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Chen YQ, Wang ZW, Liu HC, Wu J, Qin JZ, Li JH, Wu DQ, Jiang HY. Effects of pelvic floor myofascial manipulation intervention on primiparas and neonates during the second stage of vaginal delivery. Exp Ther Med 2024; 27:5. [PMID: 38223324 PMCID: PMC10785011 DOI: 10.3892/etm.2023.12292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 10/20/2023] [Indexed: 01/16/2024] Open
Abstract
A prolonged second stage of vaginal delivery increases the risk of shoulder dystocia, unnecessary episiotomies and cesarean sections. However, no standardized method has been proposed to tackle this issue. The effects of pelvic floor myofascial manipulation intervention during the second stage of labor in primiparas and its prognostic value in neonatal postpartum outcomes remain unknown. In the present study, a total of 60 primiparas who were expecting a vaginal delivery in the Second Affiliated Hospital of Hainan Medical College (Haikou, China) between October 2021 and January 2022 were selected. These women were randomly assigned to a control group (standard intrapartum care) or an experimental group (pelvic floor myofascial manipulation for 15-20 min during the second stage of labor along with standard intrapartum care) using a random number table, with 28 patients in each group. There was no significant difference in age, gestational time or body mass index between the two groups before delivery, indicating that the baseline data were comparable. The second stage of labor duration, forced breath-holding time and postpartum hemorrhage volume in the experimental group were significantly lower than those in the control group. The pain visual analog scale scores, fatigue scores and neonatal Apgar scores in the experimental group were also significantly lower than those in the control group. The rate of episiotomy in the experimental group was lower than that in the control group, but the difference was not statistically significant. In conclusion, pelvic floor myofascial manipulation intervention during the second stage of labor for primiparas with vaginal delivery can reduce the duration of the second stage of labor, the amount of bleeding during labor and the pain during labor. Meanwhile, it has the potential to improve neonatal outcomes.
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Affiliation(s)
- Yan-Qing Chen
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
| | - Zhao-Wei Wang
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
| | - Hai-Chao Liu
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
| | - Jiao Wu
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
| | - Jun-Zhong Qin
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
| | - Ju-Hui Li
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
| | - Dong-Qing Wu
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
| | - Hui-Yu Jiang
- Department of Rehabilitation Therapy, The Second Affiliated Hospital of Hainan Medical College, Haikou, Hainan 570216, P.R. China
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