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IRCT20110524006582N39 IRCT 2024-02-12 Tabriz University of Medical Sciences Comparing the effect of acupressure and Rebozo technique on labor pain and experience Comparison of the effect of acupressure on SP6 point and Rebozo technique on labor pain and experience 2024-04-03 anticipated 90 Complete https://irct.ir/trial/74114 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Randomization description: The participants were classified by the random block method based on receiving induction or not receiving induction, being nulliparous or multiparous, and the center of the sampling location with block sizes of 3 and 6 and with an allocation ratio of 1:1:1 to three. The group (first group: recipient of acupressure, second group: recipient of Rebozo technique and third group: control group) will be assigned. For Allocation Concealment, the type of intervention will be written on a sheet of paper by a person not involved in the study and placed inside opaque envelopes numbered from 1 to 90. The envelopes will be opened in the order in which the participants entered the study and the type of intervention received will be determined, Blinding description: This research is a single-blind randomized clinical trial. Only the data analyzer,outcom assessor and data safety monitoring border are unaware of the study groups. N/A Labor pain and childbirth experience. Intervention 1: Intervention group: Rebozo recipient group during the active phase (after cervical dilatation reaches 4 cm), while the patient is on his hands and knees or standing, Rebozo is placed around the abdomen or hips, and its ends are in the hands of the midwife (student researcher). - will be seen. Then the researcher will shake the shawl from one side to the other for 20 minutes using small movements. This work will be done with three repetitions in 4-5, 7-8 and 9-10 cm dilatations of the cervix. Intervention 2: Intervention group: The group receiving acupressure: During the active phase (after cervical dilatation reaches 4 cm), the researcher will apply direct and continuous pressure to the SP6 point with his index finger or thumb, so that when the participant is sitting or lying on the left side, the researcher will press the SP6 point or He will press the Sanyinjiao with his index finger or thumb directly and continuously for one minute. Then 20 to 30 minutes later, pressure will be applied on the opposite leg under the same conditions. This work will be done with three repetitions in 4-5, 7-8 and 9-10 cm dilatations of the cervix. Intervention 3: Control group: will receive routine labor care. 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 Participants data is confidential.
public Shaghayegh Aslani
Marand City, 3 Timuri Alley Station St
Tabriz Iran (Islamic Republic of) 000000000 +98 41 4225 9791 Shagayegaslani75@gmail.com Tabriz University of Medical Sciences scientific Mahin Kamali Fard
Nursing and Midwifery school, Shariati street
Tabriz Iran (Islamic Republic of) 9876598765 +98 41 3524 5181 Kamalifardm@gmail.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Healthy nullipar pregnant mothers Gestational age of term At the beginning of the active phase (4 cm dilatation) Cephalic presentation of the fetus Have a healthy amniotic sac The presence of low-risk pregnancy without medical problems in pregnancy, including blood pressure, gestational diabetes, twin and multiple pregnancy, placenta and amniotic fluid disorders, etc. A fetus with an estimated normal weight Reluctance to receive a painless delivery except for Rebezo and acupressure (remifentanil, other pain relief methods such as massage, breathing, etc.) No addiction to drugs and smoking no limit no limit Female Mothers with birth problems including pre-eclampsia, gestational diabetes, cholestasis, discharge and rupture of the amniotic sac, twin and multiple pregnancies, placenta and amniotic fluid disorders, etc. A history of rapid delivery History of chronic systemic, cardiac, pulmonary diseases according to the patient's self-report and medical records Amniotic fluid meconium before intervention The presence of any disorders and skin diseases and bone fractures in the place of acupressure and Rebozo technique Prevention Prevention N/A Intervention group: Rebozo recipient group during the active phase (after cervical dilatation reaches 4 cm), while the patient is on his hands and knees or standing, Rebozo is placed around the abdomen or hips, and its ends are in the hands of the midwife (student researcher). - will be seen. Then the researcher will shake the shawl from one side to the other for 20 minutes using small movements. This work will be done with three repetitions in 4-5, 7-8 and 9-10 cm dilatations of the cervix. Intervention group: The group receiving acupressure: During the active phase (after cervical dilatation reaches 4 cm), the researcher will apply direct and continuous pressure to the SP6 point with his index finger or thumb, so that when the participant is sitting or lying on the left side, the researcher will press the SP6 point or He will press the Sanyinjiao with his index finger or thumb directly and continuously for one minute. Then 20 to 30 minutes later, pressure will be applied on the opposite leg under the same conditions. This work will be done with three repetitions in 4-5, 7-8 and 9-10 cm dilatations of the cervix. Control group: will receive routine labor care. Labor pain score. Timepoint: After the contraction at the beginning of the active phase and before the intervention, then it will be measured every one hour until reaching the second phase and one hour after the end of labor. Method of measurement: VAS listed line. Birth experience score. Timepoint: 12 to 24 hours after delivery. Method of measurement: Labor Agentry Scale. Duration of labor stages. Timepoint: When the dilatation of the cervix reaches 4 cm, it will be recorded in the partograph form. Method of measurement: Partograph form. Score of satisfaction with childbirth. Timepoint: 12 to 24 hours after delivery. Method of measurement: (Mackey Satisfaction Rating Scale=MCSRS). Apgar score of the baby in the first and fifth minutes. Timepoint: The first and fifth minutes after the birth of the baby. Method of measurement: Baby's Apgar chart. Tabriz University of Medical Sciences Approved 2024-01-01 Ethics committeeof Tabriz University of Medical Sciences No2 central building,3rd floor,University street,Tabriz Univerrsity of medical sciences Tabriz East Azarbaijan Iran (Islamic Republic of)