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Master Thesis

Le massage périnéal prénatal

Abstract : Objective : Evaluate the interest of prenatal perineal massage during pregnancy in order to decrease the rate of perineal tears and episiotomies at delivery

Method : We realised a prospective study in University Hospital of Angers between 13 September and 22 December 2010. Patients were recruited to the consultation of eighth month with a midwife in University Hospital or in antenatal class with an independent midwife. We established two study groups. The massage group is composed of 16 patients who performed perineal massage from 36 - 37 weeks gestation, 3 - 4 times a week and for 4 - 10 minutes. The control group is composed of 33 patients who delivered vaginally and matched with massage group for parity. The main outcome measure was the state of perineum after delivery.

Results : We observed an increase of 9,8% of intact perineum, but this difference was not statistically significant. According to the most relevant studies, prenatal perineal massage is more effective in nulliparous women and women aged 30 and over. The frequency of intact perineum increase with the compliance of a regular practice of massage.

Conclusion : The practice of perineal massage during pregnancy is a technique to reduce the risk of tears and episiotomies during childbirth. This method can be especially useful for the preparation of the perineum during a first pregnancy.

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https://dumas.ccsd.cnrs.fr/dumas-00662750
Contributor : Université d'Angers - Scd <>
Submitted on : Wednesday, January 25, 2012 - 9:34:07 AM
Last modification on : Friday, October 23, 2020 - 4:33:26 PM
Long-term archiving on: : Thursday, April 26, 2012 - 2:25:20 AM

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  • HAL Id : dumas-00662750, version 1

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Magali Rousselle. Le massage périnéal prénatal. Gynécologie et obstétrique. 2011. ⟨dumas-00662750⟩

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