Sacral Massage With a Tennis Ball on Labor Pain and Comfort During the Intrapartum Period

NCT06898580 | Not Yet Recruiting

• 1 other identifier: IUC-EBE-EA-01
• Study Type: interventional
• Target: 140
• Locations: 0 countries
• Sites: N/A

Brief Summary

Although pregnancy and labor are physiological events, the pain caused by uterine contractions during labor is among the most severe pains. This causes many women to fear labor. For this reason, control of labor pain should be one of the main goals of the care given to women in labor. Therefore, this study was designed to determine the effect of sacral massage with a tennis ball on labor pain and labor comfort in the intrapartum period.

Conditions

Pain Management; Birth Comfort; Massage Effect; Labor Pain

Keywords

sacral massage; pain management; tennis ball; comfort of birth; reducing pain; labor pain

Outcome Measures

Primary Outcomes (1)

• Labor pain

  Visual Analog Scale (VAS) is a scale to measure pain and other subjective symptoms. It was as first introduced by Hayes and Patterson in 1921. The Scale maximum point is 10 and minimum point is zero. And as the scale score increases, the pain measure also increases.When cervical dilatation is 5-6 cm, the pregnant woman is asked to mark her pain score on a VAS (Visual Analog Scale) score from one to ten, and then massage is applied. After 30 minutes of massage, the pregnant woman is asked to rate the pain score on the VAS (Visual Analog Scale).

  Cervical dilatation will assses from 5-6 cm, 7-8 cm and 9-10 cm until delivery.

Secondary Outcomes (1)

• birth comfort

  Cervical dilatation will assses from 5-6 cm, 7-8 cm and 9-10 cm until delivery.

Study Arms (2)

sacral massage with a tennis ball

ACTIVE COMPARATOR

When the cervical dilatation in labor is 5-6 cm, 7-8 cm and 9-10 cm, the woman will be asked to mark the intensity of the pain she feels on the VAS scale before starting the procedure. Then, the researcher explains sacral massage to the pregnant woman. While performing this application, the researcher will apply pressure to the sacral area with a tennis ball in a circular motion so that the patient can feel but not feel pain. The application will be applied to the pregnant woman for a total of 3 contractions. 30 minutes after each procedure, the woman will be asked again to mark the intensity of the pain she feels on the VAS scale and to mark the Birth Comfort Scale.

Other: sacral massage with tennis ball

control groups

NO INTERVENTION

Pregnant women in the control group will not undergo any intervention other than routine hospital practices.

Interventions

sacral massage with tennis ball OTHER

When the cervical dilatation in labor is 5-6 cm, 7-8 cm and 9-10 cm, the woman will be asked to mark the intensity of the pain she feels on the VAS scale before starting the procedure. Then, the researcher explains sacral massage to the pregnant woman. While performing this application, the researcher will apply pressure to the sacral area with a tennis ball in a circular motion so that the patient can feel but not feel pain. The application will be applied to the pregnant woman for a total of 3 contractions. 30 minutes after each procedure, the woman will be asked to mark the intensity of the pain she feels on the VAS scale and mark the Birth Comfort Scale. The research will end when a total of 70 experimental groups and 70 control groups are reached.

sacral massage with a tennis ball

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: pregnant women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To be able to read and write Turkish,
• Being over 18 years old
• Being primiparous
• Singular foetus and head presentation
• Pregnancy at term (37-42 weeks)
• Those without risk factors during pregnancy
• Being in the active phase of labour in stage 1
• Women without any chronic diseases
• Those without a diagnosed psychiatric illness
• To agree to participate in the research

You may not qualify if:

• If the participant wishes to leave the study voluntarily
• Administration of any analgesic medication to reduce pain during labour
• Development of any of the unexpected maternal-fetal risk conditions during labour
• Having a caesarean section for any reason
• The pregnant woman has spine and bone structure problems.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

MeSH Terms

Conditions

Agnosia; Labor Pain

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Pain

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Master Student

Model Details: Two groups with a experimental and control

Study Record Dates

• First Submitted: March 12, 2025
• First Posted: March 27, 2025
• Study Start: June 1, 2025
• Primary Completion: December 1, 2025
• Study Completion: March 1, 2026
• Last Updated: May 13, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share