Taavoni Simin, Sheikhan Fatemeh, Abdolahian Somayeh, Ghavi Fatemeh
Iran University of Medical Sciences, Research Institute for Islamic & Complementary Medicine (RICM, IUMS), Tehran, Iran.
Department of Midwifery, Faculty of Midwifery, Khalkhal Branch, Islamic Azad University, Khalkhal, Iran.
Complement Ther Clin Pract. 2016 Aug;24:99-102. doi: 10.1016/j.ctcp.2016.04.001. Epub 2016 Apr 29.
Labor pain and its management is a major concern for childbearing women, their families and health care providers. This study aimed to investigate the effects of two non-pharmacological methods such as birth ball and heat therapy on labor pain relief.
MATERIAL & METHODS: This randomized control trial was undertaken on 90 primiparous women aged 18-35 years old who were randomly assigned to two intervention (birth ball and heat) and control groups. The pain score was recorded by using Visual Analogue Scale (VAS) before the intervention and every 30 min in three groups until cervical dilatation reached 8 cm.
The mean pain severity score in the heat therapy group was less than that of in control group at 60 and 90 min after intervention (p < 0.05). In addition there were significantly differences between the pain scores in the birth ball group after all three investigated times in comparison to control group.
Both heat therapy and birth ball can use as inexpensive complementary and low risk treatment for labor pain.
分娩疼痛及其管理是孕产妇及其家庭和医护人员主要关注的问题。本研究旨在探讨分娩球和热疗法这两种非药物方法对缓解分娩疼痛的效果。
本随机对照试验对90名年龄在18 - 35岁的初产妇进行，她们被随机分为两个干预组（分娩球组和热疗组）和一个对照组。在干预前以及三组中每隔30分钟使用视觉模拟量表（VAS）记录疼痛评分，直至宫颈扩张达到8厘米。
干预后60分钟和90分钟时，热疗组的平均疼痛严重程度评分低于对照组（p < 0.05）。此外，与对照组相比，分娩球组在所有三个研究时间点的疼痛评分均存在显著差异。
热疗法和分娩球均可作为廉价的辅助且低风险的分娩疼痛治疗方法。
