The Effects of Warm Showers Application in Birth on Birth Pain, Birth Satisfaction and Birth Results

Gulhane School of Medicine

Status: Completed

Conditions: Labor; First Stage of Labor; Pregnancy

Treatments: Behavioral: Warm Showers Application

Study type: Interventional

Funder types: Other

Identifiers

NCT05335681

PhD midwifery (Registry Identifier)

Hayat01

Details and patient eligibility

About

The use of non-pharmacological methods in labor pain is very important in order to improve the birth process, increase comfort and provide relaxation. The role of midwives, acting as patient advocate is to maintain comfort throughout the birth process. In order to do this, she should know very well the non-pharmacological methods to be applied to the pregnant woman and choose the most appropriate one. Applying a warm shower, which is one of the non-pharmacological methods; the uterus Increases perfusion, makes labor painless felt, increases the release of oxytocin, and decreases the release of stress hormones.

In addition, while reducing the intervention rates, it improves birth and newborn outcomes and affects positively. Purpose of the research; labor pain of warm shower application, labor to evaluate the effect on satisfaction and birth outcomes.

Enrollment: 78 patients

Sex: Female

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Between the ages of 18 and 35,
• Having a singleton fetus between 37-42 weeks of gestation,
• Planning a a spontaneous vaginal birth,
• Having a cervical dilatation <5 cm.
• Having a fetus weighing between 2500-4000 grams,

Exclusion criteria

• Being short (<145cm),
• Being obese (BMI >30),
• Receiving pharmacological or non-pharmacological intervention for labor pain,
• Having chronic diseases during pregnancy (gestational diabetes, hypertension, preeclampsia,
• Undergoing operative vaginal delivery (forceps, vacuum),
• Making an emergency cesarean decision,
• Experiencing abnormal changes in fetal heart rates.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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78 participants in 2 patient groups

Warm Showers Application

Experimental group

Description:

In the experimental group, a 20-minute warm shower (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The hot shower will be applied to the sacral area, lower abdomen, and groin regions.

Treatment:

Behavioral: Warm Showers Application

Standard Intrapartum Care

No Intervention group

Description:

No intervention will be provided to the control group. At the stages when cervical dilation reaches 4 cm and 7 cm, pain will be evaluated using the VAS at baseline, 10 and 20 minutes.