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IRCT201407115948N2 IRCT 2014-08-07 Vice chancellor for research, Islamic Azad University of Karaj branch Effect of heat therapy and cold therapy on delivery outcome Comparison the effect of two methods of heat therapy and cold therapy on labor pain and delivery outcome in primigravida women referred to the Karaj hospital in 2014 2014-08-23 anticipated 105 Complete https://irct.ir/trial/6426 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Out comes of delivery. Intervention 1: In heat therapy group:in the first stage ,heat bag put in the low back(at least 1 hours) and the second stage put in perineum for 4 minutes. Intervention 2: In cold therapy group:ice bag put in the low back for 10 minutes in the first stage and on perineum in the second stage. Intervention 3: In control group:routin management.
public Soheila Moghimi Hanjani
Crossroad of Moazen Blvd and Esteghlal Blvd, Rajaeeshahr, Karaj, Nursing & midwifery faculty
Karaj Iran (Islamic Republic of) +98 26 3418 2579 soheila.moghimi@kiau.ac.irsomoghimi@yahoo.com Islamic Azad University Karaj branch scientific Soheila Moghimi Hanjani
Crossroad of Moazen Blvd and Esteghlal Blvd, Rajaeeshahr, Karaj, Nursing & midwifery faculty
Karaj Iran (Islamic Republic of) +98 26 3418 2579 soheila.moghimi@kiau.ac.ir somoghimi@yahoo.com Islamic Azad University Karaj branch Iran (Islamic Republic of) Iran (Islamic Republic of) Iinclusion criteria:female18-35,pregnant women in active phase of labor,cephalic persentation,primipara with 37-41week gestational age,singleton pregnancy Exclusion criteria: cephalo pelvic disproportion,history of choronic pelvic pain, Use of any drug or method of analgesia and anesthesia, induction of labor with Oxytocin,complication of labor(cord prolaps,placenta abraptio,abnormal position),history of infertility, abnormal fetal heart patterns, presence of any special medical condition (e.g. chronic diseases) and use of narcotic drugs . 18 years 35 years Female z-37 Delivery Other Other N/A In heat therapy group:in the first stage ,heat bag put in the low back(at least 1 hours) and the second stage put in perineum for 4 minutes In cold therapy group:ice bag put in the low back for 10 minutes in the first stage and on perineum in the second stage In control group:routin management Labor pain intensity. Timepoint: Dilation 3-4,6-7,9-10 cm. Method of measurement: McGill pain questionnaire. Duration of the first stage of labor. Timepoint: One time the start of labor until complete effacement and cervical dilatation. Method of measurement: According to minutes using the standard digital clock. Duration of the second stage of labor. Timepoint: One time from full dilatation of cervix to departure of baby. Method of measurement: According to minutes using the standard digital clock. Duration of the third stage of labor. Timepoint: One time from departure of baby to complete withdrawal of placenta. Method of measurement: According to minutes using the standard digital clock. Type of delivery. Timepoint: One time after departure of baby. Method of measurement: Observed as a vaginal delivery, instrumental delivery and cesarean section. Apgar score. Timepoint: At 1 and 5 minutes after birth. Method of measurement: Observation and examination. Fetal heart tone. Timepoint: Every half of time. Method of measurement: Sounic aid and digital clock. Perineal laceration. Timepoint: after delivery. Method of measurement: observation and examination. Vice chancellor for research, Islamic Azad University of Karaj branch Approved 2014-03-12 Ethics Committee of Islamic Azad university Karj barnch Crossroad of Moazen Blvd and Esteghlal Blvd, Rajaeeshahr, Karaj, Mailbox: 31485-313 Karaj Iran (Islamic Republic of)