А вот свежие данные:
1: Am J Obstet Gynecol. 2000 Jan;182(1 Pt 1):76-80.
Randomized trial of perineal massage during pregnancy: perineal symptoms three
months after delivery.
Labrecque M, Eason E, Marcoux S.
Department of Family Medicine and Social and Preventive Medicine, Laval
University, Ottawa, Ontario, Canada.
OBJECTIVE: The aim of this study was to evaluate the effect of perineal massage
performed during pregnancy on perineal symptoms 3 months after delivery. STUDY
DESIGN: Pregnant women from 5 hospitals in the province of Quebec, Canada,
participated in this single-blind, randomized, controlled trial. All
participants received oral and written information on the prevention of perineal
trauma. Women in the experimental group were taught the perineal massage
technique and were asked to perform a 10-minute perineal massage daily from the
34th through 35th weeks of pregnancy until delivery. Participants completed a
self-administered questionnaire on perineal pain, dyspareunia, sexual
satisfaction, and incontinence of urine, flatus, and stool at the time of
enrollment and 3 months after delivery. RESULTS: Among participants without a
previous vaginal birth there were no differences between the massage (n = 283)
and the control (n = 289) groups with respect to perineal pain, dyspareunia,
sexual satisfaction, and incontinence of urine, gas, or stool 3 months post
partum. Among women with a previous vaginal birth more women in the massage
group (n = 187) than in the control group (n = 190) were free of perineal pain
(93.6% vs 85.8%; P =.01) but the frequencies of dyspareunia and incontinence of
urine, gas, or stool were similar in the 2 groups. CONCLUSIONS: Perineal massage
during pregnancy neither impairs nor substantially protects perineal function at
3 months post partum.
Publication Types:
Clinical Trial
Randomized Controlled Trial
PMID: 10649159 [PubMed - indexed for MEDLINE]
Вывод напрашивается следующий: если compliance позволяет, техники массажа в гинекологии могут быть применены, как удовлетворяющие главному постулату медицины, в свое время предложенному Гиппократом из Коса: "Не навреди!"
