Delivery Pain and Postpartum Comfort

NCT ID: NCT04977713

Last Updated: 2021-07-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 120 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-05-15
• Study Completion Date: 2020-01-31

Brief Summary

In this study was aimed that acupressure applied on the BL32 point and shower application reduced the intensity of labor pain experienced by the pregnant women in the active phase of labor and increased their postpartum comfort

Detailed Description

Acupressure and shower are methods that can help reduce pain severity. This study thus aims to determine the effects of acupressure and shower on labour pain and postpartum comfort. This study was a randomized controlled trial (RCT). This study was the control group consisted of 40 pregnant women, while the experimental groups (acupressure and shower) consisted of 80 pregnant women in total. The experimental groups received routine labour care and either acupressure or showers upon reaching three cervical dilations (4-5, 6-7 and 8-10 cm). The control group only received routine labour care. A maternal information form (MIF), the Visual Analog Scale for Pain (VASP) and the Postpartum Comfort Questionnaire (PPCQ) were used to collect data. CONSORT checklist was used to report the current study.

Conditions

Labor Pain; Hydrotherapy; Acupressure; Postpartum Period

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Acupressure group

In the acupressure uterine contractions were checked before the care application began. Acupressure was applied when the women's cervical dilation reached 4-5 cm, 6-7 cm and 8-10 cm. This method was applied 18 times during uterine contractions. The application stopped at the end of each contraction and resumed once another contraction started. No application was performed between contractions.

Group Type: EXPERIMENTAL

Acupressure

Intervention Type: OTHER

A researcher sat behind the women to comfortably access the sacral area and be in the appropriate position. The researcher then applied deep rotational pressure on the BL32 points until her nail bed colour changed to prevent any discomfort in the participants

Shower Group

The shower group, uterine contractions were checked before the care application began. A shower was applied when the women's cervical dilation reached 4-5 cm, 6-7 cm and 8-10 cm. This method was applied 18 times during uterine contractions. The application stopped at the end of each contraction and resumed once another contraction started. No application was performed between contractions.

Group Type: EXPERIMENTAL

Shower

Intervention Type: OTHER

During uterine contractions, these participants took a shower while standing, with a researcher on hand to assist her (average time: 20 minutes). The water's temperature was between 22°C and 26°C.

Control group

The women in the control group underwent routine hospital care. They were administered neither pharmacological nor nonpharmacological methods to reduce labour pain.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Acupressure

A researcher sat behind the women to comfortably access the sacral area and be in the appropriate position. The researcher then applied deep rotational pressure on the BL32 points until her nail bed colour changed to prevent any discomfort in the participants

Intervention Type: OTHER

Shower

During uterine contractions, these participants took a shower while standing, with a researcher on hand to assist her (average time: 20 minutes). The water's temperature was between 22°C and 26°C.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Having a foetus in vertex presentation
• Having a foetus weighing 2.5-4 kg, as determined through ultrasonography
• Being primiparous
• Being between 37 and 42 gestational weeks with a single foetus
• Having planned to have a spontaneous vaginal delivery
• Not having used nonpharmacological pain control methods previously
• Having a cervical dilation less than 5 cm (Dabiri et al., 2014)
• Not having received analgesia or anaesthesia.

Exclusion Criteria

• Were having a systemic disease during pregnancy (gestational diabetes, hypertension)
• Taking medication regularly
• Having a problem that prevented the woman from communicating
• Undergoing psychiatric treatment (pharmacotherapy or psychotherapy)
• Requiring an operative vaginal delivery (forceps, vacuum)
• Receiving pharmacological interventions for labour pain.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Kırklareli University

OTHER

Sponsor Role: lead

Responsible Party

Ayca Solt Kirca

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

AYCA SOLT KIRCA, Phd

Role: PRINCIPAL_INVESTIGATOR

Kırklareli University

DERYA KANZA GÜL, Md, Phd

Role: PRINCIPAL_INVESTIGATOR

Medipol University

Locations

Medipol University

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

KırklareliAS-4

Identifier Type: -

Identifier Source: org_study_id