Midwife Öznur Hayat Öktem
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 78
- 试验地点
- 1
- 主要终点
- Labor Pain
研究概览
简要总结
The use of non-pharmacological methods in labor pain is very important in order to improve the birth process, increase comfort and provide relaxation. The role of midwives, acting as patient advocate is to maintain comfort throughout the birth process. In order to do this, she should know very well the non-pharmacological methods to be applied to the pregnant woman and choose the most appropriate one. Applying a warm shower, which is one of the non-pharmacological methods; the uterus Increases perfusion, makes labor painless felt, increases the release of oxytocin, and decreases the release of stress hormones.
In addition, while reducing the intervention rates, it improves birth and newborn outcomes and affects positively. Purpose of the research; labor pain of warm shower application, labor to evaluate the effect on satisfaction and birth outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Between the ages of 18 and 35,
- •Having a singleton fetus between 37-42 weeks of gestation,
- •Planning a a spontaneous vaginal birth,
- •Having a cervical dilatation <5 cm.
- •Having a fetus weighing between 2500-4000 grams,
排除标准
- •Being short (<145cm),
- •Being obese (BMI >30),
- •Receiving pharmacological or non-pharmacological intervention for labor pain,
- •Having chronic diseases during pregnancy (gestational diabetes, hypertension, preeclampsia,
- •Undergoing operative vaginal delivery (forceps, vacuum),
- •Making an emergency cesarean decision,
- •Experiencing abnormal changes in fetal heart rates.
研究组 & 干预措施
Warm Showers Application
In the experimental group, a 20-minute warm shower (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The hot shower will be applied to the sacral area, lower abdomen, and groin regions.
干预措施: Warm Showers Application (Behavioral)
Standard Intrapartum Care
No intervention will be provided to the control group. At the stages when cervical dilation reaches 4 cm and 7 cm, pain will be evaluated using the VAS at baseline, 10 and 20 minutes.
结局指标
主要结局
Labor Pain
时间窗: Baseline (Before the intervention)
Visual analog scale:On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.
Labor pain
时间窗: 20 minutes after the intervention
Visual analog scale.On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.
Labor pain
时间窗: 10 minutes after the intervention
Visual analog scale.On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.
次要结局
- Birth satisfaction(Pregnant women in both groups will be visited by the researcher in the postpartum service within the first 12 hours postpartum and BSC will be applied.)
研究者
Öznur Hayat Öktem
Midwife, principal investigator
Gulhane School of Medicine