Department of Nursing, Tekirdağ Namık Kemal University Faculty of Health Sciences, Namık Kemal, Kampüs Caddesi Namık Kemal Üniversitesi No:1, 59030, Süleymanpaşa, Tekirdağ, Turkey.
Department of Nursing, Biruni University Faculty of Health Sciences, Kazlıçeşme Mahallesi 10. Yıl Caddesi Protokol Yolu No:45, 34010, Zeytinburnu, Istanbul, Turkey.
Int Urogynecol J. 2024 Oct;35(10):1993-2002. doi: 10.1007/s00192-024-05901-5. Epub 2024 Sep 6.
Perineal massage during labor reduces the need for episiotomy and shortens the length of the episiotomy. Pregnant women should be offered instrumented (EPI-NO) or manual perineal massage in labor. This study was conducted to determine the effect of perineal massage applied with (EPI-NO) and without an instrument during the active phase of labor on episiotomy rate and episiotomy length in women who gave birth vaginally.
The study included 101 pregnant women aged 18-35 years, with gestational ages between 38 and 42 weeks and indications for vaginal delivery. Participants were randomly assigned to one of three groups: EPI-NO massage, manual massage, and control. The perineal massage was administered during the active labor phase (4- to 8-cm dilation) for 20 min in the intervention groups. Postpartum episiotomy rates and lengths were recorded using standardized forms. The research data were collected using the Introductory Information Form and Birth Assessment Form.
The episiotomy rate was found to be 33.3% in group I, 75.0% in group II, and 74.4% in the Control group, and a statistically significant difference was found between the groups (p = 0.001; p < 0.01). The mean episiotomy length of the women was 1.5 cm (mean ± SD: 1.50 ± 1.20) for group I, 3 cm (mean ± SD 2.70 ± 1.50) for group II, and 3.5 cm (mean ± SD 3.10 ± 2.00) for the control group (p < 0.000).
Perineal massage with EPI-NO was the most effective method at decreasing the episiotomy rate and shortening the episiotomy length compared with other groups.
分娩过程中的会阴按摩可减少会阴侧切的需求并缩短会阴侧切的长度。孕妇应在分娩过程中接受器械（EPI-NO）或手动会阴按摩。本研究旨在确定在活跃分娩期，使用 EPI-NO 或不使用仪器进行会阴按摩对阴道分娩产妇的会阴侧切率和会阴侧切长度的影响。
该研究纳入了 101 名年龄在 18-35 岁之间、孕龄在 38-42 周之间、有阴道分娩指征的孕妇。参与者被随机分配到三个组之一：EPI-NO 按摩组、手动按摩组和对照组。在干预组中，会阴按摩在活跃分娩期（4-8cm 扩张）进行 20 分钟。使用标准化表格记录产后会阴侧切率和长度。研究数据使用简介信息表和分娩评估表收集。
组 I 的会阴侧切率为 33.3%，组 II 为 75.0%，对照组为 74.4%，组间差异具有统计学意义（p=0.001；p<0.01）。组 I 中女性的会阴侧切平均长度为 1.5cm（均值±标准差：1.50±1.20），组 II 为 3cm（均值±标准差：2.70±1.50），对照组为 3.5cm（均值±标准差：3.10±2.00）（p<0.000）。
与其他组相比，EPI-NO 会阴按摩在降低会阴侧切率和缩短会阴侧切长度方面最为有效。
