1) Objectives: This randomized clinical trial study has been carried on 150 primi-parous women with mild to moderate anxiety who referred to selected medical-educational centers ( of Hafez & Shooshtari Hospitals ) of Shiraz University of Medical Sciences, comprising the effects of cupping therapy and acupressure In BL 23 Point on postpartum low back and perineal pain (LBPP).
2) Design: After informed consent, eligible patients were randomly assigned in to three groups: Cupping therapy, acupressure and control. As control group performance has not been observed by the researcher, she is allowed to use Acetaminophen.) 3) Setting and conduct: In the 1st interventional group, cupping therapy was done in at least 4 to 8 hours after childbirth in their postpartum part for every other day and four times a week (15-20 minutes per time). In the 2nd group, the researcher presses BL23 acupoint on both sides of the backbone symmetrically, for 20 minutes. Two times of interventions is done inpatient and last outpatient. 4)Participants) Inclusion criteria: 1) 18 - 40 years old; 2) Graduate School at least; 3) Lacking any of overt & Serious psycho-somatic diseases during the study such as: vertebral fractures, herniated disk, acute inflammation, deep vein thrombosis; 4) Mild to moderate anxiety; 5) Residents of shiraz; 6) Willingness to participate in research and complete consent form; 7) Low back pain only results from lordosis of pregnancy and childbirth deteriorating by fetous weight and position or labour in some mothers. Exclusion criteria: 1) Medical and obstetric complications in the postpartum during the study; 2) Not lookup for following at certain appointments; 3) Asking for exclusion; 4) Using of drugs for pain relief.
5) Intervention: Cupping therapy - acupressure
6) Main outcome measures variables): Patients filled out the VAS & Mc-Gill questionnaires as self-reports, in phases of once before, once immediately after, once 24 hours after and once 2 weeks after treatments.