<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20190122042453N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-04-05</date_registration>
      <primary_sponsor>Boushehr University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of Reflexology and relaxation of Benson on pain, physiological symptoms, lactation and weight of newborn in women undergoing cesarean section</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of Reflexology and relaxation of Benson on pain, physiological symptoms, lactation and weight of newborn in women undergoing cesarean section, admitted to Persian Gulf Shohada Hospital of Bushehr in 2018</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-04-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>135</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/38249</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Basic scienece, Randomization description: ََAccording to block the research sample will be placed into one of the three groups of foot reflexology, Benson relaxation, or control group. The number of required blocks will be selected randomly. For blocking, 22 blocks of 6 blocks and a triple block will be used. Block size 6 and 3 will be used.
In the first step,  blocks size 6 are prepared using A (Reflexology), B (Benson relaxation intervention) and C (Control group), which will have 90 different modes.Of the blocks, 22 will be randomly selected. By selecting each six blocks, each one will be placed in one of three groups according to the order of the letters of the letters: each block will receive two chances for each group.
 Block size 3 will also be provided (6 modes) and one block will be randomly selected.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Pain. Condition 2: Physiological Index. Condition 3: Neonate weight. Condition 4: Breast feeding (number of times and mean times of breast feeding during 18 hours after c/s).</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Benson's relaxation will be performed two hours after c/s and 6 hour after first episode of intervention. The duration of intervention will be 20 minutes each time. Then, the variables (physiological indices, pain) will be immediately measured 30 and 60 minutes after each intervention. The frequency of breastfeeding will be measured in 18 hours after the operation. On the day of surgery and ten days after the operation, the baby weight will be measured. Intervention 2: Control group: In this group no intervention will perform by researcher. Routine care will be provided by department personnel. The variables required for research will be measured parallel with two intervention groups.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is No more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Razieh Bagherzadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Pardis Site of Bushehr University of Medical Sciences, Salman Farsi St.</address>
        <city>Bushehr</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7518759577</zip>
        <telephone>+98 77 3345 0236</telephone>
        <email>r.bagherzadeh@bpums.ac.ir</email>
        <affiliation>Boushehr University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Razieh Bagherzadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Pardis Site of Bushehr University of Medical Sciences, Salman Farsi St.</address>
        <city>Bushehr</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7518759577</zip>
        <telephone>+98 77 3345 0236</telephone>
        <email>r.bagherzadeh@bpums.ac.ir</email>
        <affiliation>Boushehr University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Having the consent to participate in the study
Not an emergency Caesarean section
Spinal anesthetics
Gestational age at least 37 weeks and maximum 42 weeks according to the exact date of the first day of the last menstruation or first trimester ultrasound
At least reading and writing skills
Age range 18-35
Being aware of time and place
No drug addiction, sedation, alcohol, etc. According to the self-declaration of the research unit
Absence of any mental disorder due to the self-explanation of a research unit or a physical impairment affecting the sensation of the leg such as diabetes
No history of using foot massage or relaxing Benson
First or Second Pregnancy
Having single-strike pregnancy and low risk
Lack of simultaneous surgery such as hysterectomy and tuberculosis
Having a healthy leg in the foot, especially The sole of the foot, (no cuts, burns, fungal infection, varicose veins, warts, corns and any kind of anesthetics in the feet, lack of sensitivity to touch or massage
Failure to report congenital anomalies in patient's ultrasound
The absence of pregnancy complications such as blood pressure
Do not tear a sack of water</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Severe complications after surgery or during hospitalization such as severe bleeding, edema, acute infection and non-ablation of the uterus after surgery
Incident in the operating room
The need for more care in the intensive care unit
Perform non-transverse cutting on the uterus or abdomen according to the description of the patient's operation
Pain score below 3 at the time of the decision to intervene
Cancellation of the continuation of the research
Having an unpleasant participant's sensation of touching the foot in the Foot Reflexology massage group
The hospitalization of newborns undergoing cesarean section in the NICU department
There is any kind of disorder that causes the problem of infant feeding, such as Cleft palate and Lip are not detected,Galactosoma
The occurrence of any problem in the mother that prevents lactation, such as unpleasant events, breast abscess, etc. (in this case, only the babies of these mothers will not be included in the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
      <hc_code></hc_code>
      <hc_code></hc_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
      <hc_keyword></hc_keyword>
      <hc_keyword></hc_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Benson's relaxation will be performed two hours after c/s and 6 hour after first episode of intervention. The duration of intervention will be 20 minutes each time. Then, the variables (physiological indices, pain) will be immediately measured 30 and 60 minutes after each intervention. The frequency of breastfeeding will be measured in 18 hours after the operation. On the day of surgery and ten days after the operation, the baby weight will be measured.</i_keyword>
      <i_keyword>Control group: In this group no intervention will perform by researcher. Routine care will be provided by department personnel. The variables required for research will be measured parallel with two intervention groups.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: Before intervention, immediately after intervention, 30 and 60 second after intervention. Method of measurement: Visual scale of pain,.</prim_outcome>
      <prim_outcome>Physiological symptoms (pulse, BP and O2 saturation). Timepoint: Before intervention, immediately after intervention, 30 and 60 second after intervention. Method of measurement: Barometer, Pulse oximetere.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Breast feeding (number and mean of times of breast feeding during first 18 hours after birth). Timepoint: During 18 hours after c/s.To check the frequency and time of breastfeeding, a checklist is provided; each breastfeeding period and its duration up to 18 hours after cesarean section will be recorded by a researcher or nurse responsible for the baby. Method of measurement: Observation and statement by researcher and responsible nurse.</sec_outcome>
      <sec_outcome>Baby weight. Timepoint: The first and the tenth day after cesarean section. Method of measurement: Baby weighing scale.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Boushehr University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-03-11</approval_date>
        <contact_name>Ethics Committee of Bushehr University of Medical Sciences</contact_name>
        <contact_address>Moallem St., Kuy-e-Bandar Bushehr Boushehr Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
