Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
BMC Womens Health. 2022 Jul 7;22(1):282. doi: 10.1186/s12905-022-01864-1.
Managing labor pain by performing massage is one of the useful strategies to reduce the rate of cesarean section and increase the tendency of women for pregnancy. Therefore, it is necessary to determine the best time for massage therapy to reduce the labor pain and anxiety. In this regard, the present study was conducted to determine the cervical dilatation appropriate for performing massage in order to reduce the labor pain and anxiety.
This randomized clinical trial study was conducted on 60 nulliparous pregnant women. Eligible participants with active phase of labor were divided randomly into two groups. The intervention group received the massage three times in of dilatation 5-7-9 cm for 20 min each time by same person without the use of oil in the LDR, based on Kimber massage instructions. In the control group, all routine care was performed except massage. Pain intensity was assessed using pain ruler. Demographic and anxiety data were collected through questionnaires.
The difference between the mean pains in the studied groups was significant in 7 cm (p < 0.0001) of cervical dilatation but was not significant in 5 cm (p = 0.084) and 9 cm (p = 0.591) dilatation. Massage effectively decreased pain intensity. The mean maternal anxiety was not significant at the beginning of the study, but was significant after performing massage (p < 0.0001) and anxiety score in the massage group decreased from 63.36 ± 5.28 (severe anxiety) at the beginning to 42.60 ± 5.83 (moderate anxiety) at the end of the study. In the control group, it increased from 66.33 ± 7.66 to 67.1 ± 5.65.
The appropriate dilatation of cervix for massage in order to reduce labor pain was observed in 7 cm. Also, massage had a significant effect on reducing anxiety. Therefore, massage is recommended as a routine care in 7 cm cervical dilatations.
This trial was registered with the Iran Trial Center (trial ID: IRCT20140118016255N5). https://en.irct.ir/trial/28120.
通过按摩来管理分娩疼痛是降低剖宫产率和增加女性再次怀孕意愿的有效策略之一。因此，确定进行按摩治疗以减轻分娩疼痛和焦虑的最佳时间是必要的。在这方面，本研究旨在确定进行按摩以减轻分娩疼痛和焦虑的适当宫颈扩张程度。
这是一项随机临床试验研究，共纳入 60 名初产妇。符合条件的活跃期产妇被随机分为两组。干预组在 LDR 中，由同一人在宫颈扩张 5-7-9cm 时分别进行 3 次，每次 20 分钟，不使用油，依据 Kimber 按摩指南进行。在对照组中，除了按摩外，所有常规护理均进行。疼痛强度采用疼痛尺评估。通过问卷调查收集人口统计学和焦虑数据。
在宫颈扩张 7cm 时，两组的平均疼痛差异具有统计学意义（p<0.0001），但在宫颈扩张 5cm（p=0.084）和 9cm 时无统计学意义（p=0.591）。按摩可有效降低疼痛强度。研究开始时，产妇的平均焦虑无显著差异，但按摩后有显著差异（p<0.0001），按摩组的焦虑评分从研究开始时的 63.36±5.28（严重焦虑）降至研究结束时的 42.60±5.83（中度焦虑）。在对照组中，焦虑评分从 66.33±7.66 增加到 67.1±5.65。
为减轻分娩疼痛，适当的宫颈扩张程度为 7cm。此外，按摩对减轻焦虑有显著效果。因此，建议在宫颈扩张 7cm 时进行常规按摩。
本试验在伊朗临床试验注册中心（注册号：IRCT20140118016255N5）注册。https://en.irct.ir/trial/28120.
