The effect of non-pharmacological measures for pain relief in labor

Phase 1

• Conditions: labor pain, Pain Measurement; C10.597.617.515

• Registration Number: RBR-84xprt
• Lead Sponsor: Real e Benemérita Associação Portuguesa de Beneficência /SP

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-03-09
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Recruitment completed
• Sex: Female
• Target Recruitment: Not specified

Inclusion Criteria

Voluntary without any clinical or obstetric disease; active phase of labor with efficient two or three in ten minutes uterine contractions and cervical dilatation minimum 3 cm; gestational age between 37 completed weeks to complete 42 weeks calculated by last menstrual period or the result of early ultrasound until the twentieth week of pregnancy; minimum age of 18 years old and maximum age of 55 years; pregnancy with single live fetus in cephalic presentation bent; Note greatest pain 5 on the pain scale

Exclusion Criteria

Volunteers with indication of caesarean section at admission; use of anesthesia during labor; Tobacco use less than two hours; people with mental disorders that may affect their autonomy; have ingested caffeine in the last 10 hours; use psychoactive drugs; performed less than 06 prenatal visits; use of natural or synthetic corticosteroids; used analgesics least at least 6 hours

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
to reduce pain and stress observed in clinical and neuro-endocrine parturient after the use of non-pharmacological interventions hot spray bath and perineal exercises with Swiss ball <br>The note of pain and anxiety for pain scale, the evolution of obstetric data delivery by cervical dilation, progression of the fetus in the birth canal by the plan: To assess these outcomes, the data pre and post time control interventions will be evaluated DeLee, will be held assessment of fetal well-being with the examination of cardiotocography, data related to maternal stress and adaptation to pain situation with measurement of blood pressure, pulse, respiration and dosages of the hormones cortisol, norepinephrine will be evaluated, epinephrine and salivary endorphin. Interventions will be offered randomly after randomization.;The study showed clinical and neuroendocrine reducing pain and stress

Secondary Outcome Measures

Name	Time	Method
to maintain the fetal well-being observed in the parameters of the test cardiotocography verified by evaluating the baseline fetal heart rate, presence of absence of transient acceleration and deceleration in fetal heart rate, progression in the evolution of obstetric parameters checked through the evaluation of cervical dilatation and descent of the fetal presenting plans DeLee conferred by vaginal touch, smoothing the pattern of uterine contractions observed by recording the examination of cardiotocography, shortening the labor verified by elapsed time between the intervention and the birth, favoring the normal delivery verified by type of delivery occurred;Secondary outcomes found showed no change in fetal well-being through the use of interventions for pain relief, there was progression of obstetric parameters related to labor and development to delivery, reduction of labor time