scholarly journals PG - 29: Effect of Perineal Massage in the Second Stage of Labour, on The Incidence of Episiotomy and Perineal Tears

Annals of SBV ◽  
2018 ◽  
Vol 7 (1) ◽  
pp. 45-45
Author(s):  
Abinaya LNU ◽  
Pallavee LNU
Keyword(s):  
Second Stage ◽  
Perineal Tears ◽  
Second Stage Of Labour ◽  
Perineal Massage

scholarly journals Effect of perineal massage in the second stage of labour, on the incidence of episiotomy and perineal tears

2019 ◽  
Vol 8 (4) ◽  
pp. 1387
Author(s):  
Abinaya Raja ◽  
Pallavee P. ◽  
Rupal Samal
Keyword(s):  
Health Professionals ◽  
Routine Care ◽  
Severe Form ◽  
The Other ◽  
Perineal Pain ◽  
Second Stage ◽  
Perineal Tears ◽  
Second Stage Of Labour ◽  
Perineal Massage

Background: This study aimed to investigate whether perineal massage during second stage of labour could decrease perineal trauma in the form of episiotomy and perineal tears.Methods: One hundred and fifty term antenatal women in labour were randomly assigned to two groups, one of which received perineal massage and the other received routine care during the second stage. Frequency of episiotomies, perineal tears, intact perineums, degrees of perineal tears, duration of second stage of labour and perineal pain after 24 hours was compared.Results: Perineal massage was efficient in reducing incidence of episiotomy, duration of second stage of labour and perineal pain assessed 24 hours after delivery. The frequency of perineal tears and intact perineums did not differ significantly. Perineal massage was protective against severe form of third degree perineal tears.Conclusions: Authors suggest that perineal massage can be routinely practiced by health professionals to improve quality of life in women post vaginal delivery.

scholarly journals Upright kneeling position during second stage of labor: a pilot study

2018 ◽  
Vol 7 (2) ◽  
pp. 401 ◽  
Author(s):  
Anjali Dabral ◽  
Pallavi Pawar ◽  
Rekha Bharti ◽  
Archana Kumari ◽  
Achla Batra ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Mode Of Delivery ◽  
Admission Rate ◽  
North India ◽  
Care Hospital ◽  
Apgar Scores ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Perineal Tears ◽  
Second Stage Of Labour

Background: Women delivering in upright position have shorter labour due to efficient and stronger contractions with faster descent of foetal head. The present study aimed to find out effect of upright kneeling position in the second stage of labour on maternal and foetal outcome and assess patients’ satisfaction.Methods: The study was carried out in a tertiary care hospital of North India from October 2012 to February 2014. Low risk women admitted in early labour were divided into two groups, women delivering in kneeling position and in supine position. The outcome measures studied were, duration of second stage of labour, mode of delivery, 2nd degree perineal tears, Apgar scores at 5 minutes, NICU admission rate and patient satisfaction.Results: The mean duration of second stage of labour in kneeling group was shorter by 14.901 minutes. The rate of vaginal delivery was comparable for both primigravidas and multigravida in kneeling and supine groups, RR: 2.275, 95% CI (0.7872-6.5831) and RR: 1.633, 95% CI (0.393-6.775). Primigravidas had more 2nd degree perineal tears in kneeling group as compared to supine, RR 4.191, 95% CI (1.54 to 11.41). No difference in Apgar scores >7 at 5 minutes was observed in both groups, however, significantly lesser babies in kneeling group were admitted in NICU, RR 0.246, 95% CI (0.079 to 0.761). There was no difference on comparing satisfaction scores of primigravidas and multigravida in both supine and kneeling position.Conclusions: Kneeling position reduces the duration of second stage of labour and NICU admissions.

scholarly journals Comparing the Rate of Perineal Tears with and Without Episiotomy in Primigravida Women

2021 ◽  
pp. 61-66
Author(s):  
. Neelam ◽  
Kiran Batool ◽  
Sadia Kadir ◽  
Kaneez Fatima ◽  
Afshan Nadeem ◽  
...  
Keyword(s):  
Singleton Pregnancy ◽  
Perineal Tear ◽  
College Hospital ◽  
Medical College ◽  
Second Stage ◽  
Perineal Tears ◽  
Second Stage Of Labour ◽  
Group A ◽  
Group B ◽  
Labour Room

