Women’s Views on the Practice of Prenatal Perineal Massage
Référence bibliographique 
Labrecque, Michel, Eason, Erica et Marcoux, Sylvie. 2001. «Women’s Views on the Practice of Prenatal Perineal Massage ». British Journal of Obstetrics and Gynaecology, vol. 108, no 5, p. 499-504.
Intentions : « To determine how women who practised perineal massage during pregnancy assessed the technique. » (p. 499) Questions/Hypothèses : « 1. The mean score on each of the four scales will increase with increasing compliance with perineal massage. 2. The mean score of the relationship with the partner scale will increase with the greater partner participation. 3. The mean score of the effect of massage on delivery scale will decrease with increasing operative intervention for the birth (spontaneous vaginal [none], vaccum extraction, forceps, and caesarean section). 4. In women giving birth vaginally, the mean score of the effect of massage on delivery scale will be higher if the perineal outcome is better (less trauma). 5. The mean score on each of the four scales will be higher in women who would perform the massage in another pregnancy and would recommend perineal massage to another pregnant woman. » (p. 500)
Échantillon/Matériau : 684 femmes
Instruments : - questionnaire socio-démographique - daily diary from participants Type de traitement des données : Analyse de contenu et analyse statistique
« Design: Observational study within one arm of a randomised controlled trial. Setting: Five secondary and tertiary care hospitals in the Province of Quebec, Canada. Participants: Among 763 women randomised to the massage arm of a clinical trial of perineal massage during pregnancy, 684 (90%) who completed a questionnaire after delivery. Main outcome measures: A 20-item questionnaire completed a few days after birth. The first 18 questions elicited opinions using a 6-point Likert scale. Based on a factor analysis, 17 of these questions were classified into four categories: acceptability of perineal massage (8 items); preparation for birth (4 items); relationship with the partner (2 items); and effect of massage on delivery (3 items). Scores of each scale varied between 1 (highly negative assessment) to 6 (highly positive assessment). The last two questions asked whether women would perform the massage in their next pregnancy and whether they would recommend perineal massage to another pregnant woman. In addition, 262 also provided comments about their experience in the daily diary provided to record compliance during the trial. Results: On average, perineal massage was felt to be quite acceptable [mean (standard deviation) 4.09 (0.93)]. Pain and technical problems reported during the first week or two of massage tended to disappear after a few weeks. Women’s assessment of the effect of massage on preparation for birth [4.34 (1.08)] and on delivery [4.18 (1.37)] was positive. Women’s views about the effect on their relationship with their partner were either positive or negative [3.54 (1.74)] and were proportional to the partner’s participation with the massage. Most women said they would massage again if they were to have another pregnancy (79%; 95% CI, 76%-82%) and would recommend it to another pregnant woman (87%; 95% CI 84%-90%). »