Prince of Songkla University Cat and upright positions together with music reduces the duration of active phase of labour and labour pain in primiparous women compared to oxytocin

2014 ◽  
Vol 19 (2) ◽  
pp. 70-77 ◽  
Author(s):  
Sasitorn Phumdoung ◽  
Sununta Youngwanichsetha ◽  
Sukit Mahattanan ◽  
Tawit Payakkamas ◽  
Kalaya Maneechot ◽  
...  
Keyword(s):  
Active Phase ◽  
Labour Pain ◽  
Prince Of Songkla University ◽  
Primiparous Women

The Effect of Reflexology on Labor Pain and Length Among Primiparous Women: A Randomized Controlled Trial

2018 ◽  
Vol 7 ◽  
Author(s):  
Azita Kamjoo
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Singleton Pregnancy ◽  
Group Data ◽  
Significant Difference ◽  
Labor Length ◽  
Primiparous Women

Background: Pain control is considered as the key issue in modern midwifery. Along with medical painkillers, reflexology is viewed as a non-medical and noninvasive method. Hence, we aimed to investigate the effect of reflexology on the intensity of pain and length of labor. Materials and Methods: In this clinical trial, participants included 240 Iranian primiparous women with term and singleton pregnancy. Having a 3-4 cm cervical dilatation once they visited the hospital. Through a convenient sampling method, they were selected and then randomly divided into two groups. In the intervention group, reflexology was performed, and the intensity of pain during the active phase of labor along with the length of labor in the active phase was measured by visual analog scale (VAS) and compared with the control group. Data were analyzed using descriptive statistics, t-test, and Mann-Whitney U-test. Result: Data analysis showed a statistically significant difference between the intensity of pain in the 5-7 and 8-10 cm dilatation in the two groups (P=0.01). Moreover, the labor length in the active phase was found to be significantly shorter in the intervention group (P<0.001). Conclusion: It appears that reflexology can lead to a reduction in the pain and length of labor. Therefore, through instructing this technique, a goal of midwifery, which is reducing labor pain and its length can be achieved. Keywords: Reflexology, Labor Pain, Labor Length, Primiparous Women

scholarly journals Title: Application of a physiotherapy protocol to women during the active phase of labour improves obstetric outcomes: a randomized clinical trial.

2021 ◽  
Author(s):  
LICIA SANTANA ◽  
Rubneide Gallo ◽  
Silvana Quintana ◽  
Geraldo Duarte ◽  
Cristine Homsi Ferreira ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Perinatal Outcomes ◽  
Active Phase ◽  
Labour Pain ◽  
Obstetric Outcomes ◽  
Control Group ◽  
Phase Duration ◽  
Intention To Treat ◽  
Reference Centre ◽  
Care Protocol

Objective: To evaluate the effectiveness of a non-pharmacological childbirth care protocol in women in the active phase of labour in improving obstetric and perinatal outcomes. Design: Randomized trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Setting: Reference Centre of Women’s Health of Ribeirão Preto–MATER, São Paulo, Brazil. Methods: Eighty low-risk primiparous women at the end of pregnancy and beginning of the active phase of labour were randomized to experimental group (EG) (n=40) or control group (CG) (n=40). Women in EG received four interventions: ambulation at 4 to 6 cm of cervical dilation; alternative maternal positions associated with TENS at 6 to 7 cm, and a warm shower bath at >7 cm. The CG received only routine obstetric. Main outcome measures: The length of the active phase of labour, the expulsive phase duration, and the prevalence of labour dystocia assessed by the partograph. Results: The parturients who received the sequential non-pharmacological protocol had a shorter length of the active phase of labour (CG=444 minutes; EG=373 minutes; p=0,02), presented rupture of membranes later in labour (CG=7cm; EG=8cm; p<0,01), requested pharmacological analgesia with more significant cervical dilatation (CG=5cm; EG=8cm; p<0,01) and had lower labour dystocia rates than the patients in the CG. Conclusion: The implementation of a sequential non-pharmacological protocol has the potential in decreased and delayed use of pharmacological analgesia, duration of the active phase of labour and dystocia rates. Keywords: length of labour, labour pain, dystocia, randomized controlled trial, non-pharmacological resources, pharmacological analgesia. Trial registration: NCT01601860 Link: https://clinicaltrials.gov/ct2/show/NCT01601860

