The Effectiveness of physical therapy Techniques in the second stage of labor on perineal trauma in nulliparous women referring to educating health center of Emam khomeini - Khalkhal
Back ground & Aims: Perineal trauma is common outcome of vaginal birth, and can cause short- term and long term problems for new mothers. The aim of this study was determine the effectiveness of physical therapy techniques during child birth on frequency, degree and suture of perineal trauma in nulliparous women.
Materials & Method: This randomized clinical trial study (RCT) carried out on 120 nulliparous women that expecting normal birth of a singleton; they were randomly selected and divided in Physical therapy techniques (Warm compresses and Massage perineal) and control groups. In the warm compress group, midwife held clean wash warm cloths to the mother’s perineum and external genitalia, during and between pushes. And woman in the Massage group received massage and stretching of the perineum with each contraction during the second stage of labor. In the control group, women received Ritgen's maneuver, standard care in the second stage of labor. The data have been analyzed with descriptive statistical methods , Anova, chi-square test and non parametric test, Kruskal -Wallis, Using statistical software 15 / win (p<0/05 was significant).
Results: we did not any significant difference in the rates of intact perineum, first, second degree of tears (p= 0/513) and the rate of the lacerations in the anterior regions of the perineum (p=0/134) and frequency of suture (p=0/775) between groups.
Conclusion: The practice of the Physical therapy techniques in the second stage of labor probably does not to be increase of the likelihood of an intact perineum