Objective: To compare the frequency of perineal tears (3rd and 4th degree) with and without episiotomy in primigravida women. Setting: Department of Obstetrics and Gynecology at peoples Medical College Hospital (PMCH) Nawabshah. Duration of Study: Six month from March 2015 to September 2015. Study Design: Randomized control trial. Subject and Methods: In this study 322 primigravida women with singleton pregnancy and cephalic presentation were included. The patients were kept in labour room till the second stage of labour. The patients were divided into two groups equally. In Groups-A, right mediolateral episiotomy was performed after infiltration with local anaesthesia at the time of crowing. The Group B in which episiotomy was not given. After delivery, patients were examined for extension of episiotomy in Group A and 3rd and 4th degree perineal tear in both groups. Results:  Mean age was 27.83±6.27 years in group A and 27.60±4.93 years in group B (p=0.724). Mean gestational age was 38.17±1.25 weeks was in group A and 38.11±119 weeks in group B (p=0.644). The rate of 3rd and 4th degree perineal tear was significantly higher in group A as compare to group B [60.87% vs. 47.83% p=0.019] and [39.13% vs. 26.09% p=0.013] respectively. Conclusion: Episiotomy was found to be an important risk factor for extension of the perineal tear. It should be practiced only where it is indicated like rigid perineum, any instrumental delivery and shoulder dystocia.

scholarly journals Effectiveness of Perineal Massage in the Second Stage of Labor in Preventing Perineal Trauma

2020 ◽  
pp. 1
Author(s):  
Suleyman Cemil Oglak ◽  
Mehmet Obut
Keyword(s):  
Observational Study ◽  
Perineal Trauma ◽  
Control Group ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Mediolateral Episiotomy ◽  
Perineal Tears ◽  
Nulliparous Women ◽  
Massage Group ◽  
Perineal Massage

<p><strong>OBJECTIVE:</strong> This study was aimed to investigate the effect of perineal massage in the second stage of labor in prevention perineal traumas during childbirth.</p><p><strong>STUDY DESIGN:</strong> This observational study was conducted with 171 nulliparous women delivered by vaginally between January 2017 and May 2019. All the patients managed by the selective episiotomy principle. All the patients were divided into two groups: the perineal massage group and the control group. The perineal massage was performed during the second stage of labor until the baby's head was birth. The control group received routine labor care. In the case of threatening tears in any patient and at the preference of the midwife, mediolateral episiotomy was performed. Following childbirth, the perineum and vagina were examined for perineal tears and episiotomy by the midwives.</p><p><strong>RESULTS:</strong> The length of the second stage of labor was significantly lower in the massage group (36±19 minute) compared with the control group (46±25 minute, p=0.024). Twenty-five women (28.8%) in the massage group had intact perineum after vaginal birth, compared with five (6.0%) in the control group (p=0.003). The rate of first- and second-degree perineal tears are higher in the massage group [28 patients (32.2%) and 9 patients (10.3%), respectively] than in the control group [10 patients (11.9%) and 5 patients (6.0%), respectively, p&lt;0.001]. The incidence of episiotomy was significantly lower in the massage group (25 patients, 28.7%) than in the control group (64 patients, 76.1%, p&lt;0.001). </p><p><strong>CONCLUSION:</strong> Perineal massage should be considered a routine intervention to reduce the incidence of perineal trauma.</p>

scholarly journals Thyroid storm in the second stage of labour: a case report

2021 ◽  
Vol 14 (7) ◽  
pp. e243159
Author(s):  
Yudianto Budi Saroyo ◽  
Achmad Kemal Harzif ◽  
Beryliana Maya Anisa ◽  
Fistyanisa Elya Charilda
Keyword(s):  
Treatment Guidelines ◽  
Thyroid Storm ◽  
Lung Oedema ◽  
Second Stage ◽  
Second Stage Of Labour ◽  
Failure Treatment ◽  
Life Threatening ◽  
Thyroid Hormone Levels ◽  
Peripartum Period ◽  
In Pregnancy

A thyroid storm (or thyroid crisis) is an emergency in endocrinology. It is a form of complication of hyperthyroidism that can be life-threatening. Inadequate control of hyperthyroidism in pregnancy could develop into thyroid storm, especially in the peripartum period. We present a woman came in the second stage of labour, with thyroid storm, superimposed pre-eclampsia, acute lung oedema and impending respiratory failure. Treatment for thyroid storm, pre-eclampsia protocol and corticosteroid was delivered. The baby was born uneventfully, while the mother was discharged after 5 days of hospitalisation. Delivery is an important precipitant in the development of thyroid storm in uncontrolled hyperthyroidism in pregnancy. Although very rare, it can cause severe consequences. Diagnosis and treatment guidelines for thyroid storm were available and should be done aggressively and immediately. Uncontrolled hyperthyroidism should be prevented by adequate control in thyroid hormone levels, especially before the peripartum period.

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