- Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi
- Vol: 20 Issue: 2
- The effectiveness of obstetric gel application in shortening labor duration and preserving vaginal p...
The effectiveness of obstetric gel application in shortening labor duration and preserving vaginal perineal integrity: prospective observational study
Authors : Derya BURKANKULU, Özlem MORALOĞLU TEKİN, Sevgi KOÇ, Ayça Nazlı BULUT
Pages : 1723-1729
Doi:10.38136/jgon.1192217
View : 18 | Download : 78
Publication Date : 2023-07-03
Article Type : Research Article
Abstract :Aim: The aim of this study to determine the effects of obstetric gel application on labor outcomes. Materials and Method: This nonrandomized controlled study was carried out between January 2019 and June 2019 in a tertiary-care hospital. Nulliparous pregnant women with low risk, vertex position, between the ages of 16-40 years, with an estimated fetal weight of 2500-4000 grams and a gestational week between 37-41 weeks were included in the study. Using an applicator, 3-5 ml of a hydroxyethyl cellulose gel was applied to the vaginal canal of the study group (n=142) at the first stage of labor (before 5 cm cervical opening). The procedure was repeated every two hours until the birth of the baby. The control group (n=191) received standard antenatal care. Results: The need for episiotomy was significantly lower in the study group compared to the control group (n=72 (50.7%) vs. n=175 (91.6%)) (Z=18.902, p<0.001). Moreover, it was found that women in the study group had significantly better outcomes concerning the preservation of the vaginal perineal integrity (n=53 (37.3%) vs. n=160 (83.7%)) (Z=134.893, P<0.001). Also, significant shortening was observed in the second stage of labor in the study group compared to the control group (36.6834.37 min vs. 58.0330.35 min) (p<0.001). Conclusion: The use of obstetric gel shortens the first and second stages of labor, reduces the need for episiotomy, and helps preserve perineal integrity. Thus, it can be cost-effective and contribute positively to life quality if administered in nulliparous normal vaginal deliveriesKeywords : Doğum, Perine bütünlüğü, ikinci aşama