The goal of the clinical trial is to determine the effect of second-stage warm compress application on perineal pain and trauma among primiparous women. The main questions may reveal the pain intensity and the perineal outcome of the warm compress which might be helpful to the women during labor and related authority of the hospital.

The intervention with warm perineal compression will be done among primiparous mothes during second stage of labor

Participants

• After full dilatation of the cervix, assign participants in a 1:1 ratio to the study and control groups randomly.
• Ask women to select one closed envelope containing a card with the group allocation (study or control groups)
• Provide usual care according to the unit protocol to all the women until the second stage of labor.
• Provide the participants of the study group with a warm perineal compress during the whole second stage of labor
• Provide usual care according to the unit protocol to the participants of control group during the whole second stage of labor.

The process of applying the warm perineal compress

• Fill a clean container with warm water (45-59°C)
• Soak a clean pad in the water, squeeze then place gently on the perineum during each uterine contraction.
• Maintain the temperature between 38-44°C during its application.
• Re-soak the pad in warm water between contractions, to maintain warmth and then reapply.
• Replace the water in the container every 15 minutes until delivery or if the temperature drop below 45°C

Inclusion Criteria: Low-risk pregnant mothers such as no hypertension, Headache, Bleeding Infection etc -

Exclusion Criteria: Pregnancy with any health problems such as Preeclampsia, Bleeding, Obstructed Labour, Cesarean section

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Only Female