scholarly journals Comparing Effect of Auricular Acupressure and Body Acupressure on Pain and Duration of First Stage of Labor: Study Protocol for a Randomized Controlled Trial

2019 ◽  
Author(s):  
Zainab Alimoradi ◽  
farideh kazemi ◽  
Mahboubeh Valiani ◽  
Maryam Gorji
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Active Phase ◽  
Routine Care ◽  
Labor Pain ◽  
Significance Level ◽  
Randomized Controlled ◽  
Auricular Acupressure ◽  
Chi Squared ◽  
First Stage Of Labor

Abstract Background labor pain is one of the leading causes for fear of childbirth. Acupressure is a non-pharmacological pain relief method which showed promising results. Comparing the effect of body acupressure at multiple points and auricular acupressure on the pain and duration of labor, the present study is designed. Methods/Design In a randomized controlled trial, 90 primigravida women who attend for childbirth would be randomly assigned to three groups (interventions: body acupressure and auricular acupressure, control: routine care). In order to determine the allocation sequence with 1:1:1 ratio, the computer-generated 6-block randomization techniques would be used. To hide the allocation, the type of intervention will be written based on the generated sequence and put in opaque enveloped pockets; then, the pockets as well as questionnaires are encoded respectively. The pain score of all the participants would be measured at the peak uterine contraction at the 4cm cervical dilation and at 10 cm dilation based on visual analog scale (VAS). Duration of the active phase of labor in these groups are recorded too. Data are imported into SPSS-16 software. First, normality of the data distribution will be investigated. To compare the labor duration among the research groups, ANOVA would be used, which will be followed, in case of significance, by the Scheffe post-hoc test. Furthermore, Chi-squared test would be used to compare the categorized demographic variables and ANOVA or Kruskal-Wallis tests will be used to compare the quantitative variables in the studied groups. significance level of 0.05 is considered significant. Discussion In this study the effect of auricular acupressure and body acupressure on pain and duration of first stage of labor will be compared. Trial registration number IRCT20180218038789N1 in 2018-03-04; pre result.

scholarly journals Comparing Effect of Auricular Acupressure and Body Acupressure on Pain and Duration of First Stage of Labor: Study Protocol for a Randomized Controlled Trial

2019 ◽  
Author(s):  
Zainab Alimoradi ◽  
Farideh Kazemi ◽  
Mahboubeh Valiani ◽  
Maryam Gorji
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Active Phase ◽  
Routine Care ◽  
Labor Pain ◽  
Significance Level ◽  
Randomized Controlled ◽  
Auricular Acupressure ◽  
Chi Squared ◽  
First Stage Of Labor

Abstract Background Labor pain is one of the leading causes for fear of childbirth. Acupressure is a non-pharmacological pain relief method which showed promising results. Comparing the effect of body acupressure at multiple points and auricular acupressure on the pain and duration of labor, the present study is designed. Methods/Design In a randomized controlled trial, 90 primigravida women who attend for childbirth would be randomly assigned to three groups (interventions: body acupressure and auricular acupressure, control: routine care). In order to determine the allocation sequence with 1:1:1 ratio, the computer-generated 6-block randomization techniques would be used. To hide the allocation, the type of intervention will be written based on the generated sequence and put in opaque enveloped pockets; then, the pockets as well as questionnaires are encoded respectively. The pain score of all the participants would be measured at the peak uterine contraction at the 4cm cervical dilation and at 10 cm dilation based on visual analog scale (VAS). Duration of the active phase of labor in these groups are recorded too. Data are imported into SPSS-16 software. First, normality of the data distribution will be investigated. To compare the labor duration among the research groups, ANOVA would be used, which will be followed, in case of significance, by the Scheffe post-hoc test. Furthermore, Chi-squared test would be used to compare the categorized demographic variables and ANOVA or Kruskal-Wallis tests will be used to compare the quantitative variables in the studied groups. significance level of 0.05 is considered significant. Discussion In this study the effect of auricular acupressure and body acupressure on pain and duration of first stage of labor will be compared.

scholarly journals Comparing Effect of Auricular Acupressure and Body Acupressure on Pain and Duration of First Stage of Labor: Study Protocol for a Randomized Controlled Trial

2019 ◽  
Author(s):  
Zainab Alimoradi ◽  
farideh kazemi ◽  
Mahboubeh Valiani ◽  
Maryam Gorji
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Active Phase ◽  
Routine Care ◽  
Labor Pain ◽  
Significance Level ◽  
Randomized Controlled ◽  
Auricular Acupressure ◽  
Chi Squared ◽  
First Stage Of Labor

