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IRCT2015031021020N1 IRCT 2015-03-10 Research Chancellor of Alborz University of Medical Sciences Compared the effect of heat and cold therapy on outcomes of labor Comparing the effect of heat and cold therapy on outcomes of labor and satisfaction in primigravida women referred to the Kamali hospital in Alborz 2015 2015-03-06 anticipated 120 Complete https://irct.ir/trial/18530 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A normal vaginal delivery. Intervention 1: In the first intervention group: In The heat therapy group will be used warm water bag during contraction in the first stage of labor for at least 60 minutes on the lower back, abdomen area and under abdomen and in second stage will be used warm water bag for at least 4 minutes on the perineum. Intervention 2: In the second intervention group: In The cold therapy group will be used cold ice bag on the lower back, abdomen and under abdomen for 10 minutes once every 30 minutes during the first stage and and in second stage will be used cold ice bag on the perineum for 5 minutes every 15 minutes. Intervention 3: In the control group: This group will be recived routine care of labor ward and a midwife will be with woman all the time.
public Zahra Mehdizadeh Tourzani
Nursing and Midwifery Faculty, First Golestan Street, Eshteraki Avenue, Above the Takhti Park, Baghestan Blv
Karaj Iran (Islamic Republic of) 31485/56 +98 26 3433 6008 z_mehdizadeh_t@yahoo.com Alborz University of Medical Sciences scientific Zahra Mehdizadeh Tourzani
Nursing and Midwifery Faculty, First Golestan Street, Eshteraki Avenue, Above the Takhti Park, Baghestan Blv
Karaj Iran (Islamic Republic of) 31485/56 +98 26 3433 6008 z_mehdizadeh_t@yahoo.com Alborz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria consisted of nulliparous women in the age range between 18-35 years, women in the active phase of labor (3-4 cm dilatation), cephalic presentation, gestational age between 37-41 weeks and being a singleton fetus without preset abnormalities. Exclusion criteria included pre diagnosed of psychological and anatomical disorders, pre diagnosed of chronic diseases, indications for cesarean section, abnormal fetal heart patterns, history of chronic pelvic pain, history of infertility in women or spouse, any problem created during labor, women's unwillingness to continue to heat or cold therapy, women who live apart from their spouses, use of narcotics in about 8 hours before of active labor and skin diseases, including any injury, inflammation and eczema in the region of using hot-cold therapy. 18 years 35 years Female O80 spontaneous vertex delivery Other Other Other In the first intervention group: In The heat therapy group will be used warm water bag during contraction in the first stage of labor for at least 60 minutes on the lower back, abdomen area and under abdomen and in second stage will be used warm water bag for at least 4 minutes on the perineum. In the second intervention group: In The cold therapy group will be used cold ice bag on the lower back, abdomen and under abdomen for 10 minutes once every 30 minutes during the first stage and and in second stage will be used cold ice bag on the perineum for 5 minutes every 15 minutes. In the control group: This group will be recived routine care of labor ward and a midwife will be with woman all the time. Severity of pain. Timepoint: First and second stage of labor. Method of measurement: McGill Pain linear scale. Duration of stages of labor. Timepoint: First, second and third stages of labor. Method of measurement: Digital clock. Mother's satisfaction. Timepoint: Postpartum. Method of measurement: Questionnaire. Research Chancellor of Alborz University of Medical Sciences Approved 2015-02-02 Research Chancellor of Alborz University of Medical Sciences Ninth Floor, Dara Building, North Yasaman, East Pune Avenue, 45 meter of Golshahr Karaj Iran (Islamic Republic of)