Introuduction: Excessive pain can lead to the aggravation of mothers’ fear and anxiety, and subsequently decrease uterine contractions and increase labor time and the probability of aided delivery and Caesarean Section. Pain control is an important part of modern Midwifery care, and in addition to pharmacological methods of pain relief, reflexology is used as a non-drug, non-invasive technique. This study aimed to investigate the effects of reflexology on pain intensity and duration of labor.
Methods: In this clinical trial, 240 Iranian primipara women with singleton gestations, age group of 18-35 years, with gestational age of 37-42 weeks, cephalic presentation fetus, no infertility background and caesarian indications, intended pregnancy, no medical or delivery problem attested by gynecologists, lack of applying analgesia and anesthesia during labor, a dilatation of 3-4 cm. The participant were selected using a convenient sampling method and randomly divided into two groups. In intervention group reflexology was performed for 20 minutes (10 minutes per leg) during the active phase of labor and uterine contractions. In control group the same was done, except that a point other than the uterine point was given a massage. Pain intensity during the active phase of labor (3-4, 5-7 and 8-10 cm dilatation ) and duration of active phase of labor were measured and compared in two groups.