The Effects of Warm Showers Application in Birth on Birth Pain, Birth Satisfaction and Birth Results

Gulhane School of Medicine78 enrolled

Overview

The use of non-pharmacological methods in labor pain is very important in order to improve the birth process, increase comfort and provide relaxation. The role of midwives, acting as patient advocate is to maintain comfort throughout the birth process. In order to do this, she should know very well the non-pharmacological methods to be applied to the pregnant woman and choose the most appropriate one. Applying a warm shower, which is one of the non-pharmacological methods; the uterus Increases perfusion, makes labor painless felt, increases the release of oxytocin, and decreases the release of stress hormones. In addition, while reducing the intervention rates, it improves birth and newborn outcomes and affects positively. Purpose of the research; labor pain of warm shower application, labor to evaluate the effect on satisfaction and birth outcomes.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Labor Pregnancy First Stage of Labor

Warm Showers ApplicationBEHAVIORAL

In the experimental group, a 20-minute warm showers (37 °C) will be administered when cervical dilation reaches at least 4 cm and again at 7 cm. The control group will receive standard care only. The warm showers will be applied to the sacral area, lower abdomen, and groin regions. Throughout the intervention, the researcher will accompany the pregnant women to ensure safety and proper implementation of the procedure. Pain will be assessed using the VAS scale before the intervention and at 10 and 20 minutes after the intervention. The Birth Satisfaction Scale will be administered prior to discharge

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Between the ages of 18 and 35, * Having a singleton fetus between 37-42 weeks of gestation, * Planning a a spontaneous vaginal birth, * Having a cervical dilatation \<5 cm. * Having a fetus weighing between 2500-4000 grams, Exclusion Criteria: * Being short (\<145cm), * Being obese (BMI \>30), * Receiving pharmacological or non-pharmacological intervention for labor pain, * Having chronic diseases during pregnancy (gestational diabetes, hypertension, preeclampsia, * Undergoing operative vaginal delivery (forceps, vacuum), * Making an emergency cesarean decision, * Experiencing abnormal changes in fetal heart rates.

Outcomes

Primary Outcomes

Labor Pain

Visual analog scale:On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.

Time frame: Baseline (Before the cervical dilation)

Labor pain

Visual analog scale.On a 10 cm (100 mm.) ruler, which is marked painlessness on one end and the most severe pain possible on the other, the patient expresses his or her own pain by drawing a line, pointing or pointing. The length of the distance from the point where there is no pain to the point marked by the patient is measured in centimeters and the numerical value found shows the severity of the patient's pain.

Time frame: 10 minutes after the cervical dilation

Labor pain

Time frame: 20 minutes after the cervical dilation

Secondary Outcomes

Birth satisfaction

The birth satisfaction scale (BSS).The scale is likert type and is scored as Strongly agree:5, Agree:4, Undecided:3, Disagree:2, Strongly disagree:1. Items 4, 8, 12, 15, 16, 17, 19, 20, 21, 23, 25, 29 are scored in reverse on the scale. The original form of the scale consists of 30 items, and the score that can be obtained from the scale varies between 30-150 points. As the score obtained from the scale increases, the satisfaction with the birth increases.

Time frame: Pregnant women in both groups will be visited by the researcher in the postpartum service within the first 24 hours postpartum and BSC will be applied.