Condition 1: Labor pain intensity. Condition 2: Labor anxiety. Condition 3: Active phase length of delivery. Other obstetric conditions, not elsewhere classified Other obstetric conditions, not elsewhere classified Delivery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Iranian women Prim parous women Having minimum literacy that is able to read and write Term pregnancy Singleton pregnancy with an alive fetus A fetus with cephalic presentation A fetus with an approximate weight of less than 4 kg Start of spontaneous labor contractions 4 cm dilation of the cervix A pelvis with suitable dimeters for childbirth Intact amniotic membranes Written Informed consent to participate in this study Bilateral external ear without any lesion (mass, swelling, infection or wound) for doing auriculotherapy
Exclusion criteria
Exclusion criteria: Use of painkillers in the last eight hours Using any complementary or traditional medicines to start labor pain Diagnosed liver, gall bladder or respiratory diseases Chronic diabetes or gestational diabetes Olfactory disorders in the aromatherapy group Allergy to herbal medicines for the aromatherapy group Allergy to Citrus aurantium in the aromatherapy group Pregnancy complications (such as pre-eclampsia, chorioamnionitis, placental abruption and abnormal fetal heart rate, etc.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Labor pain intensity. Timepoint: The intensity of labor pain in all three groups will be measured at 4 cm dilatation (before the start of the intervention) and 20 minutes after the start of the intervention at 4 cm dilation as well as at 6 and 8 cm. Method of measurement: To determine the intensity of labor pain, the visual analog scale of pain measurement (VAS) will be used.;Anxiety. Timepoint: The intensity of anxiety in all three groups will be measured at 4 cm dilation (before the start of the intervention) and 20 minutes after the start of the intervention at 4 cm dilation, as well as at 6 and 8 cm. Method of measurement: The intensity of anxiety will be measured with the Spielberger state-trait anxiety questionnaire.;The length of the active phase. Timepoint: The time interval between4 cm dilatation to full cervical dilatation in the presence of at least 2 contractions in 10 minutes will be calculated based on hours and minutes during labor. Method of measurement: In order to measure the length of the active phase of labor, the partograph diagram is drawn in the delivery room and the length of the active phase of labor will be calculated by the researcher. | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of the second stage of labor. Timepoint: The length of this stage will be measured by the researcher by measuring the time interval between the complete dilatation of the cervix and the exit of the fetus in minutes. Method of measurement: The length of this stage will be measured by the researcher with measuring the time of between the complete dilatation of the cervix and the exit of the fetus in minutes.;Apgar Score. Timepoint: Apgar score will be calculated in the first and fifth minutes after birth. Method of measurement: The Apgar table will be used to calculate the Apgar score. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shiraz University of Medical Sciences