Effects of Acupressure on Labor Length and Outcome in Nulliparous Women: A Clinical Trial

Abstract Background Childbirth is a unique experience that affects women’s life. Therefore, this study was performed to determine the effect of delivery ball and warm shower on the childbirth experience of primiparous women. Methods This study is a clinical trial that was carried out on primiparous pregnant women referred to Motazedi Hospital in Kermanshah, Iran. Sampling was done by continuous method and pregnant women were divided into three groups of delivery ball-warm shower (n = 33), delivery ball (n = 33) and control (n = 33). Exercise with ball at the dilation of 4 cm was similar in the two groups of delivery ball-warm shower and delivery ball, but the first group also used warm shower at the dilatation of 7 cm. The control group only received the routine delivery care. Demographic information form consisting of pregnancy history and information about the mother and infant were completed and the childbirth experience questionnaire (CEQ) were completed by the women two hours after the childbirth. Results There was a statistically significant difference in the mean score of childbirth experience after the intervention between the two groups of delivery ball-warm shower and control (P = 0.001), and also between the delivery ball and control groups (P = 0.001). There was a statistically significant difference in the mean scores of professional support between the two groups of delivery ball-warm shower and control (P = 0.02) and also between the delivery ball and control groups (p = 0.02). There was a statistically significant difference in the mean scores of participation between the two groups of delivery ball-warm shower and control (P = 0.003) and also between the delivery ball and control groups (P = 0.01). There was also a statistically significant difference in the mean scores of sense of security between the two groups of delivery ball-warm shower and control (P = 0.01). Conclusion Delivery ball and warm shower were effective interventions to create a positive childbirth experience. This method was more effective than using delivery ball alone in childbirth experience. To achieve a positive experience of childbirth in mothers, the use of both intervention (delivery ball and warm shower) is recommended.

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Is Early Amniotomy Associated with Higher Likelihood of Vaginal Birth after Cesarean?

American Journal of Perinatology Reports ◽

10.1055/s-0040-1702924 ◽

2020 ◽

Vol 10 (01) ◽

pp. e37-e41

Author(s):

Megan S. Varvoutis ◽

Lauren C. Sayres ◽

Sarah K. Dotters-Katz

Keyword(s):

Foley Catheter ◽

Secondary Analysis ◽

Vaginal Birth ◽

Vaginal Birth After Cesarean ◽

Singleton Pregnancy ◽

Maternal Fetal Medicine ◽

Trial Of Labor ◽

Nulliparous Women ◽

The Impact ◽

Labor Length

Abstract Objective The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact of early amniotomy on VBAC success. Study Design This is a secondary analysis case-control study using the MFMU (Maternal-Fetal Medicine Units Network) Cesarean Registry. Women were included if they had a singleton pregnancy, were attempting VBAC, and underwent induction with artificial rupture of membranes. Cases were defined as subjects with successful VBAC; controls were defined as subjects with failed trial of labor after cesarean (TOLAC). Early amniotomy was defined as amniotomy at <4 cm. Demographic and obstetric characteristics were compared and multivariate logistic regression was performed. Results A total of 1,490 women were included. Early amniotomy occurred in 59.5% with VBAC versus 63.2% with failed TOLAC (p = 0.24). After controlling for body mass index, prior vaginal delivery, African–American race, labor length, gestational age, birthweight, epidural use, Foley catheter balloon ripening, induction method and oxytocin use, early amniotomy was associated with a 34% decrease in VBAC success (p < 0.01). Women who had early amniotomy did not have higher rates of chorioamnionitis (2.8 vs. 2.9%, p > 0.99). Conclusion Unlike data from nulliparous women, our data suggest that induction with early amniotomy does not increase the likelihood of VBAC.

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Effect of Pelvic Movements Using Birth Ball and Listening to Nature Sounds and Honey Syrup Consumption on Labor Pain in Nulliparous Women : A Randomized Clinical Trial

World Family Medicine Journal/Middle East Journal of Family Medicine ◽

10.5742/mewfm.2018.93348 ◽

2018 ◽

Vol 16 (4) ◽

pp. 97-102

Author(s):

Taavoni S. ◽

Charkamyani F. ◽

Hashemdabaghian F.

