The Effects of Warm Showers Application in Birth on Birth Pain, Birth Satisfaction and Birth Results

NCT05335681 | Completed

• 2 other identifiers: Hayat01PhD midwifery
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

The use of non-pharmacological methods in labor pain is very important in order to improve the birth process, increase comfort and provide relaxation. The role of midwives, acting as patient advocate is to maintain comfort throughout the birth process. In order to do this, she should know very well the non-pharmacological methods to be applied to the pregnant woman and choose the most appropriate one. Applying a warm shower, which is one of the non-pharmacological methods; the uterus Increases perfusion, makes labor painless felt, increases the release of oxytocin, and decreases the release of stress hormones. In addition, while reducing the intervention rates, it improves birth and newborn outcomes and affects positively. Purpose of the research; labor pain of warm shower application, labor to evaluate the effect on satisfaction and birth outcomes.

Conditions

Labor; Pregnancy; First Stage of Labor

Keywords

warm shower; labor pain; birth Satisfaction; hydrotherapy; maternal health

Outcome Measures

Primary Outcomes (3)

• Labor Pain

  Visual analog scale:On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.

  Baseline (Before the cervical dilation)

• Labor pain

  Visual analog scale.On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.

  10 minutes after the cervical dilation

• Labor pain

  Visual analog scale.On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.

  20 minutes after the cervical dilation

Secondary Outcomes (1)

• Birth satisfaction

  Pregnant women in both groups will be visited by the researcher in the postpartum service within the first 24 hours postpartum and BSC will be applied.

Study Arms (2)

Warm Showers Application

EXPERIMENTAL

In the experimental group, a 20-minute warm shower (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The hot shower will be applied to the sacral area, lower abdomen, and groin regions.

Behavioral: Warm Showers Application

Standard Intrapartum Care

NO INTERVENTION

No intervention will be provided to the control group. At the stages when cervical dilation reaches 4 cm and 7 cm, pain will be evaluated using the VAS at baseline, 10 and 20 minutes.

Interventions

Warm Showers Application BEHAVIORAL

In the experimental group, a 20-minute warm showers (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The warm showers will be applied to the sacral area, lower abdomen, and groin regions. Throughout the intervention, the researcher will accompany the pregnant women to ensure safety and proper implementation of the procedure. Pain will be assessed using the VAS scale before the intervention and at 10 and 20 minutes after the intervention. The Birth Satisfaction Scale will be administered prior to discharge

Warm Showers Application

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: Pregnant women who applied to the hospital for delivery
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Between the ages of 18 and 35,
• Having a singleton fetus between 37-42 weeks of gestation,
• Planning a a spontaneous vaginal birth,
• Having a cervical dilatation \<5 cm.
• Having a fetus weighing between 2500-4000 grams,

You may not qualify if:

• Being short (\<145cm),
• Being obese (BMI \>30),
• Receiving pharmacological or non-pharmacological intervention for labor pain,
• Having chronic diseases during pregnancy (gestational diabetes, hypertension, preeclampsia,
• Undergoing operative vaginal delivery (forceps, vacuum),
• Making an emergency cesarean decision,
• Experiencing abnormal changes in fetal heart rates.

Sponsors & Collaborators

• Gulhane School of Medicine: lead

Study Sites (1)

Öznur Hayat Öktem

Karabük, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Labor Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Midwife, principal investigator

Model Details: randomized controlled

Study Record Dates

• First Submitted: April 2, 2022
• First Posted: April 19, 2022
• Study Start: January 1, 2022
• Primary Completion: January 15, 2023
• Study Completion: January 15, 2023
• Last Updated: January 21, 2026

Record last verified: 2026-01

Locations

TU (1)