The Effects of Acupressure Applied to the Primiparous During Episiotomy

Esra SABANCI BARANSEL

Status: Completed

Conditions: Episiotomy Wound; Anxiety; Pain

Treatments: Behavioral: ACUPRESSURE APPLI ACUPRESSURE APPLICATION

Study type: Interventional

Funder types: Other

Identifiers

NCT06552104

2023/ 4576

Details and patient eligibility

About

This study was conducted to determine the effects of acupressure applied during episiotomy repair on pain and anxiety levels of the primiparous.

The study was conducted as a randomized controlled trial with 126 pregnant women (63 women in the acupressure group and 63 women in the control) who applied to a maternity hospital between June and December 2023. Acupressure was applied to the acupressure group twice (during internal suturing and skin suturing) by the researcher during the episiotomy repair. Visual Analog Scale (VAS) was used a total of four times, before and after the intervention, to assess the pain scores of the participants, while the Spielberger Manual for State-Trait Anxiety Inventory (STAI) was used after the second intervention to determine the anxiety levels of the participants.

Full description

Introduction: This study was conducted to determine the effects of acupressure applied during episiotomy repair on pain and anxiety levels of the primiparous.

Methods: The study was conducted as a randomized controlled trial with 126 pregnant women (63 women in the acupressure group and 63 women in the control) who applied to a maternity hospital between June and December 2023. Acupressure was applied to the acupressure group twice (during internal suturing and skin suturing) by the researcher during the episiotomy repair. Visual Analog Scale (VAS) was used a total of four times, before and after the intervention, to assess the pain scores of the participants, while the Spielberger Manual for State-Trait Anxiety Inventory (STAI) was used after the second intervention to determine the anxiety levels of the participants.

Enrollment: 126 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being 18 or older,
• having a single healthy newborn,
• Giving spontaneous birth through a medio-lateral episiotomy incision,
• No signs of infection such as vaginal redness or swelling,
• Women with full and healthy tissue integrity in the area where acupressure will be applied.

Exclusion criteria

• The need to use unusual lidocaine during episiotomy repair (lidocaine 2% higher than 5 ml),
• having any postpartum complications (such as bleeding, hypertension).

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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126 participants in 2 patient groups

ACUPRESSURE

Experimental group

Description:

In the study, acupressure was applied to the LI4 and HT7 points of the women for approximately 8-11 minutes during the episiotomy repair by BI, one of the researchers who has an acupressure application certificate. The researcher received training and certification in acupressure techniques before starting the intervention.During the episiotomy repair, acupressure was applied by the researcher twice in total. The first acupressure application was started with the first episiotomy suture being placed during the episiotomy repair (with the start of the internal perineal suturing). The second acupressure application was started with the end of the internal perineal suture and the first episiotomy suture of the skin suture. Each application was applied for approximately 4-6 minutes.

Treatment:

Behavioral: ACUPRESSURE APPLI ACUPRESSURE APPLICATION

Control group

No Intervention group

Description:

control groups Control group standard care group