Effect of heat therapy on pain severity in primigravida women

Fariba Fahami, Fereshteh Behmanesh, Mahboubeh Valiani, Elaheh Ashouri, Fariba Fahami, Fereshteh Behmanesh, Mahboubeh Valiani, Elaheh Ashouri

Abstract

Background: Labor pain relief has been considered since many years ago. Heat as a non pharmacological method of pain relief helps reducing the pain intensity and increases the pain consistency. The aim of the study was to determine the effect of the heat therapy on the labor pain in primigravida women.

Methods: In this clinical trial study, 64 low risk nulliparous women were randomly divided into two heat therapy and routine care groups. In addition to the routine cares, warm bag were used for the heat therapy group for the low back, from cervix dilatation of 3-4 cm to the end of the labor's first stage and for perinea at the second stage. The pain intensity was determined by McGill pain questionnaire in dilatation of 3-4, 6-7 and 9-10 cm and at the end of the labor's second stage. Data was analyzed using t-test and chi square test by using SPSS 11.

Results: Results of research showed a significant decrease in the pain intensity in the heat therapy group at the first stage and the second stage of labor and comparing two groups showed significant difference(p < 0.001).

Conclusions: According to the results of this study, it seems that heat therapy in addition to its beneficial effects, causes the mother to sense the labor pain in a lower pain severity.

Keywords: Heat therapy; labor pain; nonpharmacological pain relief.

References

    1. Abushaikha L, Oweis A. Labour pain experience and intensity: a Jordanian perspective. Int J Nurs Pract. 2005;11(1):33–8.
    1. Fraser D, Cooper MA, Myles MF. Textbook for midwives. 14th ed. Philadelphia: Churchill Livingstone; 2003. p. 343.
    1. Loeser JD, Bonica JJ. Bonica's management of pain. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 1930.
    1. Faridi Tazekand N. Review of anesthesia and painless delivery in midwifery. Tehran: Hayan- Abasaleh; 2002. p. 1.
    1. Bonica JJ. The management of pain. 2nd ed. Philadelphia: Lea & Febiger; 1990. p. 365.
    1. McKinney ES. Maternal-child nursing. 2nd ed. Philadelphia: Elsevier Saunders; 2005. p. 59.
    1. Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Womens Health. 2004;49(6):489–504.
    1. Kalevi V, Risto E. The effect of short-term heat stress on uterine contractility, fetal heart rate and fetal movements at late pregnancy. Journal of obstetrics and gynecology. 2005;9(12):200–5.
    1. Habananda T. Nonpharmacological pain relief in labour. J Med Asso Thai. 2004;87(3):194–202.
    1. Naghibi KH, Allameh Z, Montazeri K. Painless delivery or C- section. Isfahan: Isfahan University of Medical Science; 2004. p. 82.
    1. Cluett ER, Nikodem VC, McCandlish RE, Burns EE. Immersion in water in pregnancy, labour and birth. Cochrane Database Syst Rev. 2004;(2):CD000111.
    1. Geissbuehler V, Stein S, Eberhard J. Waterbirths compared with landbirths: an observational study of nine years. J Perinat Med. 2004;32(4):308–14.
    1. Grodzka M, Makowska P, Wielgos M, Przybos A, Chrostowska J, Marianowski L. Water birth in the parturients’ estimation. Ginekol Pol. 2001;72(12):1025–30.

Source: PubMed

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