General Purpose: To evaluate the effects of jianjing with entonox on labour pain and delivery time In nulliparous women.
Inclusion criteria included: nulliparous women aged eighteen to Thirty-five years old; educated; singleton pregnant women with gestational age Thirty-seven to forty-one weeks, cephalic presentation; Iranian; tend to use analgesia (Entonox Gas or acupressure); women in active phase of labor; not suffering from anatomic and mental disorders and high-risk pregnancies. Exclusion criteria: any factor that would lead to cesarean; lack of desire to continue to decrease.
A total of 174 women in labour were randomly divided into the Acupressure group, Entonox group and the control group.
After obtaining a referral from the Department of Shahid Beheshti University of Medical Sciences and present it to the Alborz University of Medical Sciences, visiting the maternity ward of Hazrat Ali Hospital and selectiing qualified individuals that will agree will be done. In acupressure group, pressure on jianjing acupoint on dilatation of 4-5 cm, 6-7 cm and 8-10 cm will be performed and continue for about twenty minutes. The Entonox group will use the gas in the active phase of labour and how to use will be told. The control group will not have any interference.
Labor pain will be measured three times using a subjective labour pain scale (visual-analogue scale). Length of delivery time will be calculated in two stages: from 4 cm cervical dilation to full cervical dilatation, and full cervical dilatation to the delivery.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT201312106807N11
Registration date:2014-06-12, 1393/03/22
Registration timing:retrospective
Last update:
Update count:0
Registration date
2014-06-12, 1393/03/22
Registrant information
Name
Sedigheh Amir Ali Akbari
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 21 2272 9240
Email address
akbarisedd@sbmu.ac.ir
Recruitment status
Recruitment complete
Funding source
ُShahid Beheshtii University of Medical Sciences
Expected recruitment start date
2013-10-29, 1392/08/07
Expected recruitment end date
2014-03-27, 1393/01/07
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of acupressure on jyanjyng points and entonox on labour pain and delivery time in nulliparous women
Public title
Effects of jianjing with entonox on labour pain and duration of labour
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria: nulliparous women aged 18 to 35 years; be literate; singleton pregnant with gestational age 37 to 41 week; cephalic presentation; Iranian; tend to use analgesia (entonox gas or acupressure); women in the active phase of labor (3-4 centimeters cervical dilatation) or before; not suffering from poor mental health and anatomic (psychosis, schizophrenia, abnormalities of the uterus and pelvic); not having any head injury with some degree of lack of alertness, pneumothorax, and if such injury, atherosclerosis, poisoning and damage to the facial nerve; No risk to patients paced for chronic disease such as heart disease, pulmonary hypertension and diabetes; absence of high risk pregnancy such as gestational hypertension, decreased fetal movement, intrauterine growth restriction, fetal death, oligohydramnios and polyhydramnios and rupture of memberane more than 12 hours; a history of infertility; no risk of skin ailments such as eczema and infection of the skin surface. Exclusion criteria: any factor that would lead to a cesarean section; lack of desire to continue.
Pain intensity in 4-5, 6-7 and 8-10 dillatation befor and after intervention
Method of measurement
visual-analogue scale
2
Description
Duration of delivery
Timepoint
ّFirst stage and second stage of labor
Method of measurement
Time
Secondary outcomes
empty
Intervention groups
1
Description
In the acupressure group, women receive the acupressure on the point jianjing. The 20-minute periodic acupressure on GB21 acupoint will performed at dilatation of 4-5, 6-7 and 8-10.( pressure on uterine contraction). Pressure will be applied deeply until the color of nail changes slightly. Labor pain will measured three times using a subjective labor pain scale (visual-analogue scale) immediately after the intervention. Length of delivery time will be calculated in first and second stage of labour.
Category
Prevention
2
Description
In the entonox group, women receive the entonox at the beginning of the active phase of labor (cervical dilatation 4 cm) after learning how to use it. Labor pain will measured three times using a subjective labor pain scale. Length of delivery time will be calculated in first and second stage of labor. Labor pain will measured three times using a subjective labor pain scale (visual-analogue scale) immediately after the intervention. Length of delivery time will be calculated in first and second stage of labor.
Category
Prevention
3
Description
In the control group,no intervention will be done. Labor pain will measured three times using a subjective labor pain scale. Length of delivery time will be calculated in first and second stage of labor.
Category
Prevention
Recruitment centers
1
Recruitment center
Name of recruitment center
Hazrate ali Hospital
Full name of responsible person
Street address
City
Karaj
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Dr.Masoume Simbar
Street address
Nursing and midwifery faculty, Niayesh Intersection, Tehran
City
Tehran
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shahid Beheshti University of Medical Sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Sedigheh Amir Ali Akbari
Position
Ph.D of Midwifery
Other areas of specialty/work
Street address
Nursing and Midwifery Faculty, Intersection of Niayesh, Tehran
City
Tehran
Postal code
Phone
+98 21 8820 2512
Fax
Email
asa_akbari@yahoo.com
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
khadijeh Naeemaei Aali
Position
Master of Midwifery
Other areas of specialty/work
Street address
Nursing and Midwifery Faculty, Niayesh Intersection,Tehran
City
Tehran
Postal code
Phone
+98 21 4436 4604
Fax
Email
k.naeemaei@gmail.com
Web page address
Person responsible for updating data
Contact
Sharing plan
Deidentified Individual Participant Data Set (IPD)