Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

Perineal massage increases elasticity of myofascial perineal tissue and decreases the burning and perineal pain during labour, thus optimising child birth, although an application protocol has not been standardised yet. The objective of this study is to determine the efficiency of massage in perineal tear prevention and identification of possible differences in massage application. Total of 90 pregnant participants were divided into three groups: perineal massage and EPI-NO® device group, applied by an expert physiotherapist, self-massage group, where women were instructed to apply perineal massage in domestic household, and a control group, which received ordinary obstetric attention. Results: The results showed significant differences among the control group and the two perineal massage groups in perineal postpartum pain. Correlations in perineal postpartum pain, labour duration and the baby’s weight were not statistically significant. Lithotomy posture was significantly less prevalent in the massage group than in the other two; this variable is known to have a direct effect on episiotomy incidence and could act as a causal covariate of the different incidence of episiotomy in the groups. Perineal massage reduces postpartum perineal pain, prevalence and severity of perineal tear during delivery.

A Study of the Effects of Swedish Massage in a Multisensory Environment on the Health of Women in their 40s and 50s

Purpose: This study aimed to examine the physical and psychological effects of foot massage for middle-aged women in the snoezelen space.Methods: Participants were randomly divided into four groups of 30 persons each: the snoezelen foot massage group (MSE+FM, treatment group), general foot massage group (FM, comparison group I), snoezelen group (MSE, comparison group II), and untreated (CG, control group). The foot massage program was operated at snoezelen space for 30 min once, once a week, and four times for four weeks.Results: Muscle tone was lowest in the treatment group, followed by the comparison group I and comparison II; whereas, the control group appeared to have the highest (F=52.686, p<0.001). Psychological stress was lowest in the treatment group, followed by the comparison group I and comparison II, while the control group appeared to have the highest (F=141.428, p<0.001). Psychological well-being was highest in the treatment group, followed by the comparison group II, comparison group I, and control group (F=428.022, p<0.001). The perceived health status was highest in the treatment group and comparison group I followed by comparison group II, and the control group (F=224.395, p<0.001).Conclusion: The findings of the present study showed that Swedish foot massage alone are recognized as an excellent alternative therapy; however, it is thought that if the snoezelen space is mediated here, it will have a synergistic effect on physical and psychological improvement.

Effect of massage therapy on preterm neonate's body temperature

Background: Low-cost care strategies can be implemented to avert the morbidity and mortality associated with hypother- mia in preterm neonates. Objective: To determine the effect of massage therapy on body temperature of preterm neonates. Methods: A quasi-experimental design was conducted among 72 preterm neonates at a level II special care nursery in Western Kenya. Neonates were recruited on the third day of life and followed up for 10 days. Neonates in the intervention group were massaged three times a day for 15 minutes. Body temperature was monitored and recorded before, during and after each therapy session. Neonates in the control group received routine care: temperature monitoring three times a day, feeding and diaper change. Results: Neonates who received massage had higher mean body temperature than the control group during therapy on day 6 (p = .019) and after therapy on day 6 (p = .017) and day 8 (p = .005). A comparison within massage group (before/during, during/after, before/after) showed an increase in mean body temperature during therapy compared to before therapy (p <.001) and after therapy compared to before therapy (p <.001). Conclusion: Massage therapy increases body temperature in preterm neonates. Keywords: Body temperature; massage therapy; preterm neonates.

