Perineal Preparation for Pregnant Ladies.

Kasr El Aini Hospital400 enrolled

Overview

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

400

Conditions

Delivery; Trauma Pelvic Floor; Perineal Rupture, Obstetric Pelvic Floor Muscle Weakness

Interventions

3 programOTHER

The participants will receive 3 programs.The educational pelvic floor dysfunction prevention program, pelvic floor muscle exercise program and perineal massage program will be educated by an investigator during the participant visit 4 weeks before her due date

one programOTHER

The participants will receive one program. That is the educational pelvic floor dysfunction prevention program.The instructions of the program will be given by an investigator once during the participant visit 4 weeks before her due date.

Eligibility

Sex: FEMALEMin age: 35 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Pregnant women ≥ 35 years old * Primigravida or multi gravida Exclusion Criteria: * History of chronic constipation * History of chronic cough * Current or past urinary or anal incontinence * History of genital prolapse before pregnancy * History of neuromuscular disorders or connective tissue disorders * History of medical disorders * History of preterm or precipitate labour * History of premature preterm rupture of membranes. * Genital infections

Locations (1)

KasralainiH

Cairo, Egypt

Outcomes

Primary Outcomes

perineal tears Proportion of perineal tears will be assessed by an investigator who will attend the participant delivery

Proportion of participants who have perineal tears

Time frame: At 15 minutes from delivery

Secondary Outcomes

episiotomy need Proportion of participants who need episiotomy at time of delivery will be assessed by an investigator

Proportion of participants who need episiotomy at time of delivery

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: 2 hours

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.