Patient-Prescribed Digital Antenatal Perineal Massage for Reducing Perineal Trauma

2.50
Hdl Handle:
http://hdl.handle.net/10755/163189
Category:
Abstract
Type:
Presentation
Title:
Patient-Prescribed Digital Antenatal Perineal Massage for Reducing Perineal Trauma
Author(s):
Udofia-Ekpo, Eme
Author Details:
Eme Udofia-Ekpo, PhD, [Jamaica] York College - City University of New York, New York, New York, USA, Email: ekpo@york.cuny.edu
Abstract:
Purpose: To assess the effect of digital antenatal perineal massage on subsequent perineal outcome at birth by nulliparous women who desired spontaneous vaginal birth without an episiotomy. Theoretical Framework: This was not included in the study. Methods (Design, Sample, Setting, Measures, Analysis): This was an observational cohort study from July 2004 -June 2005 in the rural areas of the Akwa Ibom State of Nigeria. Women who opposed an episiotomy due to religious reasons but demanded a safe alternative to reduce perineal tear at childbirth were informed about antenatal perineal massage and given instructions on how to perform it. Data was derived from randomly selected prenatal and delivery records (150 of those who practiced perineal massage and 150 of those who did not) and was analyzed using SPSS and Chi-square for statistical analysis. Results: Comparison of the women who practiced antenatal perineal massage with those who did not showed an increase of 93.2% intact perineum. This corresponded to intact perineum rates of 96.6% in the massage group and 3.4% in the no-massage group. The finding was statistically significant (Chi-square = 255.6, df = 4, p < .001). Conclusions and Implications: For women approaching their first spontaneous vaginal birth, antenatal perineal massage significantly increases the rates of intact perineum when performed with a high level of adherence. It is noteworthy that patients' need for an alternative in lieu of an episiotomy contributed to the high adherent level (100%) which obviously resulted in increased rates of intact perinuem. Based on these findings, policy changes have been made in the Akwa Ibom State of Nigeria to include measures that will improve pregnancy outcomes for women. Larger randomized studies would be needed to validate the value of this intervention.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePatient-Prescribed Digital Antenatal Perineal Massage for Reducing Perineal Traumaen_GB
dc.contributor.authorUdofia-Ekpo, Emeen_US
dc.author.detailsEme Udofia-Ekpo, PhD, [Jamaica] York College - City University of New York, New York, New York, USA, Email: ekpo@york.cuny.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163189-
dc.description.abstractPurpose: To assess the effect of digital antenatal perineal massage on subsequent perineal outcome at birth by nulliparous women who desired spontaneous vaginal birth without an episiotomy. Theoretical Framework: This was not included in the study. Methods (Design, Sample, Setting, Measures, Analysis): This was an observational cohort study from July 2004 -June 2005 in the rural areas of the Akwa Ibom State of Nigeria. Women who opposed an episiotomy due to religious reasons but demanded a safe alternative to reduce perineal tear at childbirth were informed about antenatal perineal massage and given instructions on how to perform it. Data was derived from randomly selected prenatal and delivery records (150 of those who practiced perineal massage and 150 of those who did not) and was analyzed using SPSS and Chi-square for statistical analysis. Results: Comparison of the women who practiced antenatal perineal massage with those who did not showed an increase of 93.2% intact perineum. This corresponded to intact perineum rates of 96.6% in the massage group and 3.4% in the no-massage group. The finding was statistically significant (Chi-square = 255.6, df = 4, p < .001). Conclusions and Implications: For women approaching their first spontaneous vaginal birth, antenatal perineal massage significantly increases the rates of intact perineum when performed with a high level of adherence. It is noteworthy that patients' need for an alternative in lieu of an episiotomy contributed to the high adherent level (100%) which obviously resulted in increased rates of intact perinuem. Based on these findings, policy changes have been made in the Akwa Ibom State of Nigeria to include measures that will improve pregnancy outcomes for women. Larger randomized studies would be needed to validate the value of this intervention.en_GB
dc.date.available2011-10-27T11:02:59Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:59Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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