IRCT20201213049699N1 IRCT 2021-01-07 Tehran University of Medical Sciences Comparison of the effect of lumbar rotation in standing position and pressure on the 6th splenic point in the active phase on pain severity, duration of labor and childbirth experience of nulliparous women Comparison of the effect of lumbar rotation in standing position and pressure on the 6th splenic point in the active phase on pain severity, duration of labor and childbirth experience of nulliparous women 2021-01-09 anticipated 126 Complete https://irct.ir/trial/52954 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Sampling was performed by Permuted block randomization method. Due to the three groups, the study is designed in six order with the letters B, A and C. After selecting a card by someone other than the researcher, the order of the 3 groups is specified and removed from the total number of cards. Card A: Rotation of the back in a standing position (intervention group) Card B: Pressure on the splenic point 6 (intervention group) Card C: (Control group). N/A Condition 1: Severity of labor pain. Condition 2: Duration of labor. Condition 3: Childbirth experience. Intervention 1: Intervention group: Rotation of the lumbar in a standing position: in dilatation of 4 cm, she is placed in a standing position and bends forward with the onset of pain and, leaning against the wall, rotates the lumbar for 30 minutes during each contraction. Intervention 2: Intervention group: Pressure on the 6th splenic point: In 3-4 cm dilatation with the onset of uterine contraction, bilateral pressure is applied in a circular direction and clockwise with the researcher's thumb on the 6th splenic point. Intervention 3: Control group: Routine care is performed. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information