Labor, Obstetric, Labor pain
Conditions
Interventions
Experimental group: 52 women were instructed to perform during labor, slow and deep breathing during contractions, in between the contractions, release of all body muscles associated with slow thoraco
Other
D000529
D019050
Sponsors
Faculdade de Enfermagem da Universidade Estadual de Campinas
Hospital da Mulher "Profº Drº José Aristodemo Pinotti" - CAISM - Universidade Estadual de Campinas
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 156 women in labor; 37 weeks gestation or more; single and cephalic fetus; cervical dilation greater than or equal to 4 cm; two or more contractions in 10 minutes; skin integrates on acupressure point.
Exclusion criteria
Exclusion criteria: Pregnant women with severe hypertensive disease; pregnancy bleeding; early indication of cesarean section; dilated cervix equal to or greater at 8 cm; analgesic drug use for less than 6 hours of admission in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain control during labor according to the visual analog scale (VAS) graded from 0 to 10, 0 for complete absence of pain and 10 being the worst pain experienced, assessed before, 20 and 60 minutes of treatment.;The average pain score was not different among the three groups at baseline (p=0.098). However, a difference was seen immediately after acupressure (SP6 5.92 ± 2.29 versus placebo 7.60 ± 2.47 versus control 8.50 ± 1.90, p<0.001) and at 60 minutes of treatment (SP6 6.47 ± 2.21 versus placebo 8.09 ± 2.25 versus control 8.75 ± 1.82, p<0.001). These differences were significantly different between groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of labor; cesarean delivery rate; Apgar in the first and fifth minute of the newborn; use of analgesics and analgesia. ;The duration of labor was significantly different between the SP6 acupressure group [221.5 min (± 162.4 min)] versus placebo [397.9 min (± 265.6 min)] and versus control [381.9 min (± 358.3) min)] (p=0.005); the groups were similar regarding the cesarean section raterates (p=0.255); there was no difference between the Apgar scores in the first minute (p=0.954) and fifth minute (SP6 9.62 versus placebo 9.54 versus control 9.29, p=0.722); use of intravenous or intramuscular analgesic, epidural anesthesia or combined blockade showed no statistical difference (p=0.584) during study. | — |
Countries
Brazil
Contacts
Public ContactReginaldo Mafetoni
Hospital da Mulher Prof. Dr. José Aristodemo Pinotti - CAISM/UNICAMP
Outcome results
None listed