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IRCT20181219042051N5 IRCT 2025-12-20 Rafsanjan University of Medical Sciences the Effect of Acupressure at GB21 on Childbirth Experience During First Stage of Labour the Effect of Acupressure at GB21 on Childbirth Experience During First Stage of Labour, a clinical trial study 2025-12-11 anticipated 192 Complete https://irct.ir/trial/87784 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Based on the inclusion and exclusion criteria, 192 pregnant women at 37-42 weeks of gestation who were eligible to enter the study were selected using an available sampling method. They will be divided into three equal groups of 64 individuals using blocked randomization with a block size of six (via the computer program "CREATE A RANDOMISATION LIST"). In other words, 32 blocks of six individuals will be formed. Within each block, two individuals will be randomly assigned to the first group (APG), two to the second group, and two to the third group. N/A birth experience. Intervention 1: Intervention group: first. acupuncture point pressure In the acupressure group (APG), participants will be positioned appropriately and the GB21 acupressure point will be pressed by a trained specialist. The Gallbladder 21 point is located on the gallbladder meridian, and its anatomical position is on the shoulder, midway between the acromion bone and the seventh cervical vertebra. Pressure will be applied starting from the onset of contractions (3-4 cm cervical dilation) and continued throughout the active phase of labor (7-8 cm cervical dilation) until the end of the first stage of labor. During the procedure, in the GB21 pressure group, the mother will be asked to assume any comfortable position. The intervening midwife will stand facing the mother and monitored her uterine contractions by hand to detect their onset. At the start of each contraction, the two symmetrical target points will be pressed simultaneously and symmetrically with both hands, five times in a row. Each press will laste 10 seconds, followed by a 2-second release and rest period. The intervener aime to apply a consistent and equal amount of pressure each time. Any difference in pressure applied by the left and right thumbs will be minimized through practice and training. Intervention 2: Intervention group: second. acupuncture point touch In the sham acupressure group (TG), the target point will only touch and not pressed. Intervention 3: Control group: routine care the control group will receive just routine 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 there is no further information
public Zohreh Ghorashi
Parastar Street
Rafsanjan Iran (Islamic Republic of) 771869669 +98 34 3425 5900 zghorashi@yahoo.com Rafsanjan University of Medical Sciences scientific Zohreh Ghorashi
Parastar Street
Rafsanjan Iran (Islamic Republic of) 771869669 +98 34 3425 5900 zghorashi@yahoo.com Rafsanjan University of Medical Sciences Iran (Islamic Republic of) Willingness to participate in the study gestational age of 37-42 weeks maternal age of 18-45 years ability to speak Persian absence of high-risk pregnancies (gestational hypertension, reduced fetal movements, intrauterine growth restriction, fetal death, poly- or oligohydramnios, rupture of membranes for more than 12 hours, history of infertility, gestational diabetes, smoking) absence of chronic diseases (heart disease, lung disease, diabetes, and hypertension) cephalic presentation of the fetus absence of an accompanying midwife no history of physical, surgical, or psychological problems no issues during pregnancy singleton pregnancy 18 years 45 years Female Unwillingness to cooperate during the interview need for emergency cesarean section use of pain relief methods. Treatment - Other Treatment - Other Treatment - Other Intervention group: first. acupuncture point pressure In the acupressure group (APG), participants will be positioned appropriately and the GB21 acupressure point will be pressed by a trained specialist. The Gallbladder 21 point is located on the gallbladder meridian, and its anatomical position is on the shoulder, midway between the acromion bone and the seventh cervical vertebra. Pressure will be applied starting from the onset of contractions (3-4 cm cervical dilation) and continued throughout the active phase of labor (7-8 cm cervical dilation) until the end of the first stage of labor. During the procedure, in the GB21 pressure group, the mother will be asked to assume any comfortable position. The intervening midwife will stand facing the mother and monitored her uterine contractions by hand to detect their onset. At the start of each contraction, the two symmetrical target points will be pressed simultaneously and symmetrically with both hands, five times in a row. Each press will laste 10 seconds, followed by a 2-second release and rest period. The intervener aime to apply a consistent and equal amount of pressure each time. Any difference in pressure applied by the left and right thumbs will be minimized through practice and training. Intervention group: second. acupuncture point touch In the sham acupressure group (TG), the target point will only touch and not pressed. Control group: routine care the control group will receive just routine care. Birth experience. Timepoint: one hour after birth. Method of measurement: Childbirth Experience Questionnaire Ghanbari-Homayi. Rafsanjan University of Medical Sciences Approved 2025-03-11 Rafsanjan University of medical sciences ethics committee Parastar Street Rafsanjan Kerman Iran (Islamic Republic of)