ABSTRACT Introduction: In addition to pain caused by uterine contractions in labour, in 33% of women, continuous and severe back pain is observed. In management of this pain, sterile water injection is considered to be an effective method. Aim of this study is assessment of effectiveness and satisfaction of this method among Turkish women in which analgesic methods are not extensively used in labour and rates of cesarean section exponentially increases. Material and Methods: 168 termed, healthy women who admitted to Istanbul Gaziosmanpaşa-Taksim Training and Research Hospital with labour pain and had severe back pain were randomized into 4x0.1 ml sterile water and 4xdry Injection groups. Injections were applied to Michaelis Rhomboid region in sacral region. Pain scores were assessed at 10th, 30th, 60th, 120th and 180th minutes with Visual Analog Scale (VAS). Additionally, need for epidural analgesia, APGAR score, mode of delivery, time of delivery, maternal satisfaction and breastfeeding scores were assessed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
168
0.1 ml intracutaneous sterile water injections into the skin surrounding the Michaelis rhomboid over the sacral area.
dry injections into the skin surrounding the Michaelis rhomboid over the sacral area.
Pain scores-30
In pain scoring Visual Analog Scale was used
Time frame: at 30 mins after interventions
Pain scores-10
In pain scoring Visual Analog Scale was used
Time frame: at 10 mins after interventions
Pain scores-60
In pain scoring Visual Analog Scale was used
Time frame: at 60 mins after interventions
Pain scores-90
In pain scoring Visual Analog Scale was used
Time frame: at 90 mins after interventions
Pain scores-120
In pain scoring Visual Analog Scale was used
Time frame: at 120 mins after interventions
Pain scores-180
In pain scoring Visual Analog Scale was used
Time frame: at 180 mins after interventions
APGAR score of neonate
Time frame: at 5 mins after birth
Maternal satisfaction
Likelihood to use again with subsequent labour, Women satisfaction with analgesic effect, Likelihood to recommend to SWI to others
Time frame: at 1 hour after birth
Rates of breastfeeding-1
In breastfeed scoring The Infant Breastfeeding Assessment Tool was used
Time frame: at 1 hour after birth
Rates of breastfeeding-24
In breastfeed scoring The Infant Breastfeeding Assessment Tool was used
Time frame: at 24.hours after birth
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