Content area
Full text
ARTICLE INFO
Article History:
Received: 3 May 2017
Accepted: 10 Dec. 2017
ePublished: 1 Mar. 2018
Keywords:
Labor Onset, Labor stages, Apgar score, Warm compress, Primiparoms women
ABSTRACT
Introduction: The aim of this study was to assess the effect of two-stage warm compress technique on the pain duration of the first and second labor stages and neonatal outcomes.
Methods: The clinical trial was done on 150 women (75 subjects in each groups) in Shiraz-affiliated hospitals in 2012 A two-staged warm compress was done for 15-20 minutes in the first and second labor phase (cervical dilatation of 7 and 10 cm with zero status) while the control group received hospital routine care. The duration of labor and Apgar score were evaluated.
Results: According to t-test, the average of labor duration was lower in the intervention group compared to the control group at the second stage. However, there was no significant difference for labor duration at the first stage and the first and fifth minute Apgar score.
Conclusion: According to the result, this intervention seems a good method for decreasing labor duration at the second stage of parturition.
Introduction
Prolonged labor causes anxiety, fear and fatigue, as well as the risk of injury, death, and perinatal mortality, more use of oxytocin, the prevalence of cesarean section and device use in vaginal delivery (vacuum or forceps), postpartum fever and reduced umbilical PH.1,2 It is also reported that the anxiety induced by labor pain contributes to the decreased level of oxytocin and prolonged labor.3 According to studies, fear of labor pain is the main reason for increased maternal desire for cesarean section.4,5 In Iran, the report of C/S is 40% and about two-thirds of them (50-60%) choose it as the call for less pain.6 According to Slone and colleagues in 2005, more catecholamine is released along with pain, which leads to less uterine blood perfusion, contractions and consequently prolonged labor.7 Prolonged labor at the second phase is along with increased fetal and maternal complications such as atonic uterus, post-partum bleeding, perineal trauma, increased infections, hypoxia, asphyxia and fetus injuries in this regard.8,9 So far, various techniques have been used as pain relief during labor, which provides less emotional stress, more calmness, and physical contact during labor besides pain...