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PICO Question. Do women who deliver vaginally who do antenatal perineal massage, compared to women who have a routine episiotomy, have reduced perineal laceration and pain?. PICO Defined. Population: Women in labor who deliver vaginallyIntervention: Antenatal massage of perineumComparison: Performing a routine episiotomyOutcomes: Reduce perineal laceration and pain.

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