Effects of Hot Sacral Massage and Shower Application With Partner Support on Labor
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorIstanbul University - Cerrahpasa
About this trial
This study was designed to determine the effect of warm sacral massage with cherry pits and showering with partner support on perceived labor pain, birth experience, and birth comfort. A total of 150 pregnant women, 50 in each group, were planned to be included in the study.
Volunteers who agreed to participate in the study were expected to have spontaneous vaginal delivery, with an ultrasound-estimated fetal weight between 2500-4000 grams, a single fetus in cephalic presentation, at term (between 37-42 weeks of gestation), in the active phase of labor (4 cm cervical dilation), primiparous women who did not receive analgesia or anesthesia during the first stage of labor and who did not have any skin disease or open wound that would prevent massage or showering. Pregnant women participating in the study will be randomly divided into three groups. The massage group will receive massage twice during the first stage of labor for at least 20 minutes, either standing or sitting, using a bag filled with cherry pits on the sacral region (the lumbar region including your tailbone). Pregnant women in the shower group will receive a shower with water at a temperature between 32-37°C for at least 20 minutes twice during the first stage of labor, either standing or sitting with partner support, according to their preference. Pregnant women in the control group will not receive any intervention other than the routine hospital protocol (midwifery care).
After providing information about the study to the pregnant women, written informed consent will be obtained. The pain scale (VAS) will be administered to women in the shower group, massage group, and control group by a midwife working in the delivery room who is not involved in the study. The VAS will be administered four times during labor to pregnant women in the massage group and shower group, and four times to pregnant women in the control group.
Before transfer to the ward after delivery, all participants in the groups will be administered the "Birth Experience Scale (BES) and Birth Comfort Scale (BCS)" by a midwife who is not involved in the study and is working in the delivery room that day.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Volunteering to participate in the study
Expectation of spontaneous vaginal delivery
Estimated fetal weight between 2500-4000 grams by ultrasound
Single fetus and cephalic presentation,
Disqualifiers
Having undergone infertility treatment,
Delivery by cesarean section for any reason during labor,
Being multiparous
Having any systemic, chronic, or neurological disease (Diabetes Mellitus, Hypertension, Thyroid disorders, Multiple Sclerosis, Epilepsy, etc.)
Trial design
Design model
Parallel
Treatments tested in this trial
Shower
Other interventionParticipants in this group will receive a shower administered by their partner on their back, abdomen, or entire body while standing or sitting, with the water temperature maintained between 32-37°C (the woman's preferred temperature will be applied) for at least 20 minutes upon admission to the labor room (when dilation is 4-5 cm). This will be performed under the observation of the researcher midwife. The application will be repeated when dilation reaches 7-8 cm.
Massage
Other interventionSacral Massage Application will be performed using 20x20 cm pouches filled with cherry pits. Like the shower application, massage will be performed upon admission to the delivery room (when dilation is 4-5 cm) and repeated when dilation reaches 7-8 cm. Unless the pregnant woman requests otherwise, massage will be performed while she is in the left lateral position.
Midwifery Care
Other interventionCare provided by a midwife in the delivery room
Treatment groups
150 Participants
are divided into 3 treatment groupsGroup A: Showering with Partner SupportExperimental treatment 1 intervention
Group B: Hot Sacral Massage Group Made with Cherry PitsExperimental treatment 1 intervention
Group C: Control GroupOther 1 intervention
Trial outcomes
Primary outcomes
1
visual analog scale
labour pain
Time frame
Before the shower and massage at 4-5 cm dilation, After the shower and massage at 4-5 cm dilation, Before the shower and massage at 6-8 cm dilation, After the shower and massage at 6-8 cm dilation. Control group: at 4-5 cm dilation and 6-8 cm dilationSecondary outcomes
1
Childbirth Experience Questionnaire
The scale to be used to measure women's birth experiences in different dimensions has four sub-dimensions and 22 items. In the birth process sub-dimension, women's sense of personal control and their feelings about the birth process and birth pain are evaluated. In the professional help/support sub-dimension, information and midwifery care are evaluated. The perceived safety/memories sub-dimension examines feelings of safety and memories/records of the birth. The participation in decisions sub-dimension examines participation in decisions regarding movement, birth position, and pain relief. A higher score on the scale indicates that the expectant mother had a positive birth experience.
Time frame
Before the transfer from the delivery room to the maternity ward after birth2
Childbirth Comfort Questionnaire
The scale has a 3-factor structure (physical, environmental, psychospiritual). It is used to assess the woman's comfort level during childbirth. A higher score indicates a higher level of comfort, while a lower score indicates a lower level of comfort.
Time frame
Before the transfer from the delivery room to the maternity ward after birthSponsors and contacts
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Source ClinicalTrials.gov