Literature Review : Penerapan Metode Kompres Hangat Dalam Menurunkan Intensitas Nyeri Ibu Bersalin Kala 1 Fase Aktif

2021 ◽  
Vol 1 ◽  
pp. 1721-1726
Author(s):  
Moh Faesol ◽  
Windha Widyastuti
Keyword(s):  
Literature Review ◽  
Health Workers ◽  
Oxygen Demand ◽  
Active Phase ◽  
Labour Pain ◽  
Pain Scale ◽  
Google Scholar ◽  
Average Pain ◽  
Scientific Report ◽  
Stage 1

AbstractThe unproper handied labour pain may ancrease blood pressure as well as oxygen demand, and decrease uterine contraction. Warm compress is a method that can be applied to reduce the intensity of pain during labour. this scientific report was written to describe the application of warm compresses to reduce the intensity of maternal pain during the first active phase of labour based on a literature review. this literature review was constructed by analyzing 3 articles takeen from Google Scholar with "labour pain", "firts active phase" and "warm compresses" the keywords, in the form of fulltext articles, and published during 2011 - 2021. From 78 respondent, 66.6% of them aged >25 years old, 58% were multipara, and 60.4% finished secondary education. The result showed that the average pain scale before the intervention was 5,3. Therefore, it can be concluded that warm compresses can reduce labour pain during the firts active phse. hence, health workers are suggested to give warm compresses to reduce the intensity of labour pain during the firts active phase.Keywords: Labour Pain; Warm Compresses; Stage 1 Active Phase AbstrakNyeri persalinan yang tidak ditangani dengan tepat dapat menyebabkan peningkatan tekanan darah, peningkatan kebutuhan oksigen dan penurunan kotraksi uterus. Metode kompres hangat merupakan salah satu intevensi yang dapat menurunkan intensitas nyeri pada ibu bersalin. Penulisan karya tulis ilmiah ini bertujuan untuk mengambarkan penerapan kompres hangat terhadap intensitas nyeri ibu bersalin kala 1 fase aktif berdasarkan literature review. Desain karya tulis ilmiah ini adalah Literature Review, dengan menganalisis 3 artikel yang diambil dari laman google scholar dengan kata kunci “nyeri persalinan”, “kala 1 fase aktif” dan “kompres hangat”, berupa artikel fulltext artikel terbit pada tahun 2011-2021 . Hasil analisa karakteristik responden berjumlah 78,  66,6%  responden berusia >25 tahun, 58% paritas Multipara, dan 60,4% pendidikan menegah. Rata-rata skala nyeri sebelum intervensi 7,9 dan setelah intervensi 5,3. Kesimpulanya adalah kompres hangat dapat menurunkan nyeri pada ibu bersalin kala 1 fase aktif. Saran bagi tenaga kesehatan adalah memberikan kompres hangat untuk menggurangi intensitas nyeri bersalin kala 1 fase aktif.Kata kunci: Nyeri Persalinan; Kompres hangat; Kala 1 Fase Aktif

scholarly journals Paracetamol versus meperidine for relief of labour pain in primiparous women: a randomized controlled trial

2019 ◽  
Vol 8 (8) ◽  
pp. 3085
Author(s):  
Sherif M. Habib ◽  
Mohamed H. Mostafa ◽  
Mohamed H. Salama ◽  
Hend G. Swilam
Keyword(s):  
Pain Relief ◽  
Pain Perception ◽  
Controlled Trial ◽  
Mode Of Delivery ◽  
Neonatal Resuscitation ◽  
Active Phase ◽  
Labour Pain ◽  
Labor Pain ◽  
Intravenous Paracetamol ◽  
The Cost

