Evidence map›Paper›PMID 41861220›Full record

Trial reportMedicine2026

The effects of breastfeeding, uterine massage, perineal protective approaches in preventing postpartum hemorrhage in perinatal period: Comparative controlled clinical study.

Sibel Peksoy Kaya, Fusun Terzioglu

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Sibel Peksoy KayaDepartment of Nursing, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey.ORCID 0000-0003-1444-2857
Fusun Terziogluİstanbul Aydin University, Vice Rector, İstanbul, Turkey.ORCID 0000-0002-8457-0048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum hemorrhage (PPH) stands out as a primary preventable cause of maternal mortality and morbidity. Therefore, the management and monitoring of PPH are of critical importance during the perinatal period. To evaluate the effectiveness of breastfeeding, uterine massage, and perineal protective approaches for preventing PPH during the perinatal period.

methodsThis comparative controlled clinical study included 70 women in a tertiary care maternity hospital in Ankara, Turkey. Women were randomized according to age, parity, and optimality index-TR (OI-TR). Data were collected using sociodemographic and obstetric data collection forms, the LATCH Breastfeeding Assessment Tool, visual analog scale, and OI-TR. In addition to PPH awareness training, perineal protective techniques (perineal massage and open-glottis pushing technique), uterine massage, and breastfeeding support were provided to the intervention group (IG). Pregnant women in the control group (CG) underwent routine hospital procedures and care. Postpartum blood loss was measured in all groups.

resultsThe mean blood loss in women in the IG was significantly lower than that in the CG (r  = 0.424, P < .05). However, no statistically significant difference was observed between the incidence of PPH (IG = 9.1%; CG = 27%) exceeding 500 mL in either groups (P > .05). Perineal laceration, delayed initiation of breastfeeding, a short breastfeeding duration, and a low OI-TR score were associated with high blood loss in the IG (r  = 0.528, r  = 0.392, r  = 0.387, r  = 0.457, P < .05). In the regression analysis performed by taking the variables found to be significant in univariate analyses, it was determined that the group effect was significant when the effects of other variables on PPH were ignored (β = 110.384, P < .01). However, when other variables were kept constant, the group effect was insignificant (β = 37.643, P = .607).

conclusionsOptimal care provided by midwives and nurses to support breastfeeding and implement perineal protective techniques reduces the risk of postpartum hemorrhage.

Indexed as

Breast FeedingMassagePerineumPostpartum HemorrhageAdultFemaleHumansPregnancyTurkeyUterusYoung Adultantenatal educationbreastfeedingmaternity nursing careperinatal periodperineal protective techniquespostpartum hemorrhage

Identifiers

PMID41861220
PMCPMC13008191

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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.