The effect of BL25 acupressure on pain intensity in the first stage of labor, and birth outcome in pregnant women.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: pregnant women (do not have more than one vaginal delivery) Do not have a history of more than one miscarriage Gestational age between 37-42 weeks (according to ultrasound before 12 weeks or LMP) Single ton , Vertex Presentation Dilatation 4-5 cm (at the beginning of the active phase of labor) The presence of at least three contractions in 10 minutes The appropriateness of the pelvic position Failure to use analgesic drugs (chemical or herbal) in the last 8 hours Absence of chronic disease such as cardiovascular disease, kidney disease, joint rheumatism and epilepsy Not suffering from a known mental illness No history of unfortunate events, such as the death of a spouse or a close relative during pregnancy Absence of complications during pregnancy such as pre-eclampsia, chorioamnionitis, etc. Absence of obstetric complications (such as decollement, abnormal fetal heart rate, etc.) upon entering the study
Exclusion criteria
Exclusion criteria: Mother's unwillingness to continue participating in the study Emergency caesarean section (after registration) Occurrence of adverse outcomes (placental detachment, fetal distress, lack of progress in labor) (after registration) Use of other non-pharmacological pain reduction methods (after registration)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The pain intensity of the first stage of labor in pregnant women is measured by a numerical pain rating scale. The pain intensity scale is a number between zero and 10, where zero indicates no pain and 10 indicates the most severe pain. Timepoint: Pain intensity is measured before the intervention, and immediately after the end of the intervention, in cervical dilatations of 4-5 cm, 6-7 cm and 8-10 cm. Method of measurement: The pain intensity of the first stage of labor is measured with a numerical pain rating scale. The pain intensity scale is a number between 0 and 10, where 0 represents no pain and 10 represents the most severe pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| The duration of the second stage of labor. Timepoint: From the completion of cervical dilatation until the complete expulsion of the fetus. Method of measurement: Observation and examination checklist.;The duration of the third stage of labor. Timepoint: From the exit of the fetus to the complete exit of the placenta and membranes. Method of measurement: Observation and examination checklist.;Need to resuscitate the baby. Timepoint: Postpartum. Method of measurement: Observation and examination checklist.;Apgar score of the baby. Timepoint: Postpartum. Method of measurement: Observation and examination checklist.;Bishop's score. Timepoint: In cervical dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: Observation and examination checklist.;Frequency of uterine contractions. Timepoint: In cervical dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: Observation and examination checklist.;Intensity of uterine contractions. Timepoint: In cervical dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: Observation and examination checklist.;Duration of uterine contractions. Timepoint: In cervical dilatations of 4-5, 6-7 and 8-10 cm. Method of measurement: Observation and examination checklist.;Need oxytocin. Timepoint: Postpartum. Method of measurement: Observation and examination checklist.;The need for pharmaceutical pain relief methods. Timepoint: Postpartum. Method of measurement: Observation and examination checklist.;Mother's satisfaction with pain relief. Timepoint: Postpartum. Method of measurement: Likert's questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahid Beheshti University of Medical Sciences