Effects of Showering During Labor on Pain, Anxiety, Comfort, Satisfaction, and Labor Outcomes: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 94
- 试验地点
- 1
- 主要终点
- Labor Pain Intensity
研究概览
简要总结
This study examined whether showering during labor affects pain, anxiety, comfort, satisfaction, and labor outcomes in women undergoing vaginal birth. Non-pharmacological methods are commonly used to support women during labor, and warm showering may help reduce discomfort and emotional distress during the labor process.
In this randomized controlled trial, pregnant women in active labor were assigned either to a shower group or to a control group receiving routine labor care. Women in the shower group were allowed to shower during labor under standardized conditions, while the control group received routine intrapartum care without showering. Pain and anxiety levels were assessed repeatedly during labor, while comfort and birth satisfaction were evaluated during and after birth using validated measurement tools.
The results of this study aim to contribute to evidence-based intrapartum care practices by evaluating the role of showering as a supportive intervention during labor.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women admitted to the labor unit during the study period
- •Term pregnancy (37-41 weeks)
- •Planned vaginal birth
- •Cervical dilation greater than 5 cm
- •Volunteered to participate and provided informed consent
排除标准
- •Inability to communicate in Turkish
- •Hearing or mental health conditions
- •Conversion from vaginal birth to cesarean section
- •Age under 18 years
- •High-risk pregnancy (e.g., preeclampsia, diabetes, hypertension, multiple pregnancy, placental abnormalities)
- •Use of epidural anesthesia
研究组 & 干预措施
Shower During Labor
Participants were allowed to shower during active labor (cervical dilation >5 cm) in a private bathroom within the labor room. Showering was permitted at the participant's preference, for at least 20 minutes per session, with water temperature maintained between 35-40°C. Safety measures were implemented, including accompaniment by a companion or researcher.
干预措施: Showering During Labor (Behavioral)
Control: Routine Labor Care
Participants received routine intrapartum care without showering during labor.
结局指标
主要结局
Labor Pain Intensity
时间窗: Every 2 hours during labor (up to 8 hours) and immediately before and after each shower session during the same labor admission.
Pain intensity assessed using the Visual Analog Scale (VAS) during labor.
次要结局
- Anxiety Level During Labor(Every 2 hours during labor (up to 8 hours) and immediately before and after each shower session during the same labor admission.)
- Maternal Comfort During Labor(At 10 minutes after the first shower session during active labor)
- Birth Satisfaction(2 hours postpartum.)
- Duration of Labor(From admission to the labor unit until delivery.)
- Mode of Delivery(At delivery.)
- Use of Obstetric Interventions(During labor and recorded at delivery.)
研究者
Nilgun Avci
phD
Biruni University