Clinical trial NCT04977713: Delivery Pain and Postpartum Comfort
Official title: Effects of Acupressure and Shower Applied in the Delivery on the Intensity of Labor Pain and Postpartum Comfort
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Labor Pain
Hydrotherapy
Acupressure
Postpartum Period
Keywords: labor pain
shower
acupressure
midwife
postpartum comfort
Lead sponsor: Kırklareli University
Sponsor class: OTHER
First posted: 2021-07-27
Enrollment: 120
Sex: FEMALE
Minimum age (years): 20
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The randomized controlled trial
Primary purpose: PREVENTION

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.

Eligibility criteria: Inclusion Criteria:

* The inclusion criteria were being 20-40 years of age;
* 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.

Primary outcomes:
measure: Reduce labor pain
timeFrame: Evaluation was done until delivery (on average between 8-12 hours)
measure: Postpartum comfort levels
timeFrame: 2 hours after birth
measure: A maternal information form
timeFrame: before birth
measure: Visual Analog Scale for Pain (VASP)
timeFrame: Evaluation was done until delivery (on average between 8-12 hours)
measure: Postpartum Comfort Questionnaire (PPCQ)
timeFrame: 2 hours after birth
measure: Evalution labour pain
timeFrame: Evaluation was done until delivery (on average between 8-12 hours)
measure: Evalution postpartum comfort
timeFrame: 2 hours after birth
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Medipol University
Study officials:
affiliation: Kırklareli University
name: AYCA SOLT KIRCA, Phd
role: PRINCIPAL_INVESTIGATOR
affiliation: Medipol University
name: DERYA KANZA GÜL, Md, Phd
role: PRINCIPAL_INVESTIGATOR
References: