Evidence map›Paper›PMID 30941442›Full record

Trial reportInternational urogynecology journal2020

Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial.

Amira S Dieb, Amira Y Shoab, Hala Nabil, Amir Gabr, Ahmed A Abdallah, Mona M Shaban, Ahmed H Attia

4 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT04431102 nacompletednot on this map

The Effects of the Pilates Method on Pelvic Floor Injuries During Pregnancy and Childbirth: A Quasi-experimental Study

TypeinterventionalSponsorUniversity of HuelvaRan2018 to 2019Enrolled72ConditionsPregnancy, Perineum, Injury, Pilates MethodArmsPILATES METHOD
NCT05114811 nacompletednot on this map

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)
NCT06162312 nacompletednot on this mapstarted 2023, after this paper: background citation

Efficacy of Antenatal Perineal Massage in Reducing Postpartum Morbidities

TypeinterventionalSponsorDepartment of Medical Services Ministry of Public Health of ThailandRan2023 to 2024Enrolled106ConditionsPerineum, Injury, Anal Incontinence, Urinary IncontinenceArmsAntenatal perineal massage
NCT07170007 narecruitingnot on this mapstarted 2025, after this paper: background citation

Physiotherapeutic Protocol Compared to Usual Care in the Treatment of Postpartum Primiparas After Perineal Trauma: A Type 1 Hybrid Effectiveness-Implementation Randomized Controlled Trial With Economic Evaluation

TypeinterventionalSponsorUniversity of Sao PauloRan2025 to 2029Enrolled82ConditionsEpisiotomy, Lacerations Perineal, Obstetric Anal Sphincter Injury, Perineal InjuryArmsPhysiotherapeutic protocol, Usual maternity care
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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  13. Feasibility and safety of antepartum tactile imaging.International urogynecology journal · 2021
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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

7 authors at 1 institution in 1 country.

Amira S DiebDepartment of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of Medicine, Cairo University, ElSaraya Street, Manial, Cairo, P.O. Box 11956, Egypt. amirasaied2026@gmail.com.ORCID 0000-0003-3517-6324
Amira Y ShoabDepartment of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of Medicine, Cairo University, ElSaraya Street, Manial, Cairo, P.O. Box 11956, Egypt.
Hala NabilDepartment of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of Medicine, Cairo University, ElSaraya Street, Manial, Cairo, P.O. Box 11956, Egypt.
Amir GabrDepartment of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of Medicine, Cairo University, ElSaraya Street, Manial, Cairo, P.O. Box 11956, Egypt.
Ahmed A AbdallahDepartment of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of Medicine, Cairo University, ElSaraya Street, Manial, Cairo, P.O. Box 11956, Egypt.
Mona M ShabanDepartment of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of Medicine, Cairo University, ElSaraya Street, Manial, Cairo, P.O. Box 11956, Egypt.
Ahmed H AttiaDepartment of Obstetrics and Gynecology, Kasr AlAini Hospital, Faculty of Medicine, Cairo University, ElSaraya Street, Manial, Cairo, P.O. Box 11956, Egypt.
Cairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe aim of this study was to evaluate the effectiveness of perineal massage, pelvic floor muscle training (PFMT) and a pelvic floor dysfunction (PFD) prevention educational program in pregnant women above the age of 35 years to prevent perineal tear and episiotomy.

methodsA randomized parallel assignment study involved two groups of pregnant women at the obstetrics outpatient clinic 4 weeks prior to their due date. The first group (n = 200) was educated to do digital perineal massage and pelvic floor muscle training and received an educational PFD prevention program. The second group (n = 200) received only the prevention education program. Occurrence of perineal laceration was reported at time of delivery as a primary outcome. Statistical analysis was done using the IBM SPSS computer program (Statistical Package for the Social Sciences; IBM Corp, Armonk, NY, USA), release 22 for Microsoft Windows.

resultsDelivery was significantly less complicated by perineal tear, episiotomy and postnatal pain in the first than in the second group (p < 0.05). Grades of perineal tear were mostly of first and second degree in the first group compared with the second group. We found a significantly lower need for analgesia and fewer ampoules required during the hospital stay in the first group (p < 0.001, 0.002, respectively).

conclusionsPerforming antenatal digital perineal massage and PFMT in addition to health education is recommended to reduce perineal complications.

Indexed as

Pelvic FloorPregnant PeopleAdultEpisiotomyFemaleHumansMassagePerineumPregnancyEpisiotomyHealth educationPelvic floor muscle trainingPerineal massagePerineal tearPregnancy above 35

Identifiers

PMID30941442
OpenAlexW2926220115

What OpenQuestion holds

Textmetadata
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.