Endorphin at Labor Pain and Acupressure

NCT04367038 | Completed

• 1 other identifier: 25.09.2018-04/2
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

This study was performed to determine the impact of different acupressure procedures, performed on women's hands during labor, on endorphin levels and labor pain perception. The sample consisted of 140 pregnant women. The study was conducted with three experimental groups and one control group, each including 35 pregnant women. Conventional acupressure and warm and cold acupressure procedures were performed on the Large Intestinal 4 energy meridian zone acupressure point of the experimental group. No procedures were performed on the women in the control group. Data were collected using a "Personal Information Form", "Labor Intervention Follow-up Form", "Visual Analog Scale" and "Verbal Category Scale". The comparison between the experimental and control groups indicated that the conventional acupressure procedure was effective in reducing labor pain and that the warm acupressure procedure increased endorphin levels.

Conditions

Labor Pain

Keywords

acupressure; labor pain; Midwifery; pregnant women; endorphins; warm acupressure; cold acupressure

Outcome Measures

Primary Outcomes (2)

• labor pain

  pain scale

  through study completion, an average of 1month

• endorphin levels

  physiological parameter

  through study completion, an average of 1month

Study Arms (4)

Warm Acupressure Procedure Group

EXPERIMENTAL

Latent phase Visual Analog Scale and Verbal Category Scale I given as pretest First venous blood sample taken Active phase The first warm acupressure procedure was performed for ten minutes on the Large Intestinal 4 energy meridian zone acupressure point on the non-dominant hand. This process was repeated three more times at one-hour intervals. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase The second warm acupressure procedure was performed three times at one-hour intervals A 30-minute break was given Visual Analog Scale III and Verbal Category Scale III were performed Second venous blood sample taken

Other: Warm Acupressure, Cold Acupressure , Conventional Acupressure

Cold Acupressure Procedure Group

EXPERIMENTAL

Latent phase Visual Analog Scale I and Verbal Category Scale I given as pretest First venous blood sample taken Active phase The first cold acupressure procedure was performed for ten minutes on the Large Intestinal 4 energy meridian zone acupressure point on the non-dominant hand. This process was repeated three more times at one-hour intervals. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase The second cold acupressure procedure was performed three times at one-hour intervals A 30-minute break was given Visual Analog Scale III and Verbal Category Scale III were performed Second venous blood sample taken

Other: Warm Acupressure, Cold Acupressure , Conventional Acupressure

Conventional Acupressure Group

EXPERIMENTAL

Latent phase Visual Analog Scale I and Verbal Category Scale I given as pretest First venous blood sample taken Active phase Conventional acupressure was performed for 30 minutes on the Large Intestinal 4 energy meridian zone acupressure point on the non-dominant hand. This process was repeated twice more at one-hour intervals. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase The second conventional acupressure procedure was performed twice at one-hour intervals A 30-minute break was given Visual Analog Scale III and Verbal Category Scale III were performed Second venous blood sample taken

Other: Warm Acupressure, Cold Acupressure , Conventional Acupressure

Control Group

NO INTERVENTION

Latent phase Visual Analog Scale I and Verbal Category Scale I given as pretest First venous sample taken Active phase No procedure other than the routine clinical practices were carried out. Visual Analog Scale II and Verbal Category Scale II were measured at the end of the active phase Transition phase No procedure other than the normal clinical routines was conducted Visual Analog Scale III and Verbal Category Scale III were performed. Second venous blood sample taken

Interventions

Warm Acupressure, Cold Acupressure , Conventional Acupressure OTHER

Acupressure is non-invasive, safe and effective.

Cold Acupressure Procedure Group; Conventional Acupressure Group; Warm Acupressure Procedure Group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being a primipara
• Having intact membranes
• No skin diseases (such as urticaria...),
• No use of narcotic drugs
• Having a term pregnancy
• Having a single fetus at vertex position
• Planning to have vaginal delivery
• Having contractions and ongoing regular augmentation
• Having recent augmentation starting periods
• Being in the latent phase (0-3 cm dilatation)
• Having no history of high-risk pregnancy
• Not using analgesic drugs to reduce pain during delivery
• Having no systemic and neurologic diseases
• Having no contraction anomaly (hypotonic or hypertonic contractions)

You may not qualify if:

• Having any of the above criteria.

Sponsors & Collaborators

• Serap ÖZTÜRK ALTINAYAK: lead

Study Sites (1)

Health Research and Training Hospital of Tokat Gaziosmanpaşa University

Tokat Province, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Labor Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Hava Özkan, PhD

  Atatürk University Faculty of Health Science, Department of Midwifery,

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: PhD, Academician

Study Record Dates

• First Submitted: April 23, 2020
• First Posted: April 29, 2020
• Study Start: April 25, 2019
• Primary Completion: October 31, 2019
• Study Completion: January 8, 2020
• Last Updated: April 29, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)