Background: Most parturient women request analgesia, of which, there are two types; opioids and non-opioids. Opioids include morphine and meperidine, while non-opioids, which are milder forms of painkillers, include acetaminophen (paracetamol) and non-steroid anti-inflammatory drugs. The major concerns associated with opioids are the risk of neonatal respiratory depression, the cost and availability.Methods: The aim of this study was to compare the efficacy and safety of paracetamol versus meperidine for intra-partum pain relief. A total of 92 primiparous singleton term pregnant women were randomly allocated to receive intravenous paracetamol (1000 mg), or intramuscular meperidine (50 mg), at the beginning of the active phase of labor. The primary outcome was the labor pain perception, assessed using the visual analogue scale (VAS), at baseline, 15, 30, 60 and 120 minutes after administration of the drug.Results: Women of both groups showed significant reduction of the VAS after administration of the medication. There were no differences between both groups regarding the mode of delivery and the durations of the first or second stages of labor. However, meperidine was associated with higher rates of dizziness and nausea/vomiting. The 1-min Apgar scores were significantly lower in meperidine group. However, there were no differences in the 5-min Apgar score, need for neonatal resuscitation or neonatal respiratory distress.Conclusions: intravenous paracetamol as analgesia during labor is effective with no fetal or maternal adverse effects. Its use should have more chance for intrapartum pain relief. Additionally, it can be used as adjuvant with other types of analgesics.

EFFECT OF PETHIDINE VERSUS TRAMADOL ON LABOUR PAIN IN PRIMIPAROUS WOMEN

2012 ◽  
Vol 2 (1) ◽  
pp. 17-27 ◽  
Author(s):  
Sundus Yousif Kellow ◽  
◽  
Shlear Majeed Muhammad Ali ◽  
Keyword(s):  
Labour Pain ◽  
Primiparous Women

scholarly journals Efektivitas kombinasi birth massage dan perubahan posisi terhadap penurunan nyeri persalinan kala I fase aktif

2020 ◽  
Vol 4 (1) ◽  
pp. 1-5
Author(s):  
Evi Rinata ◽  
Rafhani Rosyidah
Keyword(s):  
Treatment Group ◽  
Pain Score ◽  
Active Phase ◽  
Labour Pain ◽  
Labor Pain ◽  
Control Group ◽  
Consecutive Sampling ◽  
Average Pain ◽  
Average Pain Score ◽  
And Control

Latar belakang: Nyeri persalinan merupakan proses fisiologis akibat kontraksi miometrium dengan intesitas yang berbeda pada masing-masing individu. Meskipun fisiologis namun nyeri persalinan akan terasa menyakitkan, tidak menyenangkan dan menakutkan bagi ibu. Tujuan penelitian: Mengetahui efektivitas kombinasi birth massage dan perubahan posisi terhadap penurunan nyeri persalinan kala I fase aktif. Metode: Desain penelitian Quasi Eksperimental Design dengan metode Nonequivalent Control Group Design menggunakan pretest – posttest design. Populasi ibu bersalin kala I fase aktif yang memenuhi kriteria inklusi menggunakan consecutive sampling. Jumlah sampel 48 ibu bersalin yang dibagi dua kelompok yaitu kelompok perlakuan (birth massage dan perubahan posisi) dan kelompok kontrol (birth massage). Pengamatan nyeri persalinan pre dan posttest menggunakan skala nyeri dengan observasi perilaku (FLACC behavioral scale). Hasil: Hasil penelitian menunjukkan rerata skor nyeri persalinan kelompok perlakuan pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Sedangkan rerata skor nyeri persalinan kelompok kontrol pretest adalah 6,17± 1,129 dan posttest 2,79 ± 1,414 dengan rerata penurunan skor nyeri pretest dan posttest sebesar 3,38 ± 1,173. Hasil uji Mann – Whitney didapatkan nilai P = 0,564 yang berarti tidak ada perbedaan penurunan nyeri pada kelompok yang diberikan birth massage kombinasi perubahan posisi atau pada kelompok yang hanya diberikan birth massage. Simpulan: Tidak ada perbedaan penurunan nyeri persalinan pada kelompok perlakuan dan kelompok kontrol. Background: Labour pain is the physiological processes as a result of the contraction of myometrium with different intensity on each individual. Although it is physiological, labour pain is painful, unpleasant and frightening for the mother. Objective: This research aims to know the effectiveness of combination between birth massage and change position towards the decrease of labor pain in the forst active phase. Methods: The design of this study was Quasi Experimental with Nonequivalent Control Group method using pretest-posttest Design was applied. The population of maternity mother in the first active phase that meet the criteria of inclusion by using consecutive sampling. The number of sample was 48 maternity mothers divided into two groups, treatment group (birth massage and position change) and control group (birth massage). Observation on labor pain during pre and posttest used behavioral FLACC scale. Results: The results showed a mean score of labor pain treatment group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. While the average score labor pain control group pretest is 6.17 ± 1.129 and posttest 2.79 ± 1.414 with average pain score decrease of pretest and posttest of 3.38 ± 1.173. Mann-Whitney test results obtained the value of P = 0.564 which means there is no difference in decreasing pain in the group given birth massage combined with position changes and in the group just given birth massage. Conclusion: There is no difference between labor pain in treatment group and control group who were just given birth massage.

