Prospective randomised multicentre trial with the birth trainer EPI-NO® for the prevention of perineal trauma
Article first published online: 19 AUG 2009
© 2009 The Authors. Journal compilation © 2009 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 49, Issue 5, pages 478–483, October 2009
How to Cite
RUCKHÄBERLE, E., JUNDT, K., BÄUERLE, M., BRISCH, K.-H., ULM, K., DANNECKER, C. and SCHNEIDER, K. T. M. (2009), Prospective randomised multicentre trial with the birth trainer EPI-NO® for the prevention of perineal trauma. Australian and New Zealand Journal of Obstetrics and Gynaecology, 49: 478–483. doi: 10.1111/j.1479-828X.2009.01044.x
- Issue published online: 24 SEP 2009
- Article first published online: 19 AUG 2009
- Received 23 February 2009; accepted 14 June 2009.
- birth trainer;
- 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.