Effect of Localized Cold Treatment Modality on Pain Intensity during Labor in Primiparous Women

Document Type : Original Article

Authors

1 Instructor, Department of Midwifery, School of Nursing and Midwifery, Branch of Karaj, Islamic Azad University, Karaj, Iran.

2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.

3 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Branch of Karaj, Islamic Azad University, Karaj, Iran.

4 Medical Student, School of Medicine, Branch of Qeshm International, Islamic Azad University, Qeshm, Iran.

Abstract

Introduction: Pain is a common and inevitable component of labor process and is considered as the most severe pain in human. Regarding the importance of reducing labor pain and prioritizing natural vaginal delivery, this study was conducted to determine the effect of localized cold treatment modality on labor pain in primiparous women.
Methods: This clinical trial was conducted among 80 primiparous eligible women eligible in Karaj Maternity Hospitals, Karaj, Iran. The samples were randomly assigned into two groups of control and intervention. To determine the severity of pain and duration of delivery, McGill's Pain Questionnaire was used. Data analysis was performed using independent samples and paired t-tests in SPSS software, version 19. P-value less than 0.05 was considered statistically significant.
Results: There was a significant difference between the groups regarding the severity of pain, mean duration of first and second stages of labor, frequency distribution of satisfaction of the subjects, satisfaction with breastfeeding and cuddling (P<0.05). However, no significant difference was observed between the groups in terms of the mean duration of the third stage of labor, mean Apgar scores, time of cuddling, and satisfaction with breastfeeding (P=0.49, P>0.05, P=0.43, and P=0.86, respectively).
Conclusion: Cold treatment modality was useful for controlling labor pain in comparison to routine care.

Keywords

References

  1. Carvalho B, Cohen SE. Measuring the labor pain experience: delivery still far off. Int J Obstet Anesth 2013; 22(1):6-9.
  2. Janssen P, Shroff F, Jaspar P. Massage therapy and labor outcomes: a randomized controlled trial. Int J Ther Massage Bodywork 2012; 5(4):15-20.
  3. Rouhe H, Salmela-Aro K, Toivanen R, Tokola M, Halmesmäki E, Ryding EL, et al. Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience-a randomised controlled trial. J Psychosom Obstet Gynecol 2015; 36(1):1-9.
  4. Loeser JD. Bonica management of pain. Philadelphia: Lippincott Williams & Wilkins; 2001.
  5. Yazdkhasti M, Pirak A. The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. Complement Ther Clin Pract 2016; 25:81-6.
  6. Arendt KW, Tessmer-Tuck JA. Nonpharmacologic labor analgesia. Clin Perinatol 2013; 40(3):351-71.
  7. Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Abnormal labor. Williams Obstet 2010; 23:452-4.
  8. Simkin PP, O'Hara M. Nonpharmacologic relief of pain during labor: systematic reviews of five methods. Am J Obstet Gynecol 2002; 186(5 Suppl Nature):S131-59.
  9. McKinney ES, James SR, Murray SS, Nelson K, Ashwill J. Maternal-child nursing-e-book. 2nd ed. New York: Elsevier Health Sciences; 2005.
  10. Hsiu H, Hsu WC, Chen BH, Hsu CL. Differences in the microcirculatory effects of local skin surface contact pressure stimulation between acupoints and nonacupoints: possible relevance to acupressure. Physiol Meas 2010; 31(6):829-41.
  11. Sliwinski Z, Kufel W, Michalak B, Halat B, Kiebzak W, Wilk M, et al. The assessment of pelvic statics in patients with spinal overload syndrome treated in whole-body cryotherapy. Ortop Traumatol Rehabil 2005; 7(2):218-22.
  12. Algafly AA, George KP. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. Br J Sports Med 2007; 41(6):365-9.
  13. Hume PA, Reid D, Edwards T. Epicondylar injury in sport: epidemiology, type, mechanisms, assessment, management and prevention. Sports Medi 2006; 36(2):151-70.
  14. Tey HL, Tan ES, Tan FG, Tan KL, Lim IS, Tan AS. Reducing anxiety levels in preschool children undergoing cryotherapy for cutaneous viral warts: use of a portable video player. Arch Dermatol 2012; 148(9):1001-4.
  15. Shevchuk NA. Hydrotherapy as a possible neuroleptic and sedative treatment. Med Hypotheses 2008; 70(2):230-8.
  16. Malarewicz A, Wydrzynski G, Szymkiewicz J, Adamczyk-Gruszka O. The influence of water immersion on the course of first stage of parturition in primiparous women. Med Wieku Rozwoj 2005; 9(4):773-80.
  17. Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Womens Health 2004; 49(6):489-504.
  18. Allaire AD. Complementary and alternative medicine in the labor and delivery suite. Clin Obstet Gynecol 2001; 44(4):681-91.
  19. Shirvani MA, Ganji Z. The influence of cold pack on labour pain relief and birth outcomes: a randomised controlled trial. J Clin Nurs 2014; 23(17-18):2473-9.
  20. Lowe NK. The nature of labor pain. Am J Obstet Gynecol 2002; 186(5):S16-24.
  21. Mohamadi M, Janani L.Randomization in randomized clinical trials: from theory to practice. J Hayat 2016; 22(2):102-14.
  22. Sindhu F. Are non-pharmacological nursing interventions for the management of pain effective?--A meta-analysis. J Adv Nurs 1996; 24(6):1152-9.
  23. Simkin P, Hanson L, Ancheta R. The labor progress handbook: early interventions to prevent and treat dystocia. New Jersey: John Wiley and Sons; 2011.
  24. Ganji Z, Shirvani MA, Rezaei-Abhari F, Danesh M. The effect of intermittent local heat and cold on labor pain and child birth outcome. Iran J Nurs Midwifery Res 2013; 18(4):298-303.
  25. Waters BL, Raisler J. Ice massage for the reduction of labor pain. J Midwifery Womens Health 2003; 48(5):317-21.
  26. de Souza Bosco Paiva C, Junqueira Vasconcellos de Oliveira SM, Amorim Francisco A, da Silva RL, de Paula Batista Mendes E, Steen M. Length of perineal pain relief after ice pack application: a quasi-experimental study. Women Birth 2016; 29(2):117-22.
  27. Taavoni S, Abdolahian S, Haghani H. Effect of sacrum‐perineum heat therapy on active phase labor pain and client satisfaction: a randomized, controlled trial study. Pain Med 2013; 14(9):1301-6.
  28. Goodman P, Mackey MC, Tavakoli AS. Factors related to childbirth satisfaction. J Adv Nurs 2004; 46(2):212-9.
  29. Christiaens W, Bracke P. Assessment of social psychological determinants of satisfaction with childbirth in a cross-national perspective. BMC Pregnancy Childbirth 2007; 7(1):26
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 21, Issue 5
July 2018
Pages 14-21

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