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Labor Pain Management: Effect of Pelvic Tilt by Birth Ball, Sacrum- Perinea Heat Therapy, and Combined Use of them, a Randomized Controlled Trial

Published online by Cambridge University Press:  23 March 2020

S. Taavoni ,
S. Abdolahian ,
L. Neisani  and
H. Hamid
S. Taavoni*
Affiliation:
Iran university of medical sciences IUMS, Tehran university of medical sciences TUMS, research institute for islamic & complementary medicine RICM-IUMS, faculty of medicine TUMS, Tehran, Iran
S. Abdolahian
Affiliation:
Iran university of medical sciences IUMS, nursing and midwifery faculty, Tehran, Iran
L. Neisani
Affiliation:
Iran university of medical sciences IUMS, nursing and midwifery faculty, Tehran, Iran
H. Hamid
Affiliation:
Iran university of medical sciences IUMS, managment faculty, Tehran, Iran
*
* Corresponding author.

Abstract

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There are various safe non-pharmacologic methods for labor pain management, which mostly decrees suffering of mother and some of them significantly decrease pain too.

Aim

To assess effect of pelvic tilt by birth ball, sacrum-perinea heat therapy and combination use of them on active phase of physiologic labor.

Method

In this randomized control trial, 120 primiparous volunteer with age 18-35 years, gestational age of 38–40 weeks, in one of hospitals of Iran university of medical sciences were randomly selected and divided in four groups: Pelvic tilt by using birth ball, sacrum perinea heat therapy, combined use of two mentioned methods and control group. Tools had 3 main parts of personal characteristic, client examination form and pain visual analogue scale (VAS). All ethical points were considered.

Results

Equality of four groups had been checked before intervention. Lowest pain score first belong to pelvic tilt by birth ball then combined group and finally in heat therapy, which all were significantly less than control group. Significant decrease of pain had been seen in birth ball group and combined group during after 30 minutes intervention, but in the heat therapy group, it was seen after 60 minutes intervention (P-value < 0.05).

Conclusion

All three interventions of this study had significant effect and decreased labor pain during active phase, but highest decrease was in pelvic tilt by birth ball group and its effect started after 30 minutes intervention. It is suggested that that Obstetrics and Midwives consider these safe methods for labor pain management.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV866
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S503
Copyright
Copyright © European Psychiatric Association 2016
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