COMBINATION OF EFFLEURAGE AND KNEADING MASSAGE CAN REDUCE INTENSITY OF DYSMENORRHEA

ABSTRACTBackground : Dysmenorrhea or menstrual pain has an impact in various aspects of life. There are many methods for treating dysmenorrhea like pharmacological and nonpharmacological therapy. Massage is one of the non-pharmacological therapies used to treat dysmenorrhoea. This study aims to determine the effect of a combination of effluence and kneading massage on decreasing the intensity of dysmenorrhoea pain in adolescents. Method: This research method is experimental with a pretest - posttest control group design research design. The sampling technique is simple random sampling. A total of 20 respondents were divided into 4 groups, namely the control group, the effleurage massage group, the kneading massage group, and the combination of effleurage and kneading massage groups. The instrument used was the observation sheet of the pain level Numerical Rating Scale (NRS). Results: The test results showed that there were differences in the intensity of dysmenorrhoea pain before and after intervention of effleurage, kneading, and combination of effleurage and kneading massage. The test results also showed a difference in decrease in the intensity of dysmenorrhea for all groups with a value of p = 0.009. The combination of effleurage and kneading massage is the best treatment to decrease the intensity of dysmenorrhea. Conclusion: there are differences in the effect of giving a combination of effleurage and kneading massage to the intensity of dysmenorrhoea, and the combination of effleurage and kneading massage is the best treatment to reduce the intensity of dysmenorrhoea.

Effect of Acupressure and Abdominal Massage on Constipation in Patients with Total Knee Arthroplasty: A Randomized Controlled Study

This study was a randomized controlled trial aimed to compare the effects of acupressure and abdominal massage on constipation development for patients with TKA. The patients were randomly assigned to each group: control group ( n = 31), acupressure group ( n = 30), and abdominal massage group ( n = 30). The finding showed that the severity of constipation and straining stool consistency of the groups in which acupressure and abdominal massage was applied are significantly better than the control group ( p < .05). When the first defecation times of the groups are analyzed, it is seen that the patients to whom acupressure and abdominal massage are applied defecate significantly earlier than the control group ( p < .05). It has been concluded that safe non-invasive acupressure and abdominal massage that can be easily applied by health professions, healthy individuals, and patients is effective on patients with total knee arthroplasty for the prevention of constipation.

EFFECT OF HUSBAND'S SUPPORT IN THE IMPLEMENTATION OF OXYTOCIN MASSAGE BY MIDWIFE ON THE PRODUCTION AND TIME OF COLOSTRUM SECRETION AMONG POST C-SECTION DELIVERY WOMEN

Objective: To determine the effect of husband's support in the implementation of oxytocin massage by midwife on the production and time of colostrum secretion among post C-Section delivery women.Methods: A quasi-experimental study with a post-test only group design at hospital in DIY in April-June 2020. The samples consisted of 32 respondents, 16 post C-Section delivery women with oxytocin massage who received husband's support and 16 respondents with oxytocin massage without husband’s support. The preparation of husband’s support was conducted through training by midwife to the husbands using a booklet for 80 minutes. Data analysis in this study used univariate, Independent t-test, and MANOVA with a significance level of 95%.Results: Evaluation showed that 68.75% of post C-Section delivery women received good husband’s support. The mean colostrum production in the oxytocin massage group by midwife with husband's support was 3.61 cc and the mean time of colostrum secretion was 4.13 hours better than oxytocin massage without husband's support.Conclusion: Husband's support in the implementation of oxytocin massage by midwife had an effect on the production and time of colostrum secretion among post C-Section delivery women with p-value <0.0001.

THE EFFECT OF MASSAGE ON THE PREVENTION OF COMPRESSION STOCKINGASSOCIATED PRESSURE INJURY IN INTENSIVE CARE PATIENTS

AIM:Effect of massage on prevention of antiembolic stockings- associated pressure injury (AES-API). MATERIALS AND METHODS: It is a quasi-experimental design design. The massage group (n=30) received skin massage and skin protective care with a moisturizer at least 3 times or at every change of position (every 2 hours a day) in a day during the period they wore AES.The nonmassage group(n=39),no massage was performed. RESULTS: There was no significant difference between the sociodemographic and clinical characteristics of the massage group and nonmassage groups during ICU admission. The duration of AES use in the massage group was longer than that of the nonmassage group during the treatment and care period (p>0.05). However, AES-API only observed in the nonmassage group (n=5;12.8%). CONCLUSION:The short superficial skin massage may beneficial for its prevention for AES-API.

