41989
document
Prospective randomised multicentre trial with the birth trainer EPI-NO for the prevention of perineal trauma . BACKGROUND In several non-randomised trials training with EPI-NO increased the rate of intact perineum and decreased episiotomy rates , shortened the second stage of labour and lowered use of pain killers . AIMS To verify the preliminary results with EPI-NO in a prospective randomised trial . METHODS Randomised , single-blind multicentre trial in four university hospitals in Germany including 276 primigravidae . RESULTS After training with EPI-NO we observed a significant increase in the incidence of intact perineum ( 37.4 % vs 25.7 % ; P = 0.05 ) and a tendency towards lower episiotomy rates ( 41.9 % vs 50.5 % ; P = 0.11 ) . We found no significant differences between the two groups regarding incidence of perineal tears , duration of second stage of labour , use of pain relief and rate of vaginal infection . CONCLUSIONS Training with EPI-NO increases significantly the likelihood of having an intact perineum and reduces the episiotomy rate .
41990
Intervention_Other
birth trainer EPI-NO
41991
Intervention_Other
EPI-NO
41992
Intervention_Other
EPI-NO
41993
Intervention_Other
EPI-NO
41994
Intervention_Other
EPI-NO
41995
Outcome_Physical
perineal trauma
41996
Outcome_Physical
incidence of intact perineum
41997
Outcome_Physical
lower episiotomy rates
41998
Outcome_Physical
incidence of perineal tears
41999
Outcome_Mental
,
42000
Outcome_Physical
duration of second stage of labour
42001
Outcome_Pain
use of pain relief
42002
Outcome_Physical
rate of vaginal infection
42003
Outcome_Physical
having an intact perineum
42004
Outcome_Physical
episiotomy rate
42005
Participant_Condition
perineal trauma .
42006
Participant_Condition
single-blind
42007
Participant_Sample-size
276