Clinical trial NCT05764512: Endorphin Massage Application to Women Who Gave Birth Vaginally
Official title: Endorphins Applied to Women Who Have Delivered Vaginally Effect of Massage on Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pain
Birth, First
Keywords: Birth
Vaginal Birth
Massage
Pain
Endorphin
Lead sponsor: TC Erciyes University
Sponsor class: OTHER
First posted: 2023-03-10
Enrollment: 80
Sex: FEMALE
Minimum age (years): 19
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Two gruops with intervention gruop and control grup.
Primary purpose: SUPPORTIVE_CARE

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.

Eligibility criteria: 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)

Primary outcomes:
measure: Visual Analog Scale
timeFrame: two hours
measure: Brief Mood Introspection Scale
timeFrame: two hours
measure: Serum Beta Endorphin Level
timeFrame: two hours
Secondary outcomes:
Other outcomes:
Locations:
city: Kocasinan
country: Turkey
facility: Kayseri City Hospital
state: Kayseri
Study officials:
affiliation: TC Erciyes University
name: Nurseli SOYLU ERENER
role: PRINCIPAL_INVESTIGATOR
References:
citation: Guney E, Ucar T. Effects of deep tissue massage on pain and comfort after cesarean: A randomized controlled trial. Complement Ther Clin Pract. 2021 May;43:101320. doi: 10.1016/j.ctcp.2021.101320. Epub 2021 Jan 28.