Nursing and Midwifery Faculty; Medicine Faculty; Tehran University of Medical Sciences, Research Institute for Islamic & Complementary Medicine (RICM, TUMS), Tehran.
Pain Med. 2013 Sep;14(9):1301-6. doi: 10.1111/pme.12161. Epub 2013 Jun 7.
Reduction of labor pain is one of the most important aspects of obstetric care. Heat therapy, typically applied to the woman's back, lower abdomen, groin, and/or perineum during last stage of labor, is an easy pain relief method that does not require highly skilled care. The effectiveness of heat therapy applied to the perineum during the first stage of labor has not been evaluated. This study aimed to evaluate the effectiveness of heat therapy for pain and woman's satisfaction during physiological labor.
Sixty primiparous women aged 18-35 years old were randomly assigned to heat therapy and control groups. Pain and satisfaction scores were measured by visual analog scale. The measurements of satisfaction were accomplished after birth. Data were analyzed by using the t-test and chi-square
Mean pain scores in the heat therapy group were significantly lower than the control group (P < 0.05). The mean satisfaction score in the heat therapy group was significantly higher than in the control group (P < 0.05).
Heat therapy, an inexpensive complementary treatment with low risk, can reduce the intensity of pain and increase mothers' satisfaction with care during the active phase of labor.
减轻分娩疼痛是产科护理的最重要方面之一。热疗通常在分娩的最后阶段应用于女性的背部、下腹部、腹股沟和/或会阴，是一种简单的止痛方法，不需要高度熟练的护理。在第一产程中应用会阴热疗的效果尚未得到评估。本研究旨在评估在生理分娩期间会阴热疗对疼痛和产妇满意度的效果。
将 60 名年龄在 18-35 岁的初产妇随机分配到热疗组和对照组。疼痛和满意度评分采用视觉模拟评分法进行测量。满意度的测量是在分娩后进行的。采用 t 检验和卡方检验进行数据分析。
热疗组的平均疼痛评分明显低于对照组（P<0.05）。热疗组的平均满意度评分明显高于对照组（P<0.05）。
热疗是一种廉价的补充治疗方法，风险低，可以减轻分娩活跃期疼痛的强度，并提高产妇对护理的满意度。