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Labor Pain ◽

Nulliparous Women

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Comparing the Effects of Acupressure at the Hugo Point and Hyoscine on the Duration of Labor Stages and Fetalneonatal Outcomes in Nulliparous Women: A Controlled Randomized Clinical Trial

International Journal of Women s Health and Reproduction Sciences ◽

10.15296/ijwhr.2019.64 ◽

2018 ◽

Vol 7 (3) ◽

pp. 393-399

Author(s):

Solmaz Babazadeh Topraghlou ◽

Fahimeh Sehhatie Shafaie ◽

Mojgan Mirghafourvand ◽

Narges Salehi

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Active Phase ◽

Control Groups ◽

Chi Square ◽

Second Stage Of Labor ◽

Nulliparous Women ◽

Prolonged Labor ◽

The Mean ◽

And Control

Objectives: The shortened duration of labor without creating major complications is considered ideal for the mother and infant while prolonged labor is accompanied by maternal and fetal consequences. Considering its importance, the purpose of this study was to compare the effects of acupressure at the Hugo point and hyoscine on the duration of labor stages and fetal-neonatal outcomes in nulliparous women. Methods: This controlled randomized clinical trial was conducted on 162 nulliparous women who referred to Ardabil Sabalan Hospital in 2017. Participants were divided into Hugo acupressure, hyoscine, and control groups by means of randomized blocks, each containing 54 nulliparous women. In the Hugo group, the pressure exerted on the Hugo point at 5 cm dilatation and in the hyoscine group, the hyoscine was injected intramuscularly at 5 cm dilatation. Data were analyzed using one-way ANOVA, KruskalWallis, Fisher exact, and chi-square tests. Results: The mean (SD) duration of the active phase of labor was 137.0 (15.1), 143.3 (172), and 187.7 (24.7) minutes in the Hugo, hyoscine, and control groups, respectively. In addition, the mean (SD) duration of the second stage of labor in the above-mentioned groups was 39.5 (8.5), 52.4 (15.0), and 58.3 (8.7) minutes, respectively (P<0.001). Conclusions: Overall, the implementation of acupressure at the Hugo point led to a greater reduction in the duration of labor stages compared to hyoscine infusion without imposing the side-effects on mother.

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The Effect of Training on Maternal-Fetal Attachment (MFA) in Nulliparous Women: A Randomized Clinical Trial

Scientific Journal of Hamedan Nursing and Midwifery Faculty ◽

10.20286/nmj-24011 ◽

2016 ◽

Vol 24 (1) ◽

pp. 24-31 ◽

Cited By ~ 4

Author(s):

Parisa Parsa ◽

Nafiseh Saiedzadeh ◽

Godratalah Roshanai ◽

Seyedeh Zahra Masoumi

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Nulliparous Women ◽

Maternal Fetal Attachment ◽

Fetal Attachment

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Comparison of Intrathecal Injection of Fentanyl and Sufentanil on the Onset, Duration, and Quality of Analgesia in Labor: A Randomized, Double-Blind Clinical Trial

Anesthesiology and Pain Medicine ◽

10.5812/aapm.99843 ◽

2020 ◽

Vol 10 (3) ◽

Author(s):

Nahid Manouchehrian ◽

Soghra Rabiei ◽

Abbas Moradi ◽

Zahra Lakpur

Keyword(s):

Clinical Trial ◽

Intrathecal Injection ◽

Onset Time ◽

Labor Analgesia ◽

Labor Pain ◽

Hemodynamic Parameters ◽

Double Blind ◽

Nulliparous Women ◽

Fentanyl Group

Background: Labor pain is a severe pain, and intrathecal opioid injection is one of the analgesia methods to reduce it. Objectives: We assessed the effects of intrathecal Fentanyl and Sufentanil on the onset, duration, and quality of analgesia for labor analgesia. Methods: In this double-blind, randomized clinical trial, 54 healthy nulliparous women 18 - 45 years in the active phase of labor who were requesting labor analgesia were enrolled in two groups fentanyl (F) and sufentanil (S). Patients received 75 µg fentanyl or 7.5 µg sufentanil intrathecally in the fentanyl group (n = 27) and the sufentanil group (n = 27), respectively. Pain relief, onset, duration of analgesia, hemodynamic parameters, patients' satisfaction, and neonatal Apgar score were assessed in this study. Data were analyzed by using SPSS16. Results: There were no significant differences between the groups in terms of demographic and hemodynamic parameters. The onset time of analgesia was 5.6 ± 4.3 and 3.6 ± 2.1 minutes, in the sufentanil and fentanyl groups, respectively (P = 0.037). The duration of analgesia was higher in patients who received sufentanil than those who received fentanyl (113 ± 45 vs. 103 ± 22 minutes (P = 0.629)). The pain score in the Fentanyl group was significantly lower at 5, 10, and 15 minutes after spinal analgesia (P < 0.05). The sedation score at 1 and 5 minutes was significantly higher in the fentanyl group than the sufentanil group (P < 0.05). The frequency and severity of pruritus and satisfaction rate in the fentanyl group were significantly higher than the sufentanil group. Conclusions: Intrathecal fentanyl and sufentanil have a similar analgesic effect on labor. Fentanyl is associated with a faster onset of analgesia and more satisfaction, while sufentanil has longer analgesia.

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