The Effect of Warm Compress Bi-stage on Pain Strength in Labor Stages and After Delivery

Abstract

Objectives: Perineal warm packs with an increase in subcutaneous temperature and the stimulation of cutaneous receptors are advocated in the belief of pain and probably increase comfort during labor and delivery. This study aimed to investigate the effectiveness of warm compress bi-stage on pain strength in the first two stages of labor and after delivery in primiparous women. Materials and Methods: This study was a randomized clinical trial that was conducted in Shiraz hospitals from July 2012 to March 2013, in which 150 women participated and were separated into intervention (15-20-minute warm compress bi-stage in the first two stages of normal delivery at 7 and 10 cm dilations and zero position) and control (just usual hospital cares) groups. Then, pain strength was evaluated in both groups in the first two stages of normal delivery and after delivery similar to the frequency of episiotomy. The chi-square, t test, and odds ratio analysis were used for data analysis Results: The results of the t test showed that the mean intensity of pain reduced significantly in intervention group in both first (P<0.002) and second stages (P<0.001) and on the day after delivery (P<0.001). Besides, the frequency of episiotomy meaningfully decreased in the intervention group in comparison with the control group (P<0.001). Conclusions: The research participants experienced less pain through the labor and after delivery by using warm compress bi-stage at 7 and 10 cm dilatations. Thus, this method might be suitable for reducing perineal pain resulting from episiotomy

The potential beneficial effects of education and familiarity with cesarean section procedure and the operating room environment on promotion of anxiety and pain intensity: A randomized controlled clinical trial

“…Other studies have shown that in addition to educational protocols, complementary medicine, including pressure medicine, compresses, and herbal remedies, is also effective in reducing pain and anxiety in women's problems. [ 25 26 27 28 29 30 31 32 33 ] The present study findings revealed a significant decrease in postoperative pain in the intervention group compared to the control group. In fact, the interventions and consultation services that aimed at reduction of the patients’ psychological load prior to cesarean section resulted in better acceptance of the process of operation and the following period.…”

The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis

“…The sample sizes of the studies ranged from 28 to 137. Out of 10 included studies, five 22 , 25 , 28 , 30 , 34 were performed in Iran, and the remaining five were from Taiwan 35 , Brazil 36 , India 26 , Australia 24 , and Spain 27 . The age of the participants ranged from 18 to 35 years ( Table 1 ).…”

“…In the review, they included randomized controlled trials (RCTs), quasi-RCTs, even cluster studies, even available abstracts only, and trials with sequential intervention 20 of cold and hot applications. Furthermore, few trials were missed 24 , 25 , and few got published after this Cochrane review publication 26 - 28 . Thus, this systematic review (SR) and meta-analysis (MA) study aimed, keeping in mind sound methodological planning, to provide strong evidence regarding the efficacy of heat therapy.…”

Trend of Non-Pharmacological Therapy for First Phase of Active Labor Pain: A Pilot Study

“…6,7,9 Then, a warm compress is an action by providing a warm compress that aims to meet the needs of comfort, reduce or relieve pain, reduce or prevent muscle spasms and provide a feeling of warmth. [10][11][12] Combined therapy between and CPM and warm compresses uses the principle of a warm sensation and a relaxation inducer which has been shown to reduce pain during the 1st stage of labor. 13,14 caused by pressure can be resolved.…”