This study evaluates the effectiveness of warm packs, perineal massage and hands off, during labour, in the perineal outcomes. The perineal outcomes are perineal tears, grade of perineal tears, need of suture, perineal edema, perineal pain, use of drugs for perineal pain, and satisfaction with the technique used.
This study is a randomised controled trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
201
: The warm packs are held in the mother's perineum during birth. The warm packs are changed as needed to maintain warmth.
The perineal massage will be gently held in the longitudinal direction of the muscle fibers, with movements of the thumb and forefinger, like "count coins".
UFPernambuco
Recife, Pernambuco, Brazil
RECRUITINGNeed of suture
Number of participants with perineal tear after vaginal delivery requiring suture (evaluated as yes or no).
Time frame: 30 minutes
Grade of perineal tear
Perineal tear ranked 1st, 2nd, 3rd and 4th degree
Time frame: 30 minutes
perineal edema
Perineal edema is scored 0-4 (0 = no edema; 4 = edema invades the perineal body) .
Time frame: 1 hour
Perineal pain
self reported ´perineal pain intensity. Perineal pain is scored 0-10 (0 = no pain; 10 = pain as bad as can be).
Time frame: 24 hours
Use of drugs for perineal pain
Number of participants using drugs for perineal pain at the time of 24 hours after vaginal delivery (evaluated as yes or no).
Time frame: 24 hours
Satisfaction with the technique used
Satisfaction of the woman with the technique used for perineal care. Satisfaction is scored 0-4 (0 = very satisfied; 4 = very dissatisfied)
Time frame: 24 hours
Perineal tear
Number of participants with perineal tear after vaginal delivery (evaluated as yes or no).
Time frame: 30 minutes
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