perineal pain was actually significantly lesser in the group that received massage by a physiotherapist compared to the other two groups. Efficiency of perineal massage in prevention and treatment of postpartum perineal pain had been previously identified [ 21 , 22 , 30 ]. Nevertheless, it is the first time that the different effects of massage applied by a physiotherapist are compared to self-massage.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

Álvarez-González

Leirós‐Rodríguez

Álvarez-Barrio

et al. 2021

JCM

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Perineal massage increases elasticity of myofascial perineal tissue and decreases the burning and perineal pain during labour, thus optimising child birth, although an application protocol has not been standardised yet. The objective of this study is to determine the efficiency of massage in perineal tear prevention and identification of possible differences in massage application. Total of 90 pregnant participants were divided into three groups: perineal massage and EPI-NO® device group, applied by an expert physiotherapist, self-massage group, where women were instructed to apply perineal massage in domestic household, and a control group, which received ordinary obstetric attention. Results: The results showed significant differences among the control group and the two perineal massage groups in perineal postpartum pain. Correlations in perineal postpartum pain, labour duration and the baby’s weight were not statistically significant. Lithotomy posture was significantly less prevalent in the massage group than in the other two; this variable is known to have a direct effect on episiotomy incidence and could act as a causal covariate of the different incidence of episiotomy in the groups. Perineal massage reduces postpartum perineal pain, prevalence and severity of perineal tear during delivery.

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Section: Discussionmentioning

confidence: 99%

“…There were no differences in episiotomy incidence between control and self-massage groups. Preventive effect of perineal massage on episiotomy was previously identified [ 30 , 32 , 33 ]. But it is the first time that the different efficiencies between perineal massage applied by a physiotherapist and self-applied massage are compared.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

Álvarez-González

Leirós‐Rodríguez

Álvarez-Barrio

et al. 2021

JCM

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“…Currently, researchers have carried out a large number of studies on the risk factors, diagnosis, and prevention of perineal tears to provide support for perineal tear prevention. Various interventions such as antenatal perineal massage [ 12 ], warm compresses [ 13 ], hands on the perineum [ 13 ], and Ritgen’s maneuver [ 13 ], to reduce perineal trauma, have been studied, and positive benefits associated with some interventions have been reported. However, the outcomes of the existing studies reported are numerous and highly variable, and the techniques for measuring many outcomes are also poorly defined, making it difficult to compare studies.…”

Section: Introductionmentioning

confidence: 99%

A core outcome set for clinical trials of first- and second-degree perineal tears prevention and treatment: a study protocol for a systematic review and a Delphi survey

Lin

Shi

Liu

et al. 2021

Trials

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Background Perineal tear is a common consequence of vaginal births affecting females globally. Even mild perineal tears could cause short- and long-term complications for females. Though many studies of interventions to prevent or treat perineal tears to minimize the consequences have been conducted, there is a significant heterogeneity in the outcomes measured and reported in existing studies, which makes meaningful comparison difficult and makes the generalizability to clinical practice challenging. Developing a core outcome set (COS) could solve these methodological concerns. In this paper, we report a protocol to develop a COS for clinical trials of mild perineal tears, which shall assist in establishing the evidence base and implementation of effective measures to reduce the incidence and minimize the consequences of mild perineal tears. Methods/design The development of this COS will be guided by a study advisory group composed of obstetricians, midwives, nursing managers, service users, and methodologists. This study will include four stages: (1) a systematic research of the literature to identify outcomes reported in prior studies, (2) a semi-structured interview with key stakeholders to collect their opinions on important outcomes, (3) a panel of experts will be invited to conduct a three-round Delphi survey to prioritize these outcomes, and (4) a consensus meeting with key stakeholders to determine the list of outcomes included in the final COS. Discussion The development of this COS will provide international standards for the outcomes to be collected and reported in all clinical trials and audits of practice, which involve prevention and treatment of first- and second-degree perineal tears for women with vaginal delivery. This will facilitate comparing and contrasting of studies and allow for combining of appropriate studies with the ultimate goal of improved perineal care for women choosing vaginal delivery. Trial registration This study was registered in the database of Core Outcome Measures in Effectiveness Trials (COMET) on June11th, 2021 (https://comet-initiative.org/Studies/Details/1884).

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“…Currently, researchers have carried out a large number of studies on risk factors, diagnosis and prevention of perineal tears to provide support for perineal tears prevention. Various interventions such as antenatal perineal massage [12], warm compresses [13], hands on the perineum [13] and Ritgen's maneuver [13], to reduce perineal trauma have been studied and positive bene ts associated with some interventions have been reported. However, the outcomes of the existing studies reported are numerous and highly variable, and the techniques for measuring many outcomes are also poorly de ned, making it di cult to compare studies.…”

Section: Introductionmentioning

confidence: 99%

A Core Outcome Set for Clinical Trials of First- and Second-Segree Perineal Tears Prevention and Treatment: A Study Protocol for a Systematic Review and a Delphi Survey

Xiao

Shi

Liu

et al. 2021

Preprint

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Background Perineal tear is a common consequence of vaginal births affecting females globally. Even mild perineal tears could cause short- and long-term complications for females. Though many studies of interventions to prevent or treat perineal tears to minimize the consequences have been conducted, however, there is significant heterogeneity in the outcomes measured and reported in existing studies, which makes meaningful comparison difficult and makes the generalizability to clinical practice challenging. Developing a core outcome set (COS) could solve these methodological concerns. In this paper, we report a protocol to develop a COS for clinical trials of mild perineal tears, which shall assist in establishing the evidence base and implementation of effective measures to reduce the incidence and minimize the consequences of mild perineal tears. Methods /Design: The development of this COS will be guided by a study advisory group composed of obstetricians, midwives, nursing managers, service users and methodologists. This study will include four stages: (1) a systematic review of the literature to identify outcomes reported in prior studies; (2) a semi-structured interview with key stakeholders to collect their opinions on important outcomes; (3) a panel of experts will be invited to conduct a three-round Delphi survey to prioritize these outcomes; (4) a consensus meeting with key stakeholders to determine the list of outcomes included in the final COS. Discussion The development of this COS will provide an international standards for the outcomes to be collected and reported in all clinical trials and audits of practice, that involve prevention and treatment of first- and second-degree perineal tears for women with vaginal delivery. This will facilitate comparing and contrasting of studies and allow for combining of appropriate studies with the ultimate goal of improved perineal care for women choosing vaginal delivery.

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Antenatal perineal massage benefits in reducing perineal trauma and postpartum morbidities: a systematic review and meta-analysis of randomized controlled trials

Cited by 38 publications

References 27 publications

Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

A core outcome set for clinical trials of first- and second-degree perineal tears prevention and treatment: a study protocol for a systematic review and a Delphi survey

A Core Outcome Set for Clinical Trials of First- and Second-Segree Perineal Tears Prevention and Treatment: A Study Protocol for a Systematic Review and a Delphi Survey

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