Journal of Health And Care
Volume 22, Issue 1 (spring 2020)
JHC 2020, 22(1): 44-52 |
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Majidnia M, Nooreddini A, Jouybari L, Yazarlou P, Talebi Z. Comparison of the Effect of Three methods of Massage, Hot Compress and Normal Perineal Care on Perceived Stress and the Severity of Labor Pain in First-Born Mothers. JHC 2020; 22 (1) :44-52
URL: http://hcjournal.arums.ac.ir/article-1-1096-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1096-en.html
Department of Nursing, School of Nursing and Midwifery, Hamedan University of Medical Sciences, Hamedan, Iran
Abstract: (2530 Views)
Background & aim: Natural childbirth is a painful experience that can be treated with non-pharmacological methods to reduce the pain and stress. The aim of this study was to compare the effect of massage, hot compress and normal perineal care methods on perceived stress and the severity of labor pain in first-born mothers.
Methods: The present study was a quasi-experimental study. The research population consisted of first-born pregnant women in Gonbad-e Kavous. A total of 150 samples were included in the study, which were randomly assigned to one of three groups of massage therapy, hot perineal compression, and routine perineal care. Perceived stress and McGill pain questionnaires were used to collect data. Data analysis was performed using descriptive and inferential statistical methods including independent t-test, chi-square and repeated meassure, using SPSS software version 16.
Results: The mean stress scores were 23.78±3.4 in massage therapy group, 23.66±1.7 in hot compress group and 25.3±2.04 in normal care group. Statistically, there was a significant difference between the perceived stress scores of massage therapy (p=0.009) and hot compression groups (p=0.001) at different times, but in normal care group (p=0.162) this difference was not significant. In terms of pain intensity, the mean scores after 20 minutes intervention was 5.29 in massage group, 5.45 in hot compression group and 7.15 in normal care group (from a totall score of 10). Statistically, the mean scores of pain intensity before and after the intervention in the massage therapy (p=0.001) and warm compression (p=0.013) groups were significantly different.
Conclusion: Based on the results, hot compress method was more effective in reducing stress and massage therapy was more effective in relieving pain than other two methods. Therefore, these methods can be used as safe and secure ways to control the pain and stress of first-born mothers.
Methods: The present study was a quasi-experimental study. The research population consisted of first-born pregnant women in Gonbad-e Kavous. A total of 150 samples were included in the study, which were randomly assigned to one of three groups of massage therapy, hot perineal compression, and routine perineal care. Perceived stress and McGill pain questionnaires were used to collect data. Data analysis was performed using descriptive and inferential statistical methods including independent t-test, chi-square and repeated meassure, using SPSS software version 16.
Results: The mean stress scores were 23.78±3.4 in massage therapy group, 23.66±1.7 in hot compress group and 25.3±2.04 in normal care group. Statistically, there was a significant difference between the perceived stress scores of massage therapy (p=0.009) and hot compression groups (p=0.001) at different times, but in normal care group (p=0.162) this difference was not significant. In terms of pain intensity, the mean scores after 20 minutes intervention was 5.29 in massage group, 5.45 in hot compression group and 7.15 in normal care group (from a totall score of 10). Statistically, the mean scores of pain intensity before and after the intervention in the massage therapy (p=0.001) and warm compression (p=0.013) groups were significantly different.
Conclusion: Based on the results, hot compress method was more effective in reducing stress and massage therapy was more effective in relieving pain than other two methods. Therefore, these methods can be used as safe and secure ways to control the pain and stress of first-born mothers.
Type of Study: quasi-experimental |
Subject:
Nursing care
Received: 2019/11/10 | Accepted: 2020/03/31 | Published: 2020/04/3
Received: 2019/11/10 | Accepted: 2020/03/31 | Published: 2020/04/3
References
1. Nabb M, Kimber L, Haines A, McCourt C. Does regular massage from late pregnancy to birth decrease maternal pain perception during labour and birth? a feasibility study to investigate a programme of massage, controlled breathing and visualization, from 36 weeks of pregnancy until birth. Complement Thrapies in Clinical Practical Journal. 2006;12:222-31. [DOI:10.1016/j.ctcp.2005.12.006] [PMID]
2. Vaziri F, Farahmand Z, Samsami A, Forouhari S, Hadianfard M, Sayadi M. The effects of warm perineum compress during the second phase of labor on first- birth outcomes. Modern Care Journal. 2014;11(1):28-36 [Persian].
