Condition 1: Entonox gas: Entonox is a mixture of two gases of oxygen and nitrous oxide (N2O) and is prescribed to a pregnant woman via a mask.When she feels pain during contraction of uterus in the stages of labor, put a special mask on her face and from inside it takes a deep breath.The gas enter the lungs and then the brain and affects pain centers that reduce feelings of pain. Condition 2: B massage: One of the types of massage. Massage of the bottom of the back and is in the form of B. Dur
Conditions
Interventions
Intervention 1: Intervention group: Entonox gas group. Intervention 2: Intervention group: B massage group. Intervention 3: Control group: The usual care group.
Sponsors
Saveh University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: Pregnant women aged between 18-35 years old Women with first, second, third and fourth pregnancies Gestational age between 37 to 41 weeks Singletone pregnancy Head of presentation(cephalic) Women in dilatation 4-5 centimeter or more
Exclusion criteria
Exclusion criteria: High-risk pregnant women (presence of previous scars on the uterus and abdomen, diabetic women, preeclampsia and eclampsia, Polyhydramnious, Oligohydramnious, fetal death and etc.) There are skin or lumbar problems in the lower back region in the massage group
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity of pain in the active phase of the first stage and second stage of labor. Timepoint: Immediately before the intervention, 45, 90, 135, 180 and 225 minutes after intervention. Method of measurement: Visual analogue Scale of McGill Pain.;Type of delivery. Timepoint: After intervention. Method of measurement: Observation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Postpartum hemorrhage. Timepoint: After intervention in the third stage of labor. Method of measurement: Observation and estimation of bleeding based on the need for hemoglobin to be checked in the first 6 hours after delivery, blood transfusion, need for uterine massage or prescribe misoprostol.;Apgar score of the infant in the first and fifth minutes of birth. Timepoint: After intervention and delivery. Method of measurement: Neonate Apgar Scale.;The need for newborn resuscitation. Timepoint: After intervention and delivery. Method of measurement: Neonatal resuscitation according to national protocol. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMehri Rezaie
Saveh University of Medical Sciences
Outcome results
None listed