Acupressure and Comfort at Childbirth

Not Applicable

Completed

• Conditions: Pain, Labor
• Interventions: Other: Cold Acupressure; Other: Warm Acupressure

• Registration Number: NCT05407103
• Lead Sponsor: Serap Ozturk Altinayak

Brief Summary

Aims: Non-pharmacological methods employed for management labor pain also help pregnant women to cope with labor pain and increase their childbirth comfort. The aim of this study is to determine the effect of cold and hot acupressure applications, applied to the acupressure point LI4 of primiparous women during labor, on their childbirth comfort.

Methods: This study was designed a randomized controlled experimental study. The sample consisted of 129 healthy pregnant women including 44 pregnant women in the hot acupressure group, 44 pregnant women in the cold acupressure group, and 41 pregnant women in the control group. The "Personal Information Form", the "Labor Monitoring Form", the "Visual Analog Scale", and the "Childbirth Comfort Questionnaire" were all used to gather the data.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-08-24
• Primary Completion: 2021-03-31
• Study Completion: 2022-02-21
• Study First Submitted: 2022-05-29
• Status Verified: 2022-06
• Study First Submitted QC: 2022-06-02
• Last Update Submitted: 2022-06-02
• Study First Posted: 2022-06-07
• Last Update Posted: 2022-06-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 129

Inclusion Criteria

• Being a primipara
• Having intact membranes
• No skin diseases (such as urticaria...),
• No use of narcotic drugs
• Having a term pregnancy
• Having a single fetus at vertex position
• Planning to have vaginal delivery
• Having contractions and ongoing regular augmentation
• Having recent augmentation starting periods
• Being in the latent phase (0-3 cm dilatation)
• Having no history of high-risk pregnancy
• Not using analgesic drugs to reduce pain during delivery
• Having no systemic and neurologic diseases
• Having no contraction anomaly (hypotonic or hypertonic contractions)

Exclusion Criteria

• Having any of the above criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Cold Acupressure Group	Cold Acupressure	Personal information form (PIF ) , Labor Monitoring Form (LMF), Visual Analog Scale (VAS), and Childbirth Comfort Questionnaire (CCQ) as pre-test during the latent phase before going about the cold acupressure. Next, she applied the cold acupressure pouches on the respective cold group on their LI 4 point for ten minutes, during the active and transition phases. The application was then suspended for one hour, and then repeated three more times. Last, posttest took place. Cold group was given VAS and CCQ during transition phase of dilation between contractions. The researchers then filled out LMF after cold group to monitor how they were feeling.
Warm Acupressure Group	Warm Acupressure	PIF, LMF, VAS, and CCQ as pre-test during the latent phase before going about the warm acupressure. Next, she applied the warm acupressure pouches on the respective warm groups on their LI 4 point for ten minutes, during the active and transition phases. The application was then suspended for one hour, and then repeated three more times. Last, posttest took place. Warm group was given VAS and CCQ during transition phase of dilation between contractions. The researchers then filled out LMF after warm group to monitor how they were feeling.

Primary Outcome Measures

Name	Time	Method
Comfort	through study completion, an average of 1month	Childbirth Comfort Questionnaire (CCQ); Each item ranks between 1 and 5 points: 1=Strongly disagree, 2=Mostly disagree, 3=Partially agree, 4=Mostly agree, and 5=Completely agree. Thus, the lowest and highest scores are 9 and 45 points, respectively. The higher the score one earns, the more comfortable they are; the lower the score, the exact opposite

Secondary Outcome Measures

Name	Time	Method
Labor pain	through study completion, an average of 1month	Visual Analog Scale (VAS); It is a 10-cm one-dimensional ruler; written on one end is "no pain"; on the other is "worst pain." For the purpose of this study, the researchers used VAS vertically in this study, in line with the recommendations of other studies, who suggest that individuals understand VAS better when applied vertically.

Trial Locations

Locations (1)

Health Research and Training Hospital of Tokat Gaziosmanpaşa University; 🇹🇷 Tokat, Turkey