scholarly journals Effectivity of Large Intestine 4 Point Accupressure on Labour Pain Stage-I Active Phase

2021 ◽  
Vol 5 (11) ◽  
pp. 1225-1230
Author(s):  
Noviyanti ◽  
Ratna Dewi ◽  
Adri Idiana
Keyword(s):  
Phase I ◽  
Large Intestine ◽  
Therapy Group ◽  
Active Phase ◽  
Labour Pain ◽  
Routine Care ◽  
Labor Pain ◽  
Stage I ◽  
Care Group ◽  
Control Group

Background: Law of the Republic of Indonesia No. 36 of 2009 concerning traditional health services (Yankestrad), namely articles 1, 48, 59, 60 and 61. Acupressure is included in Yankestrad skills that are easy, cheap, simple, effective, and without any side effects. harmful. Acupressure at the Large Intestine 4 Point (LI4) based on the literature is able to reduce labor pain in the first stage of the active phase. Methods: This type of research is quasi-experimental with a pre-test and post-test research design. The samples were divided into two groups, the treatment group and the control group. Results: Based on the results of the research that has been carried out, it can be concluded as follows: Active phase I labour pain before being given Acupressure Therapy for primigravida mothers in PMB Aceh Besar District averaged 7.35. Active phase I labour pain after being given Acupressure Therapy to primigravida mothers in PMB Aceh Besar District decreased by an average of 5.47. Conclusions: There are differences in labour pain in the stage-I of active phase in the Acupressure therapy group with the Routine care group for the stage-I of labour for primigravida mothers in PMB Aceh Besar District.

scholarly journals A Survey of Iranian Primiparous Women’s Perceptions of Vaginal Examination During Labor

2020 ◽  
Vol 11 ◽  
pp. 215013272094051
Author(s):  
Samaneh Dabagh-Fekri ◽  
Leila Amiri-Farahani ◽  
Leila Amini ◽  
Sally Pezaro
Keyword(s):  
Linear Regression Analysis ◽  
Active Phase ◽  
Multiple Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Data Collection Tool ◽  
Cross Sectional ◽  
Women’S Perceptions ◽  
The Mean ◽  
Convenience Sampling ◽  
Primiparous Women

Objective: To assess perceptions about vaginal examinations (VEs) during labor among women referred to the Akbarabadi Hospital in Tehran, Iran. Methods: This was a cross-sectional study conducted from December 2015 to May 2016. It included 200 primiparous women. Convenience sampling was used to select participants. The data collection tool was a questionnaire that collected both demographic and obstetric data from participants, as well as data in relation to women’s experiences according to a designated and validated scale, 24 hours after childbirth. Higher scores were indicative of a more positive perception in relation to a participant’s experience of VE. Results: The mean ± SD score for the perception of the VE and number of examinations in the active phase of labor was 62.9 ± 26.2 and 7.4 ± 2.44, respectively. Multiple linear regression analysis showed a significant relationship between perceived duration of examination (short, average [B = −1.03], long [B = 3.84]), feeling of comfort with the examiner (B = 2.73), and number of examiners (B = −0.81) with the mean scores of their perceptions ( P < .05). These 3 variables accounted for 8% of the changes in the women’s perceptions score of VE. Conclusion: The majority of participants in this study underwent excessive VEs during labor. If obstetrically safe, a reduction in the number of examinations during labor along with decreased duration based on women’s perceptions could improve women’s perceptions of VE overall. Additionally, should each VE be performed by the same clinician, women’s perceptions in relation to VEs may also improve.

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