Pregnant participants will be recruited at the obstetrics outpatient clinic during their visits 4 weeks before the due date. They are randomized into two groups. The first group will be educated to do digital perineal massage. They will be also educated to do pelvic floor muscle exercises and will receive the usual education program for strengthening the pelvic floor. The second group will receive the usual education program for strengthening the pelvic floor. Occurrence of perineal laceration will be reported at time of delivery.
Pregnant participants will be recruited at the obstetrics outpatient clinic during their visits 4 weeks before the due date. They are randomized into two groups. The first group will be educated to do digital perineal massage. They will be also educated to do pelvic floor muscle exercises and will receive the usual educational pelvic floor dysfunction prevention program for strengthening the pelvic floor. The second group will receive the usual education program for strengthening the pelvic floor. Occurrence of perineal laceration will be reported at time of delivery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
90
The participant will perform digital massage of her perineal area 5 minutes daily starting four weeks before delivery till her actual labour day
The participant will perform pelvic floor muscle exercise daily starting four weeks before delivery till her actual labour day
This educational pelvic floor dysfunction prevention program includes instructions about: control of her weight, adequate cleaning for the perineal area, adequate fluid intake, smoking cessation, right posture and frequency of micturition and adequate ingestion of fiber to avoid constipation
Department of Obstetrics and Gynecology, Kasr Al-Ainy hospital
Cairo, Greater Cairo, Egypt
Proportion of participants who have perineal tears
Proportion of perineal tears will be assessed by an investigator who will attend the participant delivery
Time frame: At 15 minutes from delivery
Proportion of participants who need episiotomy at time of delivery
Proportion of participants who need episiotomy at time of delivery will be assessed by an investigator
Time frame: At 15 minutes from delivery
Duration of the second stage of labour
Duration of the second stage of labour will be assessed by an investigator
Time frame: At 15 minutes from delivery
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