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

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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Effects of Continuous Use of Entonox in Comparison with Intermittent Method on Obstetric Outcomes: A Randomized Clinical Trial

Journal of Pregnancy ◽

10.1155/2014/245907 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Jila Agah ◽

Roya Baghani ◽

Seid Hossein Safiabadi Tali ◽

Yaser Tabarraei

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Face Mask ◽

Labor Pain ◽

Continuous Group ◽

Obstetric Outcomes ◽

Second Stage Of Labor ◽

Second Stage ◽

Significant Difference ◽

Continuous Use

Background. Entonox (N2O2) which is an inhalational gas for relieving labor pain is commonly used intermittently; however some women are interested in continuous breathing in face mask. So we decided to compare the complications induced by two methods to find out whether it is safe to permit the mothers to use Entonox continuously or not.Patients and Methods. This randomized clinical trial was performed in Mobini Hospital, Sabzevar, Iran. 50 parturients used Entonox intermittently and 50 cases used it continuously during labor. Then obstetrical outcomes were analyzed in two groups by spss 17 software,t-test, and Chi2whileP<0.05was considered significant.Results. This study showed the mean duration of second stage of labor had no significant difference (P=0.3). Perineal laceration was less in continuous group significantly (P=0.04). Assisted vaginal birth was not different significantly (P=0.4). Uterine atony had no significant difference in two groups (P=0.2). Maternal collaboration in pushing and satisfaction were higher in continuous group significantly (P=0.03), (P<0.0001). Apgar score of neonates at first and fifth minute was acceptable and not different significantly in two groups (P=0.3).Conclusions. Our study demonstrated continuous method is also safe. So, it seems reasonable to set mothers free to choose the desired method of Entonox usage.

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