Publication:
The efficacy of modified Viennese manual perineal protection (VMPP) versus conventional technique in perineal protection at second stage of labour : a randomize case control study

dc.contributor.affiliation#PLACEHOLDER_PARENT_METADATA_VALUE#en_US
dc.contributor.authorRuztini binti Jenalen_US
dc.date.accessioned2024-10-09T04:39:17Z
dc.date.available2024-10-09T04:39:17Z
dc.date.issued2016
dc.description.abstractThe modified Viennese manual perineal protection (VMPP) is a modified method based on an experimental study on a computerized biomechanical model of the perineum by Jansova and colleagues. It determines the exact placement of fingers on the perineum that has less perineal tension with the minimal perineal injury. The aim of study is to evaluate the effectiveness of modified VMPP in protecting the perineal injury and need of episiotomy compared to conventional method. The associated risk factors for perineal injury were also identified. A randomized case control study on women in labour without previous vaginal delivery at a tertiary hospital. The modified VMPP was based on a method described by Jansova et al., (2014). The sanitary pad was used to support and protect perineum in the control group. Total of 158 women were recruited and divided into modified VMPP group (n=71) and control group (n=78). Nine cases were excluded due to instrumental deliveries. Thirty two (21.5%) women had intact perineum mainly in modified VMPP group (n=21) and control group (n=11) (p=0.022).There were 81 (54.4%) cases of first degree perineal tear, 16 (10.7%) second degree tear and 26 (18.7%) required episiotomy which is more in the control group (p=0.548). None of the participants suffered third or fourth degree perineal tears. The more advanced maternal age (OR 1.149, p=0.043), the higher BMI (OR 1.113, p=0.027) and larger infant’s head circumference (OR 1.681, p=0.049), the higher the risk of perineal injury. In conclusion, modified VMPP is effective in minimizing perineal injury with less need for an episiotomy. The risk of perineal injury is higher with increasing maternal age, BMI and fetal head circumference.en_US
dc.description.callnumbert RG 713 R987E 2016en_US
dc.description.degreelevelMaster
dc.description.identifierThesis : The efficacy of modified Viennese manual perineal protection (VMPP) versus conventional technique in perineal protection at second stage of labour : a randomize case control study /by Ruztini binti Jenalen_US
dc.description.identityt11100380528RuztiniJenalen_US
dc.description.kulliyahKulliyyah of Medicineen_US
dc.description.notesThesis (MOG)--International Islamic University Malaysia, 2016.en_US
dc.description.physicaldescriptionx, 33 leaves :illustrations ;30cm.en_US
dc.description.programmeMaster of Obstetrics and Gyneacologyen_US
dc.identifier.urihttps://studentrepo.iium.edu.my/handle/123456789/10970
dc.identifier.urlhttps://lib.iium.edu.my/mom/services/mom/document/getFile/9uAXsOKsfrqgesYMzqYhuZwXK8RIa5eG20171113110211054
dc.language.isoenen_US
dc.publisherKuantan, Pahang :International Islamic University Malaysia,2016en_US
dc.rightsCopyright International Islamic University Malaysia
dc.subject.lcshPerineum -- Rupture -- Protection -- Case studiesen_US
dc.subject.lcshPerineum -- Wounds and injuriesen_US
dc.subject.lcshLabor (Obstetrics)en_US
dc.titleThe efficacy of modified Viennese manual perineal protection (VMPP) versus conventional technique in perineal protection at second stage of labour : a randomize case control studyen_US
dc.typeMaster Thesisen_US
dspace.entity.typePublication

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