IRCT2013090314556N1 IRCT 2013-11-10 Kurdistan University of Medical Sciences The Effect of Prineal Massage on Prineal Trauma The effect of preineal massage in second stage of labor on preineal trauma, episiotomy and its outcomes among nuliparous women referred to delivery ward of Beasat hospital, 2013. 2013-11-22 anticipated 150 Complete https://irct.ir/trial/14167 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Delivery. Intervention 1: There is not any intervention for control group and after child birth perineal and vagina will be checked and determined perineal rupture and episiotomy rate. Post natal care will be performed for all mothers. For assessing perineal pain and its intensity all mothers will be followup 3 and 10 days during post postpartum. Intervention 2: Researcher during second stage of childbirth (from full dilatation till expulsion of fetal head) put gloves and with K vay Jell , perineal will be massage between 3 and 9 area of vagina gently for 30 minutes. After childbirth perineal will be checked for rupture and episiotomy rate. During postpartum , 3 and 10 days after birth mother will be evaluated for perineal pain and its intensity. The Effect of Perineal Massage during the Second Stage of Birth on Perineal Lacerations, Episiotomy, and Perineal Pain in Nulliparous Women Introduction: Childbirth and puerperium are of the most important periods in women’s life and can affect different aspects of their life . Although childbirth is a physiological process, there is a risk of perineal trauma when neonate’s head is exiting, and thus, an episiotomy may be needed. This study was conducted to determine the effect of perineal massage in the second stage of labor on perineal lacerations, episiotomy, and perineal pain in nulliparous women going to childbirth unit of Besat Hospital in Sanandaj, Iran. Material & Methods: The study population included all nulliparous women going to childbirth unit of Besat Hospital in 2013-2014. The participants were selected through convenience sampling and randomly assigned to groups such that nulliparous women with inclusion criteria were alternately assigned to the case and control groups. All of them were taught about postpartum perineal pain and its severity, and the researcher followed them up 3 days, 10 days, and 3 months after childbirth by telephone. Results: The results showed mean and standard deviation of the participants in the case group (receiving perineal massage) as 25.62 ± 4.25 years and those in the control group as 25.31 ± 3.86 years. The participants in both groups were mostly 21-25 years old. The results revealed 23.16% of first-degree perineal laceration and 2.11% of second-degree perineal laceration in the case group, and no vestibular laceration and third- and fourth-degree lacerations in the case group. However, there were 5.13% of vestibular laceration, 7.69% of first-degree laceration, 2.56% of second-degree laceration, and 1.05% of third-degree laceration (one woman) in the control group. Based on the results, the postpartum perineal pain was different in both group. Comparison of degrees of pain in the two groups showed that the severity of pain 3 days and 3 months after childbirth was significant (P = 0.01 & P = 0.008, respectively), but the severity of pain in the 10th day did not differ significantly (P = 0.78) (Table 5). The results on frequency of complications did not show any significant difference between groups (P = 0.413).