Kaur Jasvir, Sheoran Poonam, Kaur Simarjeet, Sarin Jyoti
Department Obstetrics and Gynaecological Nursing, Maharishi Markandeshwar College of Nursing, Maharishi Markandeshwar Deemed to be University, Mullana, India.
Nursing Faculty, Maharishi Markandeshwar Deemed to be University, Mullana, India.
J Caring Sci. 2020 Mar 1;9(1):9-12. doi: 10.34172/jcs.2020.002. eCollection 2020 Mar.
Childbirth is a distinctive and joyous moment in every mother's life. Giving birth is one of the powerful and vital event. This study aimed to assess and evaluate the effectiveness of warm compression (moist heat) on lumbo-sacral region in terms of labor pain intensity and labor outcomes An experimental research design was carried out on 88 nulliparous mothers with normal singleton term pregnancy (44 participants in each group) who were admitted in the labor room. Mothers who had high-risk pregnancy were excluded. Warm compression was given to nulliparous mothers of the experimental group with hydrochollator pack at 70◦C temperature for 20 minutes for 3 times with one-hour interval on lumbo sacral region starting from 4-5 cm of cervical dilatation. Labor pain intensity score, fetal heart rate, frequency and duration of uterine contractions were assessed before and immediately of warm compression and again after 30 minutes only labor pain was assessed. Study results revealed that immediately after first, second and third time of warm compression labor pain intensity score in experimental group was lower than control group respectively ( t= 3.20; P< 0.001; t =4.45; P< 0.001; t= 6.18; P< 0.001). But no significant difference found in fetal heart rate and labor outcomes in terms of duration of labor, type of delivery, baby born alive/ not and cried immediately after birth. Warm compression was useful method to decrease the labour pain among nulliparous mothers in the first stage of labour and mothers reported satisfaction with intervention.
分娩是每位母亲生命中独特而喜悦的时刻。分娩是重大且至关重要的事件之一。本研究旨在评估温热疗法（湿热）作用于腰骶部对产痛强度和分娩结局的有效性。对88例单胎足月妊娠的初产妇（每组44名参与者）进行了一项实验性研究设计，这些产妇被收入产房。排除高危妊娠的母亲。从宫颈扩张4 - 5厘米开始，对实验组的初产妇在腰骶部使用温度为70℃的热敷袋进行热敷，每次20分钟，间隔1小时，共3次。在热敷前、热敷即刻以及仅在30分钟后评估产痛强度评分、胎心率、子宫收缩频率和持续时间，此时仅评估产痛。研究结果显示，实验组在第一次、第二次和第三次热敷后即刻的产痛强度评分分别低于对照组（t = 3.20；P < 0.001；t = 4.45；P < 0.001；t = 6.18；P < 0.001）。但在胎心率以及分娩持续时间、分娩方式、婴儿是否存活及出生后是否立即啼哭等分娩结局方面未发现显著差异。温热疗法是减轻初产妇第一产程产痛的有效方法，产妇对该干预措施表示满意。
