The Effects of Petroleum Jelly Perineum Massage on Episiotomy and Perineum Healing in the 1st Stage of Labour: A Randomised Controlled Trial

Year 2023, , 497 - 502, 11.09.2023

Yağmur İrmak Çelik , Meltem Demirgöz Bal

https://doi.org/10.33808/clinexphealthsci.1029390

Abstract

Aim: The aim of this study was to investigate the effect of perineal massage with vaseline on the episiotomy and perineal healing in nulliparous women.
Method: The double-blind randomized controlled trial was conducted on 90 nulliparous women. In the interventions group, perineal massage was performed with Vaseline and without Vaseline from the active phase of labor. Control group no interventions were performed. Results: Perineal massage with vaseline in the intervention group significant decreased the rate of episiotomies (40%) compared to other group (p< 0.01). In the control group, the mean labor time was 10 hours 5 min, while in the perineal massage group with vaseline, this duration was determined to be 9 hours. (p<0.00). The rates of redness (30%), edema (13,3%), and ecchymosis (3,3%) were statistically significantly higher in the control group (p<0.00).
Conclusion: Perineal massage with vaseline could be suggested as an effective method to decrease the rate of episiotomy and labor time in vaginal labor

Keywords

Perineal Massage, episiotomy, vaseline

References

• American College of Obstetricians and Gynecologists. Prevention and Management of Obstetric Lacerations at Vaginal Delivery. Published [Sep 2018]. Accessed [08 Dec 2019]. https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/09/prevention-and-management-of-obstetric-lacerations-at-vaginal-delivery.
• Royal College of Obstetricians & Gynaecologists. Care of a third- or fourth-degree tear that occurred during childbirth (OASI). Published [Jun 2015]. Accessed [08 Dec 2019]. https://www.rcog.org.uk/en/patients/patient-leaflets/third--or-fourth-degree-tear-during-childbirth.
• Al-Ghammari K, Al-Riyami Z, Al-Moqbali M, Al-Marjabi F, Al-Mahrouqi B, Al-Khatri A, Al-Khasawneh EM. Predictors of routine episiotomy in primigravida women in Oman. Appl Nurs Res. 2016;29(2016):131-135. DOI: 10.1016/ j.apnr. 2015.05.002
• Kaya N, Demirel G. İntrapartum perine masajı uygulamasına güncel bakış. Cumhuriyet Üniv. Sağ. Bil. Enst. Derg. 2018;3(1):33-40. (Turkish)
• World Health Organization. Episiotomy. Published [May 2009]. Accessed [06 Feb 2019]. http://www.who.int/ reproductive health/impact/Procedures/Episiotomy.
• Huang LH, Lai YF, Chen GD, Lee MS, Ng SC. Effect of far-infrared radiation on perineal wound pain and sexual function in primiparous women undergoing an episiotomy. Taiwan J Obstet Gynecol. 2019;58(1):68-71. DOI: 10.1016/j.tjog.2018.11.013
• Quoc Huy NV, Phuc An LS, Phuong LS, Tam, LM. Pelvic floor and sexual dysfunction after vaginal birth with episiotomy in vietnamese women. Sex Med. 2019;7(4):514-521. DOI: 10.1016/j.esxm.2019.09.002
• Kaya N, Demirel G. Perineal travmayı azaltmaya yönelik alternatif yöntemler. ACU Sağlık Bil Derg. 2019; 10(2): 156-160. DOI:org/10.31067/0.2019.138 (Turkish)
• Society of Obstetricians and Gynaecologists of Canada. Guidelines For Operative Vaginal Birth. Published [May 2018]. Accessed [06 Feb 2019]. https://sogc.org/guidelines/guidelines-foroperative-vaginal-birth.
• Shahoei R, Zaheri F, Nasab LH, Ranaei F. The effect of perineal massage during the second stage of birth on nulliparous women perineal: A randomized clinical trial. Electron Physician. 2017; 9(10): 5588 –5595. DOI: 10.19082/5588
• Karaçam Z, Ekmen H, Çalişir H. The use of perineal massage in the second stage of labor and follow-up of postpartum perineal outcomes. Health Care Women Int. 2012; 33(8): 697-718. DOİ: 10.1080/07399332.2012.655385
