The Comparison of the Effect of Perineal Management Techniques in Stage of Labor on Perineal Trauma in Nullipara referring to Educating Health Center of Emam Khomeini, Khalkhal.

Abstract

Abstract: Background: Reducing postpartum morbidity is the aim of the safe motherhood and improves maternal and newborn health. Perineal trauma is common outcome of vaginal birth, and can cause short –term and long –term problems for new mothers. The objectives of this survey was to determine the effect of perineal management techniques in the second stage of labor on perineal trauma. Method: In this randomized clinical trial 160 nulliparous women that expecting normal birth of a singleton, were asked to join the study and divided randomly into four groups, (warm compress, perineal massage, maneuver ritgen and no touching). The frequency, degree, and location of perineal lacerations measured in childbirth. The data have been analyzed with descriptive statistical methods t test, chi square test and non -parametric test, Kruskall –Wallis using statistical 15 SPSS /win. Results: No significant differences were observed in the rates of intact perineum, first and second degree tears, (p=0.169) and requirement for perineal suturing (p=0.207) in four groups. Conclusion: The midwives can practice techniques based on maternal comfort and other considerations, proposed to prevent perineal trauma during child birth.