The Effect of Using Perineal Warm Compress Techniques During the Second Stage of Labor on Perineal Outcomes

Participants

• After full dilatation of the cervix, assign participants in a 1:1 ratio to the study and control groups randomly.
• Ask women to select one closed envelope containing a card with the group allocation (study or control groups)
• Provide usual care according to the unit protocol to all the women until the second stage of labor.
• Provide the participants of the study group with a warm perineal compress during the whole second stage of labor
• Provide usual care according to the unit protocol to the participants of control group during the whole second stage of labor.

The process of applying the warm perineal compress

• Fill a clean container with warm water (45-59°C)
• Soak a clean pad in the water, squeeze then place gently on the perineum during each uterine contraction.
• Maintain the temperature between 38-44°C during its application.
• Re-soak the pad in warm water between contractions, to maintain warmth and then reapply.
• Replace the water in the container every 15 minutes until delivery or if the temperature drop below 45°C

Inclusion criteria

Low-risk pregnant mothers such as no hypertension, Headache, Bleeding Infection etc -

Exclusion criteria

Pregnancy with any health problems such as Preeclampsia, Bleeding, Obstructed Labour, Cesarean section

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