Effects of Prenatal Perineal Massage and Kegel Exercise on the Episiotomy Rate

Aim: This study aimed to assess the effects of prenatal Perineal Massage and Kegel exercise on the episiotomy rate. Subjects and Methods: Randomize controlled trial was carried out at Antenatal Outpatient Clinic and Labour and Delivery Ward at El Mansoura University Hospital, Egypt. This study comprised a random study sample of180 pregnant mothers out of randomized 225was recruited for this study according to certain criteria who were between 18 and 35 years of age, 35 gestational weeks, expected to vaginal delivery. They were randomly assigned to three groups; Perineal Massage(50 women), Kegel exercise(60 women) and control (70 women).Four tools were used for data collection: Data Collection Form included REEDA Scale, Kegel Exercise Training Hand Out, Prenatal Perineal Massage Learning Guide, Labour and Follow up Assessment Sheet were used. Results: The study results revealed that, episiotomy was applied to 20%, 36.7% and 42.8% of pregnant women in massage, exercise and control groups respectively and a statistically differences were found between groups (p =0.031). Massage group was statistically significant lesser in terms of episiotomy, laceration and degree of laceration. As well as Massage group was statistically significant less in terms of postnatal 24 hours and 15 days perineal pain. Conclusion: Massage and Kegel exercise groups were statistically significant less in terms of episiotomy, laceration and degree of laceration. As well as postnatal 24 hours and 15 days perineal pain. Recommendations: Health education program about Perineal Massage as well as Kegel exercise for pregnant women should be implemented and supported by health professionals to relieve episiotomy and perineal traumas.