Evidence map›Paper›PMID 40165141›Full record

ArticleBMC pregnancy and childbirth2025

Knowledge, attitude, and practice of Chinese midwives performing in perineal massage for pregnant women in the latter stages of pregnancy.

Jinzhu Yin, Yun Chen, Xinyan Zhao, Zhongyan Cao, Yao Li, Ziyan Jiang, Yanan Zhang, Yangjun Pan, Jian Shen, Meiling Huang

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Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Jinzhu YinThe Third Clinical College of Guangzhou Medical University, The Nursing College of Guangzhou Medical University, Guangzhou, China.
Yun ChenDepartment of Nursing, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Xinyan ZhaoThe Third Clinical College of Guangzhou Medical University, The Nursing College of Guangzhou Medical University, Guangzhou, China.
Zhongyan CaoThe Third Clinical College of Guangzhou Medical University, The Nursing College of Guangzhou Medical University, Guangzhou, China.
Yao LiChongqing Health Center for Women and Children (Women and Children's Hospital of Chongqing Medical University), Chongqing, China.
Ziyan JiangStudent Management Department, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Yanan ZhangQilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Yangjun PanDepartment of Obstetrics and Gynecology, Obstetrics; Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China. 731357742@qq.com.
Jian ShenDepartment of Obstetrics and Gynecology, Obstetrics; Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China. 36587424@qq.com.
Meiling HuangDepartment of Nursing, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China. hmlgysy@126.com.

Funding

Evidence-Based Nursing Practice Project of Guangdong Nurses Association No. gdnurse2024xz02Guangdong Teaching Achievement Cultivation Project in 2025 No. 2024111263Guangzhou Teaching Achievement Cultivation Project in 2023 No. 2023128541
6 · The paper itself

Abstract

backgroundIn obstetrics, perineal trauma is regarded as a serious public health issue. Perineal massage is advised for pregnant women in the later stages of pregnancy to help prevent perineal injuries during labor. This study aims to assess the knowledge, attitudes, and practices (KAP) of Chinese midwives concerning perineal massage for pregnant women in the latter stages of pregnancy.

methodsThis cross-sectional study was conducted in China from July 2024 to September 2024, aiming to investigate the knowledge, attitudes, and practices of midwives regarding perineal massage for pregnant women in the latter stages of pregnancy. The research employed a questionnaire survey covering demographic data as well as dimensions related to knowledge, attitudes, and practices. Data were analyzed using SPSS 27.0. Descriptive statistics summarized participant characteristics, while inferential analyses included independent t-tests, one-way ANOVA, Pearson correlation (to evaluate interrelationships among knowledge, attitude, and practice scores), and multivariable logistic regression (to determine predictors of practice scores), with statistical significance set at α = 0.05.

resultsA total of 446 valid questionnaires were gathered. Of these, 441 (98.88%) were female and 5 (1.12%) were male; 376 (84.30%) were from tertiary hospitals and 70 (15.70%) were from secondary hospitals. 89.01% of the sample had worked in the delivery room for more than five years. Regarding perineal massage for pregnant women in the latter stages of pregnancy, midwives received scores of 69.28 ± 12.90, 42.20 ± 4.31, and 45.25 ± 10.05 in the knowledge, attitude, and practice aspects, respectively. Multivariate logistic regression analysis outcomes indicated that practice dimension scores were influenced by knowledge (OR = 1.257, 95% CI [1.64-1.357], P < 0.001) and attitude (OR = 1.152, 95% CI [1.113-1.193], P < 0.001) scores.

conclusionsThere is an average level of midwives' knowledge, attitudes, and practices (KAP) on perineal massage for pregnant women in the later stages of pregnancy. This study recommends strengthening the knowledge and attitude dimensions of midwives in order to improve their comprehension of giving pregnant women a perineal massage in the latter stages of pregnancy. Improving these elements will also boost midwives' practical abilities, which will improve the quality of perineal massage for expectant mothers in the latter stages of pregnancy.

Indexed as

Health Knowledge, Attitudes, PracticeMassageMidwiferyPerineumAdultChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansMalePregnancySurveys and QuestionnairesAttitudesKnowledgeMidwivesPerineal massagePracticePregnant women in late pregnancy

Identifiers

PMID40165141
PMCPMC11956438

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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.