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IRCT201709293027N39 IRCT 2017-11-10 Research Deputy of Tabriz University of Medical Sciences Comparison of the effects of Hyoscine and Acupressure on Hugo point on length of delivery Comparison of the effects of Hyoscine and Acupressure on Hugo point (LI 4) on Length of delivery stages in nuliparous women: A randomized controlled clinical trial. 2017-10-23 anticipated 162 Complete https://irct.ir/trial/3009 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Samples are compiled using computer software (http://www.random.org) by random blocking with the size of the triple and six blocks in three groups. To hide the assignment of the type of intervention on the paper, it will be numbered inside the bursting matte envelopes. 2 Delivery. Intervention 1: Acupuncture Hugo Point: At 5 cm dilatation, the Hugo point will be pressed gently for 30 seconds, and gradually the pressure will be added to become quite severe so that the patient feels numbed and heavy around the area. The scholar's finger will be held for 1 minute, and then the pressure will be reduced and released within 30 seconds. The pressure will continue for up to 20 minutes, and will be performed at the dilatation of 6, 8 and 10 cm. Intervention 2: Injection of Hyoscine: At the onset of the delivery phase (dilation of 5 cm), 20 milligrams of Hyoscine will be injected muscularly and every 2 to 3 hours vaginal examination will be done. Primery outcomes that are active phase duration, se cond and third stage of delivery in a check list and a partialograph form will be recorded. Intervention 3: Control group: The researcher will attend the maternity clinic and all routine lab measures that will be performed in the two intervention groups will be performed except acupressure and hyosteine injections in the control group.
public Fahimeh Sehhatie Shafaie
Faculty of Nursing and Midwifery, South Shariati Street
Tabriz Iran (Islamic Republic of) +98 41134796770 sehhatief@tbzmed.ac.ir Tabriz University of Medical Sciences scientific Fahimeh Sehhatie Shafaie
Faculty of Nursing and Midwifery, South Shariati Street
Tabriz Iran (Islamic Republic of) +98 41334796969 sehhatief@tbzmed.ac.ir Tabriz University of Medical Sciences Iran (Islamic Republic of) Inclusion Criteria: 18 to 35 years old, gestational age of 37 to 42 weeks (according to LMP or ultrasound in less than 12 weeks),nulliparous, singleton pregnancy, cephalic presentation, intact amniotic sac at examination, or passing Maximum 6 hours of rupture of the amniotic sac, spontaneous onset of uterine contraction, having low risk pregnancy (such as the absence of chronic disease like heart disease, hypertension, lung disease, diabetes, anemia, urinary tract infection, thyroid disease, and epilepsy; not having abortion, dead fetus, bleeding or any abnormality when referring to the hospital); absence of cephalopelvic disproportion (CPD) during vaginal examination; height over 145 cm; no lesion in hugo points; not presence of any disabilities that lead to communication problems for the mother (deafness, blindness, etc.).Exclusion Criteria: meconıum-rich amniotic fluid; Any need for emergent intervention in mothers and fetuses such as bleeding, Burst contractions, Labor accelerated, Fetal distress,Placenta Decolman. 18 years 35 years Female O80.0 Spontaneous vertex delivery Prevention Prevention N/A Acupuncture Hugo Point: At 5 cm dilatation, the Hugo point will be pressed gently for 30 seconds, and gradually the pressure will be added to become quite severe so that the patient feels numbed and heavy around the area. The scholar's finger will be held for 1 minute, and then the pressure will be reduced and released within 30 seconds. The pressure will continue for up to 20 minutes, and will be performed at the dilatation of 6, 8 and 10 cm. Injection of Hyoscine: At the onset of the delivery phase (dilation of 5 cm), 20 milligrams of Hyoscine will be injected muscularly and every 2 to 3 hours vaginal examination will be done. Primery outcomes that are active phase duration, se cond and third stage of delivery in a check list and a partialograph form will be recorded. Control group: The researcher will attend the maternity clinic and all routine lab measures that will be performed in the two intervention groups will be performed except acupressure and hyosteine injections in the control group. Lenght of active phase of labor. Timepoint: Every 2-3 hours, from the onset of the active phase of labor to its completion and the onset of the second stage of labor. Method of measurement: With vaginal exame and registration in the form of a partographer. The length of the second stage of labor. Timepoint: Every 30 minutes once, from the onset of the second stage of childbirth to its completion. Method of measurement: Via vaginal examination and recording in the form of a partogragh. Length of the third stage of labor. Timepoint: After completing the third stage of labor. Method of measurement: Observe and determine the time using the clock and record in the partograph. Research Deputy of Tabriz University of Medical Sciences Approved 2017-09-23 Ethics committee of Tabriz University of Medical Sciences Research department, third floor, central construction number 2, Tabriz University of Medical Sciences, Golgasht Street, Azadi street, Tabriz, and East Azerbaijan Tabriz Iran (Islamic Republic of)