Birth, First, Pain
Conditions
Keywords
Birth, Vaginal Birth, Massage, Pain, Endorphin
Brief summary
In this study, it is aimed to determine the effect of endorphin massage applied to puerperant women who had vaginal delivery on pain, comfort, mood and serum beta endorphin levels in the postpartum period.
Detailed description
Massage application provides an increase in the level of endorphins by making a relaxing effect on the muscles. Endorphin massage increases the release of endorphins, allowing the individual to relax, relax the muscles and reduce pain. Endorphin massage is a light massage technique that can increase the release of oxytocin and endorphin hormones, providing a feeling of calmness and comfort. In addition to reducing pain, the endorphin hormone provides relaxation, supports the immune system, and accelerates metabolic activities. It is also known as the happiness hormone. It is stated that back massage will increase the release of endorphin hormones by relaxing the mother. In other studies conducted in the postpartum period, it has been determined that massage applied reduces the severity of pain and stress, and increases the level of comfort. Studies have shown that endorphin massage applied to pregnant women reduces back pain. In another study, it was determined that deep tissue massage applied to the back area after cesarean section reduced the level of pain. In the other study, it was determined that the endorphin massage applied to the 3rd trimester pregnant women reduced the level of anxiety. When the literature is examined, no study has been found that examines the effect of endorphin massage applied to puerperant women on pain, comfort, mood and beta endorphin levels in the postpartum period. The fact that endorphin massage is applied to similar areas with both back massage and oxytocin massage suggests that endorphin massage may affect the pain process experienced in the postpartum period. It is aimed to determine the effect on endorphin level.
Interventions
OTHEREndorphin massage
With the anterior surface of the fingertips of the hand, a V will be drawn slowly, starting from the sacral region and towards the ribs. The same process will be continued from the sacral region until the 7th cervical vertebra. From the 7th cervical vertebra, the front surface of the fingertips will be descended first to the shoulders and then to the dorsal region of the upper and forearms in turn. Starting from the dorsal region of the forearm, the first stage of the massage will end by descending to the upper arm, shoulders, 7th cervical vertebra, spine and sacral region with the back of the thumbs. These massage steps will be repeated until 20 minutes are completed. Endorphin massage will be applied every 2 hours.
Sponsors
TC Erciyes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
The blood samples are numbered by writing the names of the puerperant women. Nurses who care, the biochemist who analyzes the blood samples and the specialist who does the statistical analysis will not know the groups to which the puerperal puerperants are assigned. In the hospital where the research will be conducted, one of the two parts of the postpartum service is used for the intervention group and the other for the control group in order to prevent encounters between the intervention and control group.
Intervention model description
Two gruops with intervention gruop and control grup.
Eligibility
Sex/Gender
FEMALE
Age
19 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* 37-40. Those who gave birth vaginally in their gestational week, * In the first 24 hours postpartum, * Primiparous, * Episiotomy applied, * Having a VAS value of at least 5 points, * Having given birth to a single baby, * Your baby's APGAR Score is between 7-10, * Skin-tissue integrity, * No communication problem, * The spoken language is Turkish, * Voluntary to participate in the study
Exclusion criteria
* The baby was admitted to the neonatal intensive care unit, * Having a cesarean section, * Experiencing risky labor, * Postpartum bleeding, * Epidural analgesia applied * Having a psychiatric disease (Bipolar Disorder, Depression, Obsessive Compulsive Disorder), * Having chronic disease (Heart disease, Thyroid problems, Diabetes mellitus, Hypertension, asthma, COPD), * Postpartum women diagnosed with risky pregnancy (Pre-eclampsia, Eclampsi, Pregnancy-related hypertension, Gestational diabetes, bleeding conditions during pregnancy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | two hours | It is a commonly used scale to measure pain. It consists of a 10 cm ruler on which the patient marks the pain, showing that there is no pain at one end and unbearable pain at the other end. The distance between the point where the patient marked the pain and the pain-free interval is measured in cm and recorded. In addition, this scale is used to measure comfort. The VAS, which will be used to determine the level of comfort, consists of a ruler of 0 to 10 cm, as well as the level of pain. VAS; 0 = very comfortable, 10 = extremely uncomfortable. In the calculation of the comfort score, the distance between the place marked by the puerperant as I am comfortable and the place marked as I am uncomfortable is measured and recorded in cm. In this research, the Visual Analog Scale is used to measure both pain level and comfort level. |
| Brief Mood Introspection Scale | two hours | In the 16-item scale, the items consist of the emotion adjective and aim to evaluate the current emotional state of the participants. By obtaining two types of scores with the scale, positive (8 items) and negative (8 items) mood levels of the participants are determined. High scores for both mood states indicate high positive or negative emotions. The highest score for both moods is 32 and the lowest score is 8. |
| Serum Beta Endorphin Level | two hours | Blood samples are taken from the puerperal women by following the antiseptic rules, into a yellow-capped and gelled blood tube (3-4 mL) by the researcher. The blood tubes are kept at room temperature and in an upright position for 30 minutes. Samples sent to the laboratory are centrifuged at 4000 rpm for 10 minutes. The serum obtained after centrifugation is taken from the blood tubes, put into eppendorf tubes and stored frozen at -80 degrees. |
Countries
Turkey (Türkiye)
Outcome results
None listed