fa تأثیر کمپرس گرم پرینه در مرحله دوم زایمان بر پیامدهای زایمان زنان نخست‌زا General پژوهشي Research Article <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><strong>Background and Aim: </strong>In the second stage of labour, caregivers are faced with two important issues, especially in the nulliparous women. One of the two issues is severe pain and the other is most likely intentional and spontaneous perineal trauma. This study was conducted to explore the effects of warm perineum compress during the second phase of labor on first- birth outcomes.&nbsp;<br> <strong>Material and Methods: </strong>In this randomized clinical trial study, 150 primiparous women referred to Shoushtari and Hazrat Zainab (SA) hospital in Shiraz city who had inclusion criteria selected and were randomly divided into an experimental and a control group. Warm compress on perineum was used in experimental group and control group received usual cares in the second stage. Check lists for determining episiotomy indication, perineum intact and place, grade and size of laceration were completed after delivery for two groups. Pain severity was determined immediately after delivery by using McGill Pain tool. Data were analyzed by SPSS version 15 and Chi-Square, Fisher Exact Test, Independent T Test, Mann Whitney U and Odds Ratio Statistical tests with 0.05 Significant level.<br> <strong>Results: </strong>Result showed 29 women (38.7%) in experimental group and 5 women (6.7%) in control in group no need to suture. OR=8.8 (CI 95%: 3.18-24.46) P<0.001. need for episiotomy in experimental group was significantly lower than control group OR=0.112 (CI 95%: 0.045-0.274), P<0.001.The mean of pain severity in second stage and perineal pain severity on the first day after delivery in experimental group was significantly less than control group (p<0.001).<br> <strong>Conclusion: </strong>The result of the study showed that using warm compress in the second stage of delivery can decrease perineal trauma and relief of pain in this stage.</span></span></div> Perineal Trauma,Pain,Warm Compress,Nulliparous 28 36 http://mcj.bums.ac.ir/browse.php?a_code=A-10-1-505&slc_lang=fa&sid=1 Farideh Vaziri فریده وزیری Yes Farideh Vaziri, Department of Midwifery, Faculty of Nursing and Midwifery Hazrat Fatemeh, Shiraz University of Medical Sciences. Shiraz, Iran. Email: roose82003@yahoo.com فریده وزیری، گروه اموزشی مامایی، دانشکده پرستاری و مامایی حضرت فاطمه(س) دانشگاه علوم پزشکی شیراز. شیراز، ایران. تلفن: 09177382422 پست الکترونیک: roose82003@yahoo.com Mahnaz Farahmand مهناز فرهمند No MSc Student of Midwifery, Student Research Committee, Faculty of Nursing and Midwifery Hazrat Fatemeh, Shiraz University of Medical Sciences. Shiraz, Iran دانشجوی کارشناسی ارشد مامایی، مرکز تحقیقات دانشجویی، دانشکده پرستاری و مامایی حضرت فاطمه(س) دانشگاه علوم پزشکی شیراز. شیراز، ایران AlamTaj Samsami عالمتاج صمصامی No Professor, Department of Gynecologist, Faculty of Medicine, Shiraz University of Medical Sciences. Shiraz, Iran استاد گروه اموزشی زنان و زایمان، دانشکده پزشکی دانشگاه علوم پزشکی شیراز. شیراز، ایران Sedigheh Forouhari صدیقه فروهری No MSc, Department of Midwifery, Infertility Research Center, Shiraz university of medical sciences. Shiraz, Iran کارشناسی ارشد گروه آموزشی مامایی، مرکز تحقیقات ناباروری دانشگاه عاوم پزشکی شیراز. شیراز، ایران Mohammad Javad Hadianfard محمد جواد هادیان‌فرد No Associate Professor, Department of Rehabilitation Specialist, Faculty of Medicine, Shiraz University of Medical Sciences. Shiraz, Iran استادیار گروه آموزشی توانبخشی، دانشکده پزشکی دانشگاه علوم پزشکی شیراز. شیراز، ایران Mehrab Sayadi مهراب صیادی No MSc, Department of Vital statistic, Faculty of Medicine, Shiraz University of Medical Sciences. Shiraz, Iran کارشناسی ارشد گروه آموزشی آمار حیاتی، دانشکده پزشکی دانشگاه علوم پزشکی شیراز. شیراز، ایران