بررسي تاثير ماساژ مياندوراه دوران بارداري بر وقوع و درجه برش و پارگي مياندوراه زنان نخست حامله

The Effect of Perineal Massage During Pregnancy on the Perineal Laceration in Primiparous Woman

Episiotomy occurs in 50% to 90% of labors . Perineal laceration is also quite common , with complications affecting womenʹs health . This study was conducted to survey the effects of the perineal massage on the decreasing of the lacerations in primiparous women . This blind clinical trial involved two groups . The samples including 80 primiparous women referring to Health Clinics in Bojnoord , Iran , were collected in steps in 1379. The experimental roup was trained to do the perineal massage 10 minutes daily from the 34-37 weeks of their pregnancy to the labor ; they were asked to fill in a form to have a record of their massage . All Iabors were performed by two predetermined midwives . The study data were collected through interview forms and observation checklists during pregnancy and labor _ The analyzed data indicated that the laceration incidence in control and experinental groups were 45.2% and 9.7% respectively . Laceration withowt episiotomy in control and experimental groups were 64.7% and 85.7% respectively . Childbriths with unharmed perineum were 14.3% and 35.3% for experimental and control groups respectively . The average episiotomy lengths for the control and experimental groups were 3.7+ 107 and 3 + I cm respectively ; the average depths were 2.1+ 1 and 1.7+ 0.6 cm for control and experimental groups respectively . First order laceration and unilateral paraurethral were more frequent in the experimental group than in the control group , the second order laceration and bilateral paraurethraI being less frequent . It was also observed that episiotomy and laceration significantly correlated with occupation , second active phase of the labor and the infantʹs head . It was finally coucluded that perineal massage decreased labor episiotomy and increased first order and paraurethral laceration ; therefore , it can be recommended as a safe and inexpensive way to reduce perinea] injuries during childbirth .