Inclusion criteria:
Age between 18-35 years
Number of miscarriages less than two
Have no history of more than two deliveries.
Skin areas where acupressure is to be performed are healthy.
Gestational age between 37-42 weeks (ultrasound before 12 weeks with LMP)
Singleton, vertex presentation
Dilation of 4-5 cm (at the beginning of the active phase of labor)
Presence of at least three contractions in 10 minutes
Cephalopelvic disproportion
No use of analgesic drugs (chemical or herbal) in the past 8 hours.
Not having a chronic disease such as cardiovascular disease, kidney disease, rheumatoid arthritis, and epilepsy
No known mental illness
No history of adverse events such as the death of a spouse or a close relative during pregnancy
No pregnancy complications such as preeclampsia, chorioamnionitis, etc.
No obstetric complications (such as abruption, abnormal fetal heart rate, etc.) at the time of entry into the study
Exclusion criteria:
Mother's unwillingness to continue participating in the study
Emergency cesarean section (after registration)
Failure to complete the three stages of the intervention
Use of pharmacological pain relief during the intervention
Occurrence of adverse outcomes (placental abruption, fetal distress, failure to progress labor) (after registration)