The Effect of Using Perineal Warm Compress Techniques During the Second Stage of Labor on Perineal Outcomes

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