Endorphin at Labor Pain and Acupressure

Serap ÖZTÜRK ALTINAYAK

Status: Completed

Conditions: Labor Pain

Treatments: Other: Warm Acupressure, Cold Acupressure , Conventional Acupressure

Study type: Interventional

Funder types: Other

Identifiers

NCT04367038

25.09.2018-04/2

Details and patient eligibility

About

This study was performed to determine the impact of different acupressure procedures, performed on women's hands during labor, on endorphin levels and labor pain perception.

The sample consisted of 140 pregnant women. The study was conducted with three experimental groups and one control group, each including 35 pregnant women. Conventional acupressure and warm and cold acupressure procedures were performed on the Large Intestinal 4 energy meridian zone acupressure point of the experimental group. No procedures were performed on the women in the control group. Data were collected using a "Personal Information Form", "Labor Intervention Follow-up Form", "Visual Analog Scale" and "Verbal Category Scale".

The comparison between the experimental and control groups indicated that the conventional acupressure procedure was effective in reducing labor pain and that the warm acupressure procedure increased endorphin levels.

Enrollment: 140 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being a primipara
• Having intact membranes
• No skin diseases (such as urticaria...),
• No use of narcotic drugs
• Having a term pregnancy
• Having a single fetus at vertex position
• Planning to have vaginal delivery
• Having contractions and ongoing regular augmentation
• Having recent augmentation starting periods
• Being in the latent phase (0-3 cm dilatation)
• Having no history of high-risk pregnancy
• Not using analgesic drugs to reduce pain during delivery
• Having no systemic and neurologic diseases
• Having no contraction anomaly (hypotonic or hypertonic contractions)

Exclusion criteria

Having any of the above criteria.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 4 patient groups

Warm Acupressure Procedure Group

Experimental group

Description:

Latent phase Visual Analog Scale and Verbal Category Scale I given as pretest First venous blood sample taken Active phase The first warm acupressure procedure was performed for ten minutes on the Large Intestinal 4 energy meridian zone acupressure point on the non-dominant hand. This process was repeated three more times at one-hour intervals. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase The second warm acupressure procedure was performed three times at one-hour intervals A 30-minute break was given Visual Analog Scale III and Verbal Category Scale III were performed Second venous blood sample taken

Treatment:

Other: Warm Acupressure, Cold Acupressure , Conventional Acupressure

Cold Acupressure Procedure Group

Experimental group

Description:

Latent phase Visual Analog Scale I and Verbal Category Scale I given as pretest First venous blood sample taken Active phase The first cold acupressure procedure was performed for ten minutes on the Large Intestinal 4 energy meridian zone acupressure point on the non-dominant hand. This process was repeated three more times at one-hour intervals. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase The second cold acupressure procedure was performed three times at one-hour intervals A 30-minute break was given Visual Analog Scale III and Verbal Category Scale III were performed Second venous blood sample taken

Treatment:

Other: Warm Acupressure, Cold Acupressure , Conventional Acupressure

Conventional Acupressure Group

Experimental group

Description:

Latent phase Visual Analog Scale I and Verbal Category Scale I given as pretest First venous blood sample taken Active phase Conventional acupressure was performed for 30 minutes on the Large Intestinal 4 energy meridian zone acupressure point on the non-dominant hand. This process was repeated twice more at one-hour intervals. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase The second conventional acupressure procedure was performed twice at one-hour intervals A 30-minute break was given Visual Analog Scale III and Verbal Category Scale III were performed Second venous blood sample taken

Treatment:

Other: Warm Acupressure, Cold Acupressure , Conventional Acupressure

Control Group

No Intervention group

Description:

Latent phase Visual Analog Scale I and Verbal Category Scale I given as pretest First venous sample taken Active phase No procedure other than the routine clinical practices were carried out. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase No procedure other than the normal clinical routines was conducted Visual Analog Scale III and Verbal Category Scale III were performed. Second venous blood sample taken