A comparative study of the effects of birthing balls and hot showers on the intensity of pain during the active phase of labor in primiparous pregnant women.

The effect of hot water shower and birthing on the intensity of active labor pain in primiparous women

On three cards marked with the letters C-A-B, where card A represents the birth ball group, card B represents the hot shower group, and card C represents the control group. The intervention consisted of 20 minutes of exercise with a birthing ball (sizes 55 and 65) at dilations of 4 cm, 6 cm, and 8 cm. After the intervention, the intensity of pain was measured at the three dilation times mentioned. In the second group, a hot shower with a temperature of 38-40 degrees was used for 20 minutes at the final dilations of 4 cm, 6 cm, and 8 cm, which lasted for one hour in total, and was performed on the lumbar and sacral areas.Routine maternity care is also used in the control group.

After receiving a written letter of introduction from Hamedan University of Medical Sciences and Malayer Faculty of Medical Sciences and obtaining permission from Mehr Malayer Hospital, the samples are initially included in the study based on meeting the research entry criteria and obtaining consent.

Primiparous women between the ages of 18-35, women in the beginning of the active phase of labor (3-4 cm dilation and uterine contractions for 30 seconds and 3 contractions in 10 minutes), gestational age 37-42 weeks, singleton fetus, breech presentation, absence of fetal heart disorder

The intervention in the first group was 20 minutes of exercise with a birthing ball (sizes 55 and 65) at dilations of 4 cm, 6 cm, and 8 cm. In the second group, a hot shower with a temperature of 38-40 degrees was used in the lumbar and sacral region for 20 minutes at final dilations of 4 cm, 6 cm, and 8 cm. Routine maternity care is also used in the control group.

The intensity of labor pain

The samples are randomly assigned to three groups by a third party who is not involved in the research protocol. On three cards marked with the letters C-A-B, where card A represents the birthing ball group, card B represents the hot shower group, and card C represents the control group. The samples are randomly assigned to three groups .The first patient to enter the study is given three cards, chooses Wiki, and is placed in one of the groups. The second is given two cards and is placed in one of the groups, and finally the third is placed in the third group, and from then on the samples are randomly placed in the three groups.