Oxytocin causes more pain for women during laor. Thus shortening the duration of active phase of labor in primiparous women who received oxytocin and decrease labor pain during active phase is important. Thus testing the combination of 2 methods 1) lower rate of oxytocin 2)applying upright position will be conducted in this study. lowering rate of oxytocin and applying upright positions duration of active phase labor pain
Conditions
Interventions
receive standard nursing care/usual care.,Adopt adjusting lowering rate of oxytocin (decrease rate 1-2 mU/min every 30 minutes) and applying upright positions (the modified Bhadrasana pose alternating
Group 1 control group,Group 2 experimental group
Sponsors
Research Grant for Thesis, Graduate School, Prince of Songkla University.
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: (1)Primiparous women. (2)The gestational age is between 37-41+6 weeks. (3)Single pregnancy with cephalic presentation. (4)First antenatal care no more than 14-28 weeks. (5)No history of injury or disability in the spine and pelvic area. (6)No health complications in obstetrics, internal medicine and surgery. (7)Pre-Pregnancy Body Mass Index (BMI) ranged from 18.50-26.0 kg/m2. (8)Estimated Fetal Weight 2,500-3,900 gms. ;calculated by using Dare's Formula ( Weight in gms = Abdominal girth (cms) x Symphysiofundal height (cms)) (9)Fetal Heart Rate between 110-160bpm. (10)Oxytocin administration for augmentation.
Exclusion criteria
Exclusion criteria: 1.Volunteers participated in more than 2 research projects. 2.Received antepartum analgesia before requesting consent . 3.Plan for pain relief using spinal block. 4.fetal distress such as having late decelerations. 5.Materal can not's comply the protocol of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of active phase 2 points of time of data collection.. 1) at cervical dilation of 5cm. 2)at cervical dilation of 10cm. The duration of time (minutes) will be recorded from the time of starting point of the study in which cervical dilation at 5cm to cervical 10cm. | — |
Secondary
| Measure | Time frame |
|---|---|
| Labor pain 3 points of time..1)before start intervention (5 cm of cervical dilatation) 2)after received intervention at 1 hour. 3)after received intervention at 1 hour 100 mm VAS of pain | — |
Countries
Thailand
Contacts
Public ContactBUANIAM PHATCHARIN
Faculty of Nursing, Prince of Songkla University.
Outcome results
None listed