3. Junge C, Soest T, Weidner K, Seidler A. Labor pain in women with and without severe fear of childbirth: a population‐based, longitudinal study. The Journal of Perinatal & Neonatal Nursing. 2018;45(4):469-77. [DOI:10.1111/birt.12349] [PMID]
4. Dunkelschetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications form others, children, research, and practice. Current Opinion in Psychiatry. 2012;25(2):141-48. [DOI:10.1097/YCO.0b013e3283503680] [PMID] [PMCID]
5. Hobel CJ, Goldstein A, Barrett ES. Psychosocial stress and pregnancy outcome. Clinical Obstetric Gynecology. 2015;51(2):333-48. [DOI:10.1097/GRF.0b013e31816f2709] [PMID]
6. Murray SS, McKinney ES. Foundations of maternal-newborn and women's health nursing. Philadelphia: W.B Saunders; 2018.
7. Nyflot LT, Stray-Pedersen B, Forsen L, Vangen S. Duration of labor and the risk of severe postpartum hemorrhage: a case-control study. PLoS One Journal. 2017;12:175-82. [DOI:10.1371/journal.pone.0175306] [PMID] [PMCID]
8. Vaziri F, Khademian Z, Morshed Behbahani B. Qualitative investigation of experiences and perception of primiparous women regarding childbirth in women referring to educational hospitals of Shiraz University of Medical Sciences. Modern Care Journal. 2012;9(3):226-36 [Persian].
9. Mirzaei F, Kaviani M, Jafari P. Effect of foot reflexology on duration of labor and severity of first-stage labor pain. Iranian Journal of Obstetrics, Gynecology and Infertility. 2010:13(1):27-32 [Persian].
10. Williams J, Mitchell M. Midwifery managers' views about the use of complementary therapies in the maternity services. Complement Therapies in Clinical Practical Journal. 2007;13:129-35. [DOI:10.1016/j.ctcp.2006.01.001] [PMID]
11. Phipps WJ, Monahan FD, Sands JK, Marek JF. Marianne neighbors medical surgical nursing health and illness perspectives. Mosby Publishion; 2003.
12. Albers LL. Reducing genital tract trauma at birth: launching a clinical trial in midwifery. Journal of Midwifery Womens Health. 2003;48(2):105-10. [DOI:10.1016/S1526-9523(02)00415-4]
13. Sanders J, Peters TJ, Campbell R. Techniques to reduce perineal pain during spontaneous vaginal delivery and perineal suturing: a UK survey of midwifery practice. Midwifery Journal. 2005;21(2):154-60. [DOI:10.1016/j.midw.2004.12.003] [PMID]
14. Mirghafourvand M, Sehhatie Shafaie F, Vosoughi-Niri Z. The effect of non-pharmacological methods of labor pain relief mothers' perceived stress: a randomized controlled trial. Journal of Ardabil Univiersity of Medical Sciences. 2014;4:398-411 [Persian].
15. Wall D, Melzak R. Text book of pain. 3rd ed. Philadelphia: McGraw; 2018.
16. Khosravi M, Sedighi S, Moradi Sh, Zandedel K. Persian-McGill pain questionnaire; translation, adaptation and reliability in cancer patients: a brief report. Tehran University of Medical Sciences Journal. 2013;71(1):53-58 [Persian].
17. TorkZahrani SH, Honarjoo M, Janesari SH, Alavi H. The effect of massage on labor pain in primary stage of delivery. Research in Medicine. 2008;32(2):141-45 [Persian].
18. Dolatian M, Hasanpour A, Heshmat R, Alavi majd H. The effect of reflexology on pain intensity of labor. The Scientific Journal of Zanjan University of Medical Sciences. 2010;18(72):52-61 [Persian].
19. Lee SL, Liu CY, Lu YY, Gau ML. Efficacy of warm showers on labor pain and birth experiences during the first labor stage. Journal of Obstetricsm, Gynecology & Neonatal Nursing. 2013;42(1):19-28. [DOI:10.1111/j.1552-6909.2012.01424.x] [PMID]
20. Dahlen HG, Homer CS, Cooke M, Upton AM, Nunn RA, Brodrick BS. Soothing the ring of fire: Australian women's and midwives' experiences of using perineal warm packs in the second stage of labour. Midwifery Journal. 2009;25(2):39-48. [DOI:10.1016/j.midw.2007.08.002] [PMID]
21. Vahaby S, Abedi P, Afshari P, Haghighizadeh MH, Zargani A. Effect of aromatherapy with rose water on pain severity of labor in nulliparous women: a random clinical trial study. Journal of Rafsanjan University of Medical Sciences. 2016;14(12):1049-60 [Persian].
22. Musgrove H. Perineal preservation and heat application during the second stage of labor. Midwifery Today E-News. 1999;1(33).
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