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

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 perinea...

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Autores principales:	María Álvarez-González, Raquel Leirós-Rodríguez, Lorena Álvarez-Barrio, Ana F. López-Rodríguez
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	musculoskeletal manipulations primary prevention perineum obstetric labour complications physical therapy modalities chronic pain Medicine R
Acceso en línea:	https://doaj.org/article/d508758649bd4d33805c57717ebc5e4a
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spelling	oai:doaj.org-article:d508758649bd4d33805c57717ebc5e4a2021-11-11T17:34:14ZPrevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial10.3390/jcm102149342077-0383https://doaj.org/article/d508758649bd4d33805c57717ebc5e4a2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4934https://doaj.org/toc/2077-0383Perineal 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<sup>®</sup> 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.María Álvarez-GonzálezRaquel Leirós-RodríguezLorena Álvarez-BarrioAna F. López-RodríguezMDPI AGarticlemusculoskeletal manipulationsprimary preventionperineumobstetric labour complicationsphysical therapy modalitieschronic painMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4934, p 4934 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	musculoskeletal manipulations primary prevention perineum obstetric labour complications physical therapy modalities chronic pain Medicine R
spellingShingle	musculoskeletal manipulations primary prevention perineum obstetric labour complications physical therapy modalities chronic pain Medicine R María Álvarez-González Raquel Leirós-Rodríguez Lorena Álvarez-Barrio Ana F. López-Rodríguez Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial
description	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<sup>®</sup> 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.
format	article
author	María Álvarez-González Raquel Leirós-Rodríguez Lorena Álvarez-Barrio Ana F. López-Rodríguez
author_facet	María Álvarez-González Raquel Leirós-Rodríguez Lorena Álvarez-Barrio Ana F. López-Rodríguez
author_sort	María Álvarez-González
title	Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial
title_short	Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial
title_full	Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial
title_fullStr	Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial
title_full_unstemmed	Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial
title_sort	prevalence of perineal tear peripartum after two antepartum perineal massage techniques: a non-randomised controlled trial
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/d508758649bd4d33805c57717ebc5e4a
work_keys_str_mv	AT mariaalvarezgonzalez prevalenceofperinealtearperipartumaftertwoantepartumperinealmassagetechniquesanonrandomisedcontrolledtrial AT raquelleirosrodriguez prevalenceofperinealtearperipartumaftertwoantepartumperinealmassagetechniquesanonrandomisedcontrolledtrial AT lorenaalvarezbarrio prevalenceofperinealtearperipartumaftertwoantepartumperinealmassagetechniquesanonrandomisedcontrolledtrial AT anaflopezrodriguez prevalenceofperinealtearperipartumaftertwoantepartumperinealmassagetechniquesanonrandomisedcontrolledtrial
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Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

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