Comparison of the Effects of Prenatal Perineal Massage Versus Kegel Exercise on Labor Outcome
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
Background: Today, the fundamental approach related to pregnancy and childbirth is that they are physiological processes and requires minimum level of medical intervention. The aim of the present study was to compare the effects of prenatal perineal massage versus kegel exercise on labor outcome. Design: Randomized controlled clinical trial was utilized. Setting: The study was conducted at a private clinic of Obstetrics and Gynecology, at the city of Mit Ghamr, Dakahleya Governate, Egypt. Subjects: 118 pregnant women divided into (37 pregnant women in perineal massage group, 38 in kegel exercise group and 43 in the control group). Tools: Five tools were used: Socio-demographic characteristics and previous obstetric history sheet, first stage of labor sheet, second stage of labor sheet, neonatal outcome sheet and post natal sheet 15 days postpartum. The results of the present study revealed that a highly statistically significant reduction in the duration of the second stage of labor of parturient women in the perineal massage group and kegel exercise group compared to those in control group. 27.0% & 23.7% respectively of parturient women in the perineal massage and kegel exercise groups had perineal tears of the first degree type. On the other hand, 14.0% of parturient women in the control group had perineal tears of the second degree type. The mean REEDA scale 15 days postpartum in the three groups was 1.7 ± 1.3 &2.7 ± 1.6 VS. 4.3 ± 0.8 respectively with a high statistically significant difference (P= 0.000). In conclusion, prenatal perineal massage and kegel exercise after 30 weeks gestation are safe non invasive methods of perineal muscle strengthening and pelvic floor muscle training. These methods contributed to a highly statistically significant shortening of the duration of the second stage of labor and reducing the likelihood of episiotomy and degree of perineal tears. Postnatal, they resulted in a highly statistically significant acceleration of perineal wound healing and reduction of perineal pain 15 days postpartum. Recommendations: Heath professionals working in the field of Obstetrics (nurses and physicians) should make perineal massage and kegel exercise training essential components of prenatal care with emphasis on their safety, intra natal and postnatal benefits.
Authors and Affiliations
Faten Ibrahim Elsebeiy
Keywords
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- EP ID EP435995
- DOI 10.9790/1959-0703034353.
- Views 181
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