Abstract Background labor pain is one of the leading causes for fear of childbirth. Acupressure is a non-pharmacological pain relief method which showed promising results. Comparing the effect of body acupressure at multiple points and auricular acupressure on the pain and duration of labor, the present study is designed. Methods/Design In a randomized controlled trial, 90 primigravida women who attend for childbirth would be randomly assigned to three groups (interventions: body acupressure and auricular acupressure, control: routine care). In order to determine the allocation sequence with 1:1:1 ratio, the computer-generated 6-block randomization techniques would be used. To hide the allocation, the type of intervention will be written based on the generated sequence and put in opaque enveloped pockets; then, the pockets as well as questionnaires are encoded respectively. The pain score of all the participants would be measured at the peak uterine contraction at the 4cm cervical dilation and at 10 cm dilation based on visual analog scale (VAS). Duration of the active phase of labor in these groups are recorded too. Data are imported into SPSS-16 software. First, normality of the data distribution will be investigated. To compare the labor duration among the research groups, ANOVA would be used, which will be followed, in case of significance, by the Scheffe post-hoc test. Furthermore, Chi-squared test would be used to compare the categorized demographic variables and ANOVA or Kruskal-Wallis tests will be used to compare the quantitative variables in the studied groups. significance level of 0.05 is considered significant. Discussion In this study the effect of auricular acupressure and body acupressure on pain and duration of first stage of labor will be compared. Trial registration number IRCT20180218038789N1 in 2018-03-04; pre result.

scholarly journals Comparing the effect of auricular acupressure and body acupressure on pain and duration of the first stage of labor: study protocol for a randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Zainab Alimoradi ◽  
Farideh Kazemi ◽  
Mahboubeh Valiani ◽  
Maryam Gorji
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Active Phase ◽  
Routine Care ◽  
Labor Pain ◽  
Significance Level ◽  
Randomized Controlled ◽  
Auricular Acupressure ◽  
Chi Squared ◽  
First Stage Of Labor

Abstract Background Labor pain is one of the leading causes of fear of childbirth. Acupressure is a non-pharmacological pain relief method that has shown promising results in relieving this pain. The present study is designed to compare the effects of body acupressure at multiple points and auricular acupressure on the pain and duration of labor. Methods/design In a randomized controlled trial, 90 primigravida women who attend for childbirth will be randomly assigned to one of three groups (intervention groups of either body acupressure or auricular acupressure; control, consisting of routine care). Computer-generated six-block randomization techniques will be used to determine the allocation sequence with a 1:1:1 ratio. To hide the allocation, the type of intervention will be written according to the generated sequence and put in opaque envelopes; these as well as questionnaires will be encoded. The pain score for all participants will be measured at the peak uterine contraction at 4-cm cervical dilation and at 10-cm dilation based on a visual analog scale (VAS). The duration of the active phase of labor in these groups will be recorded too. Data will be imported into SPSS-16 software. First, normality of the data distribution will be investigated. To compare labor duration among the research groups, ANOVA will be used, which will be followed, in case of significance, by the Scheffe post hoc test. Furthermore, Chi-squared test will be used to compare the categorized demographic variables and ANOVA or Kruskal–Wallis tests will be used to compare the quantitative variables in the studied groups. A significance level of 0.05 is considered significant. Discussion In this study the effect of auricular acupressure and body acupressure on pain and duration of first stage of labor will be compared. Trial registration Iranian Registry of Clinical Trials, IRCT20180218038789N1. Registered 2018-03-04; pre result.

scholarly journals Comparing Effect of Auricular Acupressure and Body Acupressure on Pain and Duration of First Stage of Labor: Study Protocol for a Randomized Controlled Trial

2018 ◽  
Author(s):  
Zainab Alimoradi ◽  
Farideh Kazemi ◽  
Mahboubeh Valiani ◽  
MSc Maryam Gorji
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Active Phase ◽  
Routine Care ◽  
Labor Pain ◽  
Significance Level ◽  
Randomized Controlled ◽  
Auricular Acupressure ◽  
Chi Squared ◽  
First Stage Of Labor

Abstract Background: labor pain is one of the leading causes for fear of childbirth. Acupressure is a non-pharmacological pain relief method which showed promising results. Comparing the effect of body acupressure at multiple points and auricular acupressure on the pain and duration of labor, the present study is designed. Methods/Design: In a randomized controlled trial, 90 primigravida women who attend for childbirth, would be randomly assigned to three groups (interventions: body acupressure and auricular acupressure, control: routine care). In order to determine the allocation sequence with 1:1:1 ratio, the computer-generated 6-block randomization techniques would be used. To hide the allocation, the type of intervention will be written based on the generated sequence and put in opaque enveloped pockets; then, the pockets as well as questionnaires are encoded respectively. The pain score of all the participants would be measured at the peak uterine contraction at the 4cm cervical dilation and at 10 cm dilation based on visual analog scale (VAS). Duration of the active phase of labor in these groups are recorded too. Data are imported into SPSS-16 software. First, normality of the data distribution will be investigated. To compare the labor duration among the research groups, ANOVA would be used, which will be followed, in case of significance, by the Scheffe post-hoc test. Furthermore, Chi-squared test would be used to compare the categorized demographic variables and ANOVA or Kruskal-Wallis tests will be used to compare the quantitative variables in the studied groups. significance level of 0.05 is considered significant. Discussion: In this study the effect of auricular acupressure and body acupressure on pain and duration of first stage of labor will be compared.

