Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : QC07 - QC11

Comparing the Effects of Hot Shower and Intravenous Injection of Hyoscine on the Pain Intensity and Duration of Active Phase of Labour in Nulliparous Women

Safa Maddady Maddady, Sakineh Mohammad-Alizadeh-Charandabi, Fahimeh Sehhatti Shafaei, Mojgan Mirghafourvand

1. MSc in Midwifery, Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran. 2. PhD in Repoructive Health, Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran. 3. MSc in Midwifery, Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran. 4. PhD in Reproductive Health, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran.

Correspondence Address :
Dr. Mojgan Mirghafourvand,
PhD in Reproductive Health, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran.
E-mail: mirghafourvand@gmail.com

Abstract

Introduction: Parturition is a painful process and one of midwives’ duties is to reduce the pain during labour.

Aim: To compare the effect of hot shower and intravenous injection of hyoscine on the pain severity and duration of active phase of labour (primary outcomes) and adverse events during intervention (secondary outcomes) in nulliparous women.

Materials and Methods: A randomized controlled study was conducted in which 162 nulliparous women were assigned into 3 groups. The first group (n=53) received hyoscine, the second group (n=55) received hot shower, and the control group (n=54) received routine care. Pain intensity was measured once every hour during the active phase of labour by Visual Analogue Scale (VAS) and duration of active phase was recorded. One-way analysis of variance test and general linear model were used to compare active phase duration and pain intensity, respectively.

Results: There was no statistically significant difference in terms of socio-demographic characteristics in all groups (p>0.05). According to general linear model, by adjusting the baseline values, average pain intensity in hot shower group was significantly less than control group (adjusted mean difference=-1.1; 95% Confidence Interval=-1.6 to -0.6) and hyoscine group (-1.3; -1.8 to -0.8). The mean duration of active phase of labour was 221.2±87.2 minutes in hyoscine group, 201.9±147.4 minutes in hot shower group and 312.6±198.0 minutes in control group. There was statistically significant difference among groups (p<0.001).

Conclusion: Using hot shower as a non-pharmacological method reduces the pain and the duration of active phase of labour. Therefore, we believed that the use of this method should be advisable for all women in labour.

Keywords

Childbirth, Iran, Parturition, Randomized controlled trial

How to cite this article :

Safa Maddady Maddady, Sakineh Mohammad-Alizadeh-Charandabi, Fahimeh Sehhatti Shafaei, Mojgan Mirghafourvand. COMPARING THE EFFECTS OF HOT SHOWER AND INTRAVENOUS INJECTION OF HYOSCINE ON THE PAIN INTENSITY AND DURATION OF ACTIVE PHASE OF LABOUR IN NULLIPAROUS WOMEN. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Aug 14 ]; 12:QC07-QC11. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=QC07-QC11&id=11950

DOI and Others

DOI: 10.7860/JCDR/2018/35508.11950

Date of Submission: Jan 10, 2018
Date of Peer Review: Mar 15, 2018
Date of Acceptance: Apr 11, 2018
Date of Publishing: Aug 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: NONE.

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