Pain intensity in the first stage of labor and outcome of labor in nulliparous women.
Conditions
Interventions
Intervention 1: The first Intervention group: Acupressure EX-B8,The EX-B8 point in this study is a point on the midline of the back of the waist, below the fifth lumbar vertebrae, and in dilatations o
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
19 Years to 35 Years
Inclusion criteria
Inclusion criteria: Age between 35-19 years Primigravida Gestational age between 41-37 weeks (according to ultrasound before 12 weeks or LMP) Single, Vertex presentation Dilatation 4-5 cm (at the beginning of the active phase of labor) There are three contractions in 10 minutes Appropriate pelvic position Do not use analgesic drugs (chemical or herbal) in the last 8 hours Do not have chronic diseases such as cardiovascular disease, kidney disease, rheumatoid arthritis and epilepsy Do not have a known mental illness No history of traumatic events such as the death of a spouse or loved one during pregnancy No complications during pregnancy such as preeclampsia, chorioamnionitis No obstetric complications (such as abruption, abnormal fetal heart rate, etc.) at the beginning of the study
Exclusion criteria
Exclusion criteria: Mother's unwillingness to continue participating in the study Emergency cesarean section Adverse consequences (placental abruption, fetal distress, lack of labor progression)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity in the first stage of labor. Timepoint: Evaluation of pain before and after the intervention in 4-5, 6-7 and 8-10 cm dilatations in EX-B8 and SHAM groups and in 4-5, 6-7 and 8-10cm dilatations in the control group. Method of measurement: numerical grading scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Age of pregnant mother. Timepoint: At the beginning of entering the research. Method of measurement: questionnaire.;Level of Education. Timepoint: At the beginning of entering the research. Method of measurement: questionnaire.;Body mass index. Timepoint: At the beginning of entering the research. Method of measurement: questionnaire.;Gestational age. Timepoint: At the beginning of entering the research. Method of measurement: questionnaire.;Acupressure point EXB8. Timepoint: After the intervention. Method of measurement: questionnaire.;Cervical dilatation. Timepoint: Before and after three interventions in dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: questionnaire.;Bishop score. Timepoint: At the beginning of entering the research. Method of measurement: check list.;Frequency of uterine contractions. Timepoint: In dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: check list.;Length of uterine contractions. Timepoint: In dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: check list.;Intensity of uterine contractions. Timepoint: In dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: check list.;Type of delivery. Timepoint: Postpartum. Method of measurement: check list.;Baby weight at birth. Timepoint: Postpartum. Method of measurement: check list.;Apgar baby. Timepoint: The first and fifth minutes of birth. Method of measurement: check list.;Need pharmacological housing. Timepoint: From the beginning of the study until delivery. Method of measurement: check list.;Duration of the third stage of labor. Timepoint: End of the third stage of labor. Method of measurement: questionnaire.;Need to resuscitate the baby. Timepoint: After birth. Method of measurement: check list.;Fetal distress. Timepoint: From the beginning of the study until delivery. Method of measurement: check list.;Induction with oxytocin. Timepoint: From the beginning of the study until delivery. Method of measurement: check list. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSedigheh Sedigh Mobarakabadi
Shahid Beheshti University of Medical Sciences
Outcome results
None listed