Comparison of the Effects of Hugo’s Point Massage and Play on IV-Line Placement Pain in Children: A Randomized Clinical Trial

Reduction of intravenous line placement pain is one of the most important nursing priorities in the pediatric wards. The present study was aimed at comparing the effect of Hugo’s point massage and play on the severity of IV-line placement pain in hospitalized children aged 3–6 years in the pediatric ward. 72 children were selected and assigned randomly to three groups, i.e., control, play, and Hugo point massage. In the massage group, the middle angle between the first and second bones of the palm of the opposite hand was massaged, and the playgroup encouraged bubble-making play. The one-way analysis of variance (ANOVA) did not show a statistically significant difference between the mean IV-line placement pain in play, Hugo’s point, and control groups before interventions ( p = 0.838 ; p > 0.05 ). However, the ANOVA test revealed a significant difference between the mean IV-line placement pain in play, Hugo’s point, and control groups after the interventions ( p = 0.006 ; p < 0.05 ). The result of the post hoc Scheffe test also showed a statistically significant difference between the mean intensity of IV-line placement pain in both play therapy and Hugo’s point massage groups ( p = 0.028 ; p < 0.05 ). Moreover, this test showed that the playgroup children felt less pain than Hugo’s point and control group children. This study showed that, in comparison with Hugo’s point massage, the play was a more effective way for reducing pain caused by IV-line placement in children, and pediatric nurses can play a significant role in reducing and managing children’s pain by using it.

The effect of abdominal massage (I Love You method) on the gastric function of preterm infants hospitalized in the neonatal intensive care units: a randomized clinical trial

Objectives Preterm infants often suffer from nutritional problems because of gastrointestinal problems. Massage could make the infants feel more peace and comfort, but limited studies have focused on the effects of massage on the gastric function. This study aimed to investigate the effects of abdominal massage on the gastric function of preterm infants. Methods A randomized controlled trial compared gastric function of preterm infants with and without massage therapy. The preterm infants were randomly allocated to control and massage groups. The massage group received the abdominal massage before feeding, twice a day, for 15 min, over 5 days. Furthermore, the gastric function was compared between the control and experimental groups. The data were analyzed using SPSS software (Version 15.0). Results The average weight in both groups had no significant (p>0.05) changes before and after the study, and both groups showed a negative trend in the weight gain. The abdominal circumference, the frequency of vomiting episodes, the residual volume, and defecation frequency were significantly (p<0.05) different between the two groups after the intervention. Conclusions The abdominal massage could be an effective nonmedicinal method to reduce the gastrointestinal problems in the preterm infants. The abdominal massage could be offered to the preterm infants as an inexpensive, available, and feasible method to alleviate gastrointestinal problems as well as improve the gastric function.

Effect of perineum massage with olive oil on perineum integrity and duration of second period of delivery

Background: Perineal trauma that may occur during labor may pose a critical risk both for mother’s health and her quality of life. Childbirth and puerperium are of the most important periods in women’s lives and can affect different aspects of their lives. Aims and objectives: To determine the effect of perineal massage in the second stage of labor with olive oil on perineal lacerations, episiotomy, and perineum tears in multiparous women. Design: A randomized controlled trial. Method: Among women who applied to Maternity Hospital in Turkey 350 pregnant women were assigned to massage group while other 350 were to control group. The participants were selected through convenience sampling, and randomly assigned to two groups: intervention and control groups. The intervention group received perineal massage with olive oil during second stage of labor. Subsequently, we analyzed perineal laceration, episiotomy, and perineal tear among the two groups. All of them were taught about postpartum perineal tear and its severity, and the researcher followed them up 4 hours, and 1 days after childbirth. The data were analyzed using SPSS version 18. We used descriptive statistics and analytical statistics, including t test, Chi-square test, One-Simple Kolmogorov Smirnov test. Findings: Frequency of episiotomy was 34.3% in the intervention group and 48.6% in the control group, and the difference was statistically significant (p<0.05) Tear appeared in 17.7% of the massage group while in 38.0% of the controls. Percentage of tear formation in the massage group significantly decreased (p<0.05) No statistically significant difference was found between the second period of the delivery of massage and control group Conclusion: Regarding the results of this study and those of other studies, perineal massage during the second stage of labor can reduce the need for episiotomy, and avoid perineal injuries, and perineal pain.