First Stage of Labor, Labor, Pregnancy
Conditions
Keywords
warm shower, labor pain, birth Satisfaction, hydrotherapy, maternal health
Brief summary
The use of non-pharmacological methods in labor pain is very important in order to improve the birth process, increase comfort and provide relaxation. The role of midwives, acting as patient advocate is to maintain comfort throughout the birth process. In order to do this, she should know very well the non-pharmacological methods to be applied to the pregnant woman and choose the most appropriate one. Applying a warm shower, which is one of the non-pharmacological methods; the uterus Increases perfusion, makes labor painless felt, increases the release of oxytocin, and decreases the release of stress hormones. In addition, while reducing the intervention rates, it improves birth and newborn outcomes and affects positively. Purpose of the research; labor pain of warm shower application, labor to evaluate the effect on satisfaction and birth outcomes.
Interventions
BEHAVIORALWarm Showers Application
In the experimental group, a 20-minute warm showers (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The warm showers will be applied to the sacral area, lower abdomen, and groin regions. Throughout the intervention, the researcher will accompany the pregnant women to ensure safety and proper implementation of the procedure. Pain will be assessed using the VAS scale before the intervention and at 10 and 20 minutes after the intervention. The Birth Satisfaction Scale will be administered prior to discharge
Sponsors
Gulhane School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
randomized controlled
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Between the ages of 18 and 35, * Having a singleton fetus between 37-42 weeks of gestation, * Planning a a spontaneous vaginal birth, * Having a cervical dilatation \<5 cm. * Having a fetus weighing between 2500-4000 grams,
Exclusion criteria
* Being short (\<145cm), * Being obese (BMI \>30), * Receiving pharmacological or non-pharmacological intervention for labor pain, * Having chronic diseases during pregnancy (gestational diabetes, hypertension, preeclampsia, * Undergoing operative vaginal delivery (forceps, vacuum), * Making an emergency cesarean decision, * Experiencing abnormal changes in fetal heart rates.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Labor Pain | Baseline (Before the cervical dilation) | Visual analog scale:On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain. |
| Labor pain | 10 minutes after the cervical dilation | Visual analog scale.On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Birth satisfaction | Pregnant women in both groups will be visited by the researcher in the postpartum service within the first 24 hours postpartum and BSC will be applied. | The birth satisfaction scale (BSS).The scale is likert type and is scored as Strongly agree:5, Agree:4, Undecided:3, Disagree:2, Strongly disagree:1. Items 4, 8, 12, 15, 16, 17, 19, 20, 21, 23, 25, 29 are scored in reverse on the scale. The original form of the scale consists of 30 items, and the score that can be obtained from the scale varies between 30-150 points. As the score obtained from the scale increases, the satisfaction with the birth increases. |
Countries
Turkey (Türkiye)
Outcome results
None listed