Hanife Nurseven ŞİMŞEK, Nurcan ÇELİK, Nursen BOLSOY

Antenatal Perineal Masaj Perineal Travmaları Azaltır mı? Sistematik Derleme

Amaç: Bu çalışmanın amacı gebelikte yapılan perineal masajın, doğumeyleminde perineal travmalar üzerindeki etkilerini incelemektir.Yöntem: Konuyla ilgili makalelere ulaşmak için antenatal, prenatal,perineal massage, perineal trauma anahtar kelimeleri kullanılarak“Pub-Med”, “Science Direct”, ve “Wiley Interscience” veri tabanlarındatarama yapıldı. Tarama sonucunda 505 makaleye ulaşıldı ve araştırmakapsamına konuyla ilgili 5 çalışma alındı.Bulgular: Çalışmalar antenatal perineal masajın intakt perine oranlarınıve spontan vajinal doğumları artırdığını, epizyotomi oranlarını,1. ve 2. derece laserasyonları ve müdahaleli doğumları azalttığını, 32.haftadan itibaren pelvik taban kas egzersizleriyle birlikte hergün düzenliolarak yapıldığında epidural kullanımını azalttığını ve doğumun2. evresini kısalttığını göstermektedir.Sonuç: Değerlendirmeye alınan tüm çalışmalarda antenatal perine masajınınolumlu sonuçları olduğu görülmektedir. Obsterik sonuçlarıniyileştirilmesi için antenatal perineal masajın 32. gebelik haftasındanitibaren düzenli olarak yapılması önerilmektedir. Bu sistematik derlemeninkonu ile ilgili yapılacak olan çalışmalara katkı sağlayacağı düşünülmektedir.

Does Antenatal Perineal Massage Decrease Perineal Traumas? A Systematic Review

Aim: This study aims to examine the effects of perineal massage during pregnancy on perineal trauma during childbirth. Methods: In order to find research articles related to the topic, the databases "Pub-Med", "Science Direct", and "Wiley Interscience" were searched using the following keywords: “antenatal,” “prenatal,” “perineal massage” and “perineal trauma.” A total of 505 articles and 5 studies related to the context of this research are included in this study. Results: The studies indicated that antenatal perineal massage is effective for improving the rates of intact perineal and spontaneous vaginal deliveries, decreasing the rates of episiotomy, decreasing first and second degree lacerations, intervened deliveries, and reducing the use of epidurals, and shortening the second phase of delivery beginning from the thirty-second week by using pelvic floor muscle exercises. Conclusion: It was found that antenatal perineal massage has positive effects base on the assessment of all studies. It is recommended that antenatal perineal massage be implemented regularly beginning from thirty-second week of pregnancy in order to improve obstetric outcomes. It is thought that this systematic review could contribute to future studies conducted on this topic.

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