Prospective randomised multicentre trial with the birth trainer EPI‐NO® for the prevention of perineal trauma

Authors:
  • KJKatharina Jundt
    Katharina Jundt
  • MBMartin Bäuerle
    Martin Bäuerle
  • KBKarl‐Heinz Brisch
    Karl‐Heinz Brisch
  • KUKurt Ulm
    Kurt Ulm
  • CDChristian Dannecker
    Christian Dannecker
  • KSKarl Theo Mario Schneider
    Karl Theo Mario Schneider
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Abstract
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.

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