• Demirel G, Gölbaşı Z. Effect of perineal massage on the rate of episiotomy and perineal tearing. Int J Gynaecol Obstet. 2015; 131(2):183-186. DOI: 10.1016/j.ijgo.2015.04.048
• Geranmayeh M, Habibabadi ZR, Fallahkish B, Farahani A, Khakbazan Z, Mehran A. Reducing perineal trauma through perineal massage with vaseline in the second stage of labor. Arch Gynecol Obstet. 2012; 285(1):77-81. DOI: 10.1007/s00404-011-1919-5
• Schulz KF, Altman DG, Moher D, for the CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med. 2010;152(11):726-732. DOI: 10.7326/0003-4819-152-11-201006010-00232
• Urbaniak G, Plous S. Research randomizer (version 4.0)[computer software]. Published [May 2013]. Accessed [06 Feb 2019]. http://www. randomizer. org/.
• Atay B. Doğumun Bilgeliği: Günümüz Kadını İçin Doğuma ve Bebeğe Hazırlık Rehberi. 1.Baskı İstanbul: Kuraldışı Yayınevi; 2018 (Turkish)
• Şahin M, Erbil N. Doğum ve medikalizasyon. Ordu University Journal of Nursing Studies 019;2(2): 120-130. (Turkish)
• Dieb AS, Shoab AY, Nabil H, Gabr A, Abdallah AA, Shaban MM, Attia AH. Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial. Int Urogynecol J. 2020;31(3).613-619. DOI: 10.1007/s00192-019-03937-6.
• Ducarme G, Pizzoferrato AC, Tayrac R, Schantz C, Thubert T, Le Ray C, Riethmuller D, Verspyck E, Gachon B, Pierre F, Artzner F, Jacquetin B, Fritel X. Perineal prevention and protection in obstetrics: CNGOF clinical practice guidelines. J Gynecol Obstet Hum Reprod. 2019; 48(7):455-460. DOI: 10.1016/j.jogoh.2018.12.002.
• Beckmann MM, Stock OM. Antenatal perineal massage for reducing perineal trauma. Cochrane Database Syst Rev.2013;30(4): CD005123. DOI: 10.1002/14651858.CD005123.pub3.
• Aasheim V, Nilsen AB, Lukasse M, Reinar LM. Perineal techniques during the second stage of labor for reducing perineal trauma. Cochrane Database Syst Rev. 2017; 13;6(6): 6672. DOI: 10.1002/14651858.CD006672.pub3.
• Harlev A, Pariente G, Kessous R, ArichaTamir B, Weintraub AY, Eshkoli T, Dukler D, Ayun SB, Sheiner E. Can we find the perfect oil to protect the perineum? A randomized-controlled double-blind trial. J Matern Fetal Neonatal Med. 2013; 26(13): 1328-1331. DOI: 10.3109/14767058.2013.784261.
• Ashwal E, Aviram A, Wertheimer A, Krispin E, Kaplan B, Hiersch, L. The impact of obstetric gel on the second stage of labor and perineal integrity: A randomized- controlled trial. J Matern Fetal Neonatal Med. 2016; 29(18): 3024-3029. DOI: 10.3109/14767058.2015.1114079.
• Magoga G, Saccone G, Al-Kouatl HB, Dahlen GH, Thornton C, Akbarzadeh M, Ozcan T, Berghella V. Warm perineal compresses during the second stage of labor for reducing perineal trauma: A meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2019; 240: 93-98. DOI: 10.1016/j.ejogrb.2019.06.011
• Uzel H, Yanıkkerem E. İntrapartum dönemde kanıta dayalı uygulamalar: doğum yapan kadınların tercihleri. DEUHFED 2018;11(1):26-34. (Turkish)
• Albers LL, Borders N. Minimizing genital tract trauma and related pain following spontaneous vaginal birth. J Midwifery Womens Health 2007; 52(3): 246-253. DOI: 10.1016/j.jmwh.2006.12.008
• Mei-dan E, Walfisch A, Raz I, Levy A, Hallak M. Perineal massage during pregnancy: a prospective controlled trial. Isr Med Assoc J 2008; 10(7): 499-502.
• Turan N, Öztürk A, Kaya N. Hemşirelikte yeni bir sorumluluk alanı: Tamamlayıcı terapi. Maltepe Üni. Hemş Bilim ve Sanatı Der. 2010;3(1):104-109. (Turkish)
• Akhlaghi F, Sabeti Baygi Z, Miri M, Najaf Najafi M. Effect of perineal massage on the rate of episiotomy. J Family Reprod Health. 2019; 13(3): 160-166.
• Piri Gallerdar A, Danesh Kojori M, Jamshidi Manesh M, Hosseini F. The effect of perineal massage on labor second stage period perineal tear and its outcomes. Univ Med Sci. 2012; 14 (5):24-33.