The Effect of Shower on Birth Pain, Postpartum Fatigue and Comfort

NCT06183957 | Completed

• 1 other identifier: KırklareliAS-9
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

According to the definition of the International Association for the Study of Pain, pain; It is an unpleasant sensory and emotional sensation and behavior related to the individual's past experiences, caused by real or potential tissue damage originating from any part of the body. Birth pain is the most severe pain experience known and defined, with physiological as well as psychological and sociocultural components that may vary among individuals.Pharmacological and non-pharmacological applications are used to relieve birth pain. While pharmacological methods reduce pain, they distract women from the physiological reality of birth and prevent women from accepting pain as a natural part of birth. Non-pharmacological methods are alternative options that will help women manage pain during birth by ensuring that women experience pain. Showering (hydrotherapy), one of the non-pharmacological methods used to reduce pain in labor, is used to increase relaxation and reduce birth pain. In a study conducted domestically, it was stated that the use of hydrotherapy during labor pain helped the woman relax, reduced the pain felt, lowered blood pressure and increased diuresis. Fatigue, in addition to being a universal symptom associated with diseases, is also a common complaint among healthy individuals. In line with the literature information, this study aims to examine the effect of shower applied during birth on postpartum fatigue and postpartum comfort.

Conditions

Pain; Fatigue

Keywords

Postpartum period; Postpartum comfort; Hydrotherapy

Outcome Measures

Primary Outcomes (1)

• Introductory Information Form

  sociodemographic characteristics, medical and obstetric pregnancy history, the woman's current pregnancy, prenatal and postpartum period

  1 week

Secondary Outcomes (3)

• Visual Comparison Scale (VAS)

  during labour period (up to 10 hours)

• Postpartum Comfort Scale (WSCO)

  between 2-4 hours postpartum period

• Person-Oriented Maternity Care Scale

  between 2-4 hours postpartum period

Study Arms (2)

hydrotherapy group

EXPERIMENTAL

When women in this group are taken to their labor rooms (when the dilation is 4-5cm), they should be standing or standing, depending on their preferences, on their waist, abdomen or whole body, with the temperature of the water between 32-37 °C (the temperature preferred by the woman will be applied) for at least 20 minutes. Sitting shower application will be performed under the observation of the researcher midwife. The temperature of the flowing water will be measured with a bucket and a thermometer that helps evaluate the temperature. The application will be repeated when the dilation is 6-8 cm.

Other: hydrotherapy group

Control group

NO INTERVENTION

Women in this group will not undergo any treatment other than routine hospital protocol (midwifery care). Additionally, the vital signs (blood pressure, pulse) of the participants will be measured and recorded hourly by the midwife. These data will be recorded in each participant's file.

Interventions

hydrotherapy group OTHER

When women in this group are taken to their labor rooms (when the dilation is 4-5cm), they should be standing or standing, depending on their preferences, on their waist, abdomen or whole body, with the temperature of the water between 32-37 °C (the temperature preferred by the woman will be applied) for at least 20 minutes. Sitting shower application will be performed under the observation of the researcher midwife. The temperature of the flowing water will be measured with a bucket and a thermometer that helps evaluate the temperature. The application will be repeated when the dilation is 6-8 cm.

hydrotherapy group

Eligibility Criteria

• Age: 20 Years - 35 Years
• Gender Eligibility Details: Female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Voluntarily agreeing to participate in the study
• She will have her second birth spontaneously vaginally at term (between 37-42 weeks of pregnancy).
• The fetal weight estimated by ultrasound is 2500-4000 grams
• Single fetus and head presentation
• Being in the active phase of labor (cervical dilation 4 cm)
• Ability to establish written/verbal communication
• Not taking any analgesia or anesthesia to relieve pain and fatigue before birth and during labor.
• Newborn APGAR score is 7 or above

You may not qualify if:

• giving up on research
• Having received infertility treatment
• Birth by cesarean section
• Having an interventional birth (forceps, vacuum, episiotomy application)
• Being primiparous, having a third or more birth (grandmultiparous)
• Having any systemic, chronic and neurological disease (Diabetes Mellitus, Hypertension, Thyroid diseases, Multiple Sclerosis, Epilepsy, etc.)
• Regular use of medication due to any disease
• Receiving psychiatric treatment (pharmacotherapy/psychotherapy)
• Any induction application that will affect uterine contractions and dilation
• Having any pregnancy complications (placenta previa, preeclampsia, premature rupture of membranes, oligohydramnios and polyhydramnios, contraction anomalies, presentation disorder, intrauterine growth retardation, intrauterine dead fetus, macrosomic babies, fetal distress, etc.)
• Having any problem that prevents communication (such as not knowing Turkish, hearing, speaking and understanding impairment),

Sponsors & Collaborators

• Kırklareli University: lead

Study Sites (1)

Tekirdağ Çorlu District State Hospital

Tekirdağ, Tekirdağ, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain; Fatigue

Condition Hierarchy (Ancestors)

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

Study Officials

• ZEYNEP CAMBAZ

  Tekirdağ Çorlu İlçe Devlet Hastanesi

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asssociate professor

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: December 12, 2023
• First Posted: December 28, 2023
• Study Start: March 3, 2023
• Primary Completion: December 15, 2023
• Study Completion: February 29, 2024
• Last Updated: June 6, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)