Effect of Perineal Massage with Ostrich Oil on the Episiotomy and Lacerations in Nulliparous Women: A Randomized Controlled Clinical Trial

Romina, Samira; Ramezani, Fahimeh; Falah, Neda; Mafi, Maryam; Ranjkesh, Fatemeh

doi:10.4103/ijnmr.ijnmr_76_19

Cited by 7 publications

(28 citation statements)

References 12 publications

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“…21 In parallel, the minimum score obtained on the Jadad scale was 2 points. 24,26 In two other cases, the maximum score was obtained 21,25 (Table 3). Shahoei et al 26 measured the severity of perineal damage and pain using an ad hoc questionnaire recorded by telephone.…”

Section: Data Collection and Analysismentioning

confidence: 92%

“…29 Although the result was significant only in the first case. 22 As for the incidence of episiotomy in isolation, all interventions achieved a significant reduction, [21][22][23][24][25][26][27]29 with the exception of the study in which massage was combined with warm compresses. 28 In that case, the combined application did not reduce the incidence of episiotomy compared with the massage-only group.…”

Section: Scopusmentioning

confidence: 99%

“…All studies scored between 6 and 9 points on the PEDro scale [21][22][23][24][25][26][27][28][29] (Table 2). In two cases the women were blinded.…”

Section: Data Collection and Analysismentioning

confidence: 99%

“…24 One study measured pain intensity using a numerical scale from 0 to 10. 29 The remaining studies [21][22][23]25,27,28 do not mention or describe the assessment and recording instruments.…”

Section: Data Collection and Analysismentioning

confidence: 99%

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Efficacy of perineal massage during the second stage of labor for the prevention of perineal injury: A systematic review and meta‐analysis

Marcos‐Rodríguez

Leirós‐Rodríguez

Hernández‐Lucas

2023

Intl J Gynecology & Obste

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BackgroundNumerous interventions to reduce perineal trauma during childbirth have been studied in recent years, including perineal massage.ObjectiveTo determine the efficacy of perineal massage during the second stage of labor to prevent perineal damage.Search StrategySystematic search in PubMed, Pedro, Scopus, Web of Science, ScienceDirect, BioMed, SpringerLink, EBSCOhost, CINAHL, and MEDLINE with the terms Massage, Second labor stage, Obstetric delivery, and Parturition.Selection CriteriaThe articles must have been published in the last 10 years; the perineal massage was administered to the study sample; and the experimental design consisted of randomized controlled trial.Data Collection and AnalysisTables were used to describe both the studies' characteristics and the extracted data. The PEDro and Jadad scales were used to assess the quality of studies.Main ResultsOf the 1172 total results identified, nine were selected. Seven studies were included in the meta‐analysis and indicated a statistically significant decreased number of episiotomies in perineal massage.ConclusionsMassage during the second stage of labor appears to be effective in preventing episiotomies and reducing the duration of the second stage of labor. However, it does not appear to be effective in reducing the incidence and severity of perineal tears.

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Section: Data Collection and Analysismentioning

confidence: 92%

Section: Scopusmentioning

confidence: 99%

“…All studies scored between 6 and 9 points on the PEDro scale [21][22][23][24][25][26][27][28][29] (Table 2). In two cases the women were blinded.…”

Section: Data Collection and Analysismentioning

confidence: 99%

Section: Data Collection and Analysismentioning

confidence: 99%

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Efficacy of perineal massage during the second stage of labor for the prevention of perineal injury: A systematic review and meta‐analysis

Marcos‐Rodríguez

Leirós‐Rodríguez

Hernández‐Lucas

2023

Intl J Gynecology & Obste

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“…During the last two decades there has been a growing body of scientific evidence about the benefits and efficiency of perineal massage in prevention of perineal injuries during delivery and reduction of incidence and severity of perineal tear. The physiological explanation is that massage increases elasticity of myofascial perineal tissue and decreases the burning and perineal pain during labour, thus optimizing child birth [ 21 , 22 ], although an application protocol has not been standardised yet: manual therapy, its duration, its method of application (self-massage, applied by partner or physiotherapist), its frequency, start of application during pregnancy or suitability of instruments such as EPI-NO ® Childbirth Trainer (Tecsana, Munich, Germany) and/or simultaneous application of oils or lubricants with skin care substances [ 23 , 24 , 25 ].…”

Section: Introductionmentioning

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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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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The effectiveness of interventions in the prevention of perineal trauma in parturients: A systematic review with meta-analysis

Silva¹,

Santos²,

Leite³

et al. 2023

European Journal of Obstetrics & Gynecology and Reproductiv

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Effect of Perineal Massage with Ostrich Oil on the Episiotomy and Lacerations in Nulliparous Women: A Randomized Controlled Clinical Trial

Cited by 7 publications

References 12 publications

Efficacy of perineal massage during the second stage of labor for the prevention of perineal injury: A systematic review and meta‐analysis

Efficacy of perineal massage during the second stage of labor for the prevention of perineal injury: A systematic review and meta‐analysis

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

The effectiveness of interventions in the prevention of perineal trauma in parturients: A systematic review with meta-analysis

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