Relief of labor pain by ice massage of the hand

Faranak SafdariDehcheshmeh; Masoumeh  Delaram; Tahmineh Salehian; Mohammad Taghi Moradi; Mohammad Rahimi-Madiseh; fatemeh aliakbari

Zahedan Journal of Research in Medical Sciences

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Relief of labor pain by ice massage of the hand

Author(s):

Faranak SafdariDehcheshmeh^1,*,

Masoumeh Delaram¹,

Tahmineh Salehian²,

Mohammad Taghi Moradi³,

Mohammad Rahimi-Madiseh⁴,

fatemeh aliakbari⁴

1Instructor, Dept of Midwifery, Faculty of Nursing & Midwifery, Shahrekord University of Medical Sciences and Health Services, Shahrekord , Iran.

2Instructor, Dept of Midwifery, Faculty of Nursing & Midwifery, Zahedan University of Medical Sciences and Health Services, Zahedan , Iran.

3Instructor, Cellular&Molecular Research Center, Shahrekord University of Medical Sciences and Health Services, Shahrekord , Iran.

4Instructor, Dept of Nursing, Faculty of Nursing & Midwifery, Shahrekord University of Medical Sciences and Health Services, Shahrekord , Iran.

Zahedan Journal of Research in Medical Sciences:Vol. 11, issue 1; e94419

Published online:Mar 21, 2009

Article type:Research Article

Received:Jul 29, 2008

Accepted:Mar 14, 2009

How to Cite:SafdariDehcheshmeh F, Delaram M, Salehian T, Moradi MT, Rahimi-Madiseh M, et al. Relief of labor pain by ice massage of the hand. Zahedan J Res Med Sci. 2009;11(1):e94419. doi:

Abstract

Background: Labor pain is the worst pain experience during women's life. The management of
labor pain is amongst the leading goals of maternity care. Unrelieved labor pain may adversely
affect both mother and the neonate. The aim of this study was to determine the effect of Hoku point
ice massage on pain intensity in primiparous women during labor.
Materials and Methods: A randomized controlled trial was conducted on 60 primiparous
women who were expected to have normal childbirth in Hajar Hospital of Shahrekord. All
participants were randomly assigned in two groups (n = 30): ice massage (treatment) and sand bag
group (control). The severity of the basal pain was measured at the beginning of active phase
(4 cm cervical dilation) based on Visual Analogue Scale (VAS). Then, after two groups received
intervention, the severity of the labor pain in 4, 6, 8 and 10 cm cervical dilation was measured. In
the case group, the crushed ice twisted in a terry bag was rocked on the web of skin between thumb
and forefinger. The massage was carried out in Hoku point throughout three contractions. The sand
bag tactile massage in Hoku point was served in the control group. The data were analyzed using
SPSS software and descriptive analysis using Mann- Whitney, x2, paired and independent t tests and
P<0.05 was considered significant.
Results: After completion of intervention, the pain intensity in the treatment group was
significantly less than the control group P<0.001). Also, mean duration of active phase of labor in
treatment group was significantly less than the control group (P<0.05). In the treatment group, the
difference between the mean of the pain pre and post intervention was significant just in 4, 6 and 8
cervical dilation (P<0.001).
Conclusions: Regarding the ice massage as a cost-effective and noninvasive nursing
intervention and considering high satisfaction of patients, we recommend this safe and easy-to-use
technique for alleviation of the labor pain.

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Author(s):

Faranak SafdariDehcheshmeh:[PubMed][Scholar]
Masoumeh Delaram:[PubMed][Scholar]
Tahmineh Salehian:[PubMed][Scholar]
Mohammad Taghi Moradi:[PubMed][Scholar]
Mohammad Rahimi-Madiseh:[PubMed][Scholar]
fatemeh aliakbari:[PubMed][Scholar]

The Official Journal of Zahedan University of Medical Sciences

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Relief of labor pain by ice massage of the hand

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