Evidence map›Paper›PMID 29238501›Full record

ArticleElectronic physician2017

The effect of perineal massage during the second stage of birth on nulliparous women perineal: A randomization clinical trial.

Roonak Shahoei, Farzaneh Zaheri, Lila Hashemi Nasab, Fariba Ranaei

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Electronic physician, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05114811 (Effects of Perineal Massage During Pregnancy on Women's Health), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05114811 nacompletednot on this mapstarted 2020, after this paper: background citation

Effects of Perineal Massage During Pregnancy on Women's Health

TypeinterventionalSponsorUniversidad de LeónRan2020 to 2021Enrolled81ConditionsMusculoskeletal Manipulations, Primary Prevention, Obstetric Labor Complications, Physical Therapy ModalitiesArmsSelf-provided perineal massage, Physiotherapist perineal massage: manual and instrumental (with EPI-NO)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Effect of Perineal Massage on the Rate of Episiotomy.Journal of family & reproductive health · 2019
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Roonak ShahoeiPh.D. of Midwifery, Associate Professor, Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Farzaneh ZaheriPh.D. Student, Lecturer, Department of Midwifery, Faculty of Nursing & Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Lila Hashemi NasabM.Sc. of Midwifery, Faculty Member, Department of Midwifery, Faculty of Nursing & Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Fariba RanaeiM.Sc. of Midwifery, Faculty Member, Department of Midwifery, Faculty of Nursing & Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Kurdistan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildbirth and puerperium are of the most important periods in women's lives and can affect different aspects of their lives.

objectiveTo determine the effect of perineal massage in the second stage of labor on perineal lacerations, episiotomy, and perineal pain in nulliparous women.

methodsThis randomization clinical trial was conducted at Be'sat Hospital in Sanandaj, Iran, from 2013 to 2014. A total of 195 nulliparous women were included in the study. The participants were selected through convenience sampling, and randomly assigned to two groups: intervention and control groups. The intervention group received 30-minute perineal massage during second stage of labor. Subsequently, we analyzed perineal laceration, episiotomy, and perineal pain among the two groups. All of them were taught about postpartum perineal pain and its severity, and the researcher followed them up 3 days, 10 days, and 3 months after childbirth by telephone. The data were analyzed using SPSS version 18. We used descriptive statistics and analytical statistics, including t test, Chi-square test, and Fisher's test.

resultsFrequency of episiotomy was 69.47% in the intervention group and 92.31% in the control group, and the difference was statistically significant (p<0.05). The results revealed 23.16% of first-degree perineal laceration and 2.11% of second-degree perineal laceration in the intervention group, and no vestibular laceration or third- and fourth-degree lacerations in the intervention group. However, there were 5.13% of vestibular laceration, 7.69% of first-degree laceration, 2.56% of second-degree laceration, and 1.05% of third-degree laceration (one woman) in the control group. Based on the results, the postpartum perineal pain was significantly different in both groups.

conclusionRegarding the results of this study and those of other studies, perineal massage during the second stage of labor can reduce the need to episiotomy, perineal injuries, and perineal pain.

trial registrationThe trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct.ID: IRCT2013090314556N1.

fundingThis study received by financial support of Kurdistan University of Medical Sciences, Sanandaj, Iran.

Indexed as

EpisiotomyLacerationNulliparousPerineal massageSecond stage

Identifiers

PMID29238501
PMCPMC5718865
OpenAlexW2766424414

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.