What is it about?

Perineal injury is very common at a first delivery. We have shown that combining massage and warm compress during pushing decreased the need for perineal repair, major perineal injury, and episiotomy rates with an improved women's satisfaction during childbirth.

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Why is it important?

A large majority of women delivering vaginally for the first time sustained perineal injury that require surgical repair. Perineal massage or warm compress to the perineum may reduce perineal injury at vaginal birth. It is not known whether combined massage and warm compress during pushing reduces the need for surgical repair.


I hope this article will bring new perspectives to improve women's care during childbirth as the wound sustained during delivery of a baby can be traumatizing especially to first time mother.

Jesrine Hong
Faculty of Medicine, Universiti Malaya

Read the Original

This page is a summary of: Combined massage and warm compress to the perineum during active second stage of labor in nulliparas: A randomized trial, International Journal of Gynecology & Obstetrics, February 2021, Wiley,
DOI: 10.1002/ijgo.13613.
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