Pain, Labor
Conditions
Keywords
Pain, Labor, Comfort
Brief summary
Aims: Non-pharmacological methods employed for management labor pain also help pregnant women to cope with labor pain and increase their childbirth comfort. The aim of this study is to determine the effect of cold and hot acupressure applications, applied to the acupressure point LI4 of primiparous women during labor, on their childbirth comfort. Methods: This study was designed a randomized controlled experimental study. The sample consisted of 129 healthy pregnant women including 44 pregnant women in the hot acupressure group, 44 pregnant women in the cold acupressure group, and 41 pregnant women in the control group. The Personal Information Form, the Labor Monitoring Form, the Visual Analog Scale, and the Childbirth Comfort Questionnaire were all used to gather the data.
Interventions
OTHERCold Acupressure
For the cold acupressure application, the researchers prepared pouches that were 3 cm long, 2 cm wide, and 1 cm high (3x2x1cm), and filled with cherry seeds - to retain heat for a longer time, hence the preference. Next, they fixed rubber bands to the pouches so that they stayed in place on the participants' hands during acupressure, and retain consistent pressure throughout. Lastly, the cold acupressure pouches were kept in a freezer for 40 minutes.
OTHERWarm Acupressure
For the warm acupressure application, the researchers prepared pouches that were 3 cm long, 2 cm wide, and 1 cm high (3x2x1cm), and filled with cherry seeds - to retain heat for a longer time, hence the preference. Next, they fixed rubber bands to the pouches so that they stayed in place on the participants' hands during acupressure, and retain consistent pressure throughout. Lastly, the warm acupressure pouches were heated in a microwave at 600 W for one minute.
Sponsors
Serap Ozturk Altinayak
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Being a primipara * Having intact membranes * No skin diseases (such as urticaria...), * No use of narcotic drugs * Having a term pregnancy * Having a single fetus at vertex position * Planning to have vaginal delivery * Having contractions and ongoing regular augmentation * Having recent augmentation starting periods * Being in the latent phase (0-3 cm dilatation) * Having no history of high-risk pregnancy * Not using analgesic drugs to reduce pain during delivery * Having no systemic and neurologic diseases * Having no contraction anomaly (hypotonic or hypertonic contractions)
Exclusion criteria
• Having any of the above criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comfort | through study completion, an average of 1month | Childbirth Comfort Questionnaire (CCQ); Each item ranks between 1 and 5 points: 1=Strongly disagree, 2=Mostly disagree, 3=Partially agree, 4=Mostly agree, and 5=Completely agree. Thus, the lowest and highest scores are 9 and 45 points, respectively. The higher the score one earns, the more comfortable they are; the lower the score, the exact opposite |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Labor pain | through study completion, an average of 1month | Visual Analog Scale (VAS); It is a 10-cm one-dimensional ruler; written on one end is no pain; on the other is worst pain. For the purpose of this study, the researchers used VAS vertically in this study, in line with the recommendations of other studies, who suggest that individuals understand VAS better when applied vertically. |
Countries
Turkey (Türkiye)
Outcome results
None listed