scholarly journals Oral Paracetamol versus Oral Paracetamol with Codeine as Intrapartum Analgesic in the First Stage of Labor: Randomized Controlled Trial

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A M Hashad ◽  
A E Elbohoty ◽  
M E Ahmed ◽  
K M Ibrahim
Keyword(s):  
Randomized Controlled Trial ◽  
Adverse Effects ◽  
Child Labor ◽  
Controlled Trial ◽  
Active Phase ◽  
Labor Pain ◽  
Painful Condition ◽  
Randomized Controlled ◽  
Nulliparous Women ◽  
First Stage Of Labor

Abstract Background Labor pain includes components that differ completely from pain in general. It is the result of natural events and has a special meaning, leading in most cases to something extremely positive, the birth of a healthy child. Labor is a painful condition, considered to be one of the most intense and stressful experiences especially for nulliparous women. Although studies have found significant rise in pain threshold during labor. It is nonetheless an important goal to provide safe and effective methods of analgesia for women in a pain in order, amongst other reasons, to obtain her maximum cooperation. Aim of the Work The aim of this study is to evaluate the efficacy and adverse effects of oral paracetamol (500mg) during the active phase of labor compared with oral solpadeine (paracetamol 500mg with codeine 8mg) as a method for intrapartum analgesia. Patients and Methods This study double blinded randomized controlled trial was conducted on 220 low-risk gravid women have labor pain in first stage of labor and need analgesia comparing the effect of administration of oral paracetamol (500mg) and oral paracetamol 500mg with codeine (8mg) (solpadeine capsule) on managing of pain during active phase of labor. Study setting: The current study was conducted at Ain Shams University Maternity Hospital for about 6 months from February to August 2017. Results As recorded by the VAS score, there was significant pain reduction at 1, 2, 3 and 4 hours in both groups (P = 0.001). The reduction in pain was significantly greater in the solpadeine group only at hour 2 (P = 0.001). Maternal complication as nausea, vomiting, abdominal pain and indigestion were 2 fold to 4 fold more in solpadeine group than in paracetamol group. Conclusion The use of oral paracetamol as analgesia during labor appeared to be effective, safe, done anywhere of labor situations, with no fetal or maternal adverse effects. Using paracetamol as labor analgesia is a new line; it needs to have more chance in comparison with other forms and routs. Also it can be used as adjuvant drug with other types of analgesics. Recommendations Paracetamol may be a good alternative to codeine and opioids as regards analgesic in labor. Maternal and neonatal adverse effects of codeine and opioids as pethidine are good reasons to find another alternative, further randomized controlled trial on wider scale are needed and other forms of paracetamol as suppositories or intravenous are desired to be used as analgesia in different stages of labor and postpartum.

scholarly journals The effects of transcutaneous electrical nerve stimulation during the first stage of labor: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anne Njogu ◽  
Si Qin ◽  
Yujie Chen ◽  
Lizhen Hu ◽  
Yang Luo
Keyword(s):  
Transcutaneous Electrical Nerve Stimulation ◽  
Controlled Trial ◽  
Labor Pain ◽  
Control Group ◽  
Electrical Nerve Stimulation ◽  
Randomized Controlled ◽  
Active Labor ◽  
Vas Scores ◽  
Experimental Group ◽  
First Stage Of Labor

Abstract Background Labor pain during childbirth can have devastating effects on the progress of labor, mother, and fetus. Consequently, the management of labor pain is crucial for the well-being of the mother and fetus. Transcutaneous electrical nerve stimulation (TENS) is a non -pharmacological analgesic technique. It uses a low-voltage electrical current to activate descending inhibitory systems in the central nervous system to relieve pain. This study aimed to determine the effects of TENS therapy in the first stage of labor. Methods In this single-blind randomized controlled trial, we screened low-risk pregnant women who anticipated spontaneous vaginal delivery. Women were assigned (1:1) to either the experimental group (received TENS therapy in the first stage of labor) or the control group (received routine obstetric care). The women, midwives, and researchers working in the gynecology and obstetric department were aware of the treatment group, but statisticians analysis the data were blinded. The primary outcome was labor pain intensity, assessed by visual analog scale (VAS) immediately after the randomization, at 30, 60, and 120 min after TENS therapy, and 2–24 h post-delivery. We used SPSS 21.0 software in data analysis. An independent sample t-test compared the mean VAS scores and labor duration between groups. A Chi-square test was employed to compare categorical variables between the groups. A significant level of ≤0.05 was statistically significant. Results A total of 326 pregnant women were eligible: experimental group (n = 161) and control group (n = 165). The experimental group had statistically significantly lower mean VAS scores at a different time (30, 60, and 120 min post-intervention and 2–24 h post-delivery) than the control group (p < 0.001). The experimental group demonstrated a statistically significant shorter duration of the active labor phase than the control group (p < 0.001). Conclusion This study indicates that TENS can be used as a non-pharmacological therapy to reduce pain and shorten the active labor phase. Trial registration ISRCTN registry, ISRCTN23857995. Registered on 11/12/2020, ‘retrospectively registered.

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