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IRCT20151211025477N6 IRCT 2022-12-28 Zanjan University of Medical Sciences Comparison of the effect of two methods of distraction thinking and Therapeutic touch in reducing labor pain in nulliparous women Comparison of the effect of two methods of distraction thinking and Therapeutic touch in reducing labor pain in nulliparous women 2022-11-21 anticipated 72 Complete https://irct.ir/trial/66761 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Sampling in this research will be done in an easy and accessible way and based on the entry criteria.Allocation of participants to 3 groups will be done by random block method in 12 blocks of 6.In such a way, two people from the first intervention group (AA), two people from the second intervention group (BB) and two people from the control group will be present in each block.Then the different states of placing these people in the blocks will be predicted and a number will be assigned to each state, then the required number of random numbers will be extracted from the table of random numbers until the study sample size is reached, and based on them, the arrangement of the participants in Groups will be determined. Matte envelopes will be prepared by the thesis advisor before sampling and will be numbered according to the sample volume. Within each envelope, the allocation of a person to one of the study groups will be determined based on the random allocation of the block. Then, at the time of entering the study, the envelope will be selected based on the participant's code and opened in their presence, and the selected person will be placed in one of the three groups. N/A Delivery. Intervention 1: Intervention group: For.Therapeutic touch technique, a 45-minute counseling session will be held according to the protocol during pregnancy. Then, in the active phase of labor (dilation of 6 cm until entering the second stage of labor), the researcher will touch the hands of the people of this group for 15 minutes with rhythmic and calm movements (without any pressure) at the beginning of the mother's pains. Intervention 2: Intervention group:For the Distraction technique (watching the movie), four 45-minute counseling sessions will be held one week apart based on the existing protocol during pregnancy. Then the researcher will play 15-minute clips (with different pre-prepared contents) according to the mother's interests in the active phase of labor (6 cm dilation until entering the second stage of labor) at the beginning of the mother's pain. Intervention 3: Control group: Routine care. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Due to the confidentiality of the data
public Zahra Bakhtiari
Omran Posti St، Jhanbazan St
Khalkhal Iran (Islamic Republic of) 5681863435 +98 45 3241 1099 mhy.bakhtairi@gmail.com Zanjan University of Medical Sciences scientific Dr Elahe Ahmadnia
Zanjan University of Medical Sciences, Gavazang Road
Zanjan Iran (Islamic Republic of) 4515613191 +98 24 3314 8300 Ahmad@zums.ac.ir Zanjan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) nulliparous women in the age range of 15-35 years Pregnancy without maternal and fetal complications Gestational age 28-32 weeks Willingness to participate in research Having a phone and contact number Not having hearing and vision problems Obtaining an average pain score from the visual pain scale Willingness to have a natural birth at the Imam Khomeini (RA) Khalkhal Educational and Medical Hospital Has at least middle school education 15 years 35 years Female Indications for cesarean include: abnormal presentation of the fetus, pelvic stenosis, large fetus Occurrence of adverse fetal outcomes Inability to understand the scale of the pain ruler Analgesic injection O80.9 Single spontaneous delivery, unspecified Behavior Behavior Behavior Intervention group: For.Therapeutic touch technique, a 45-minute counseling session will be held according to the protocol during pregnancy. Then, in the active phase of labor (dilation of 6 cm until entering the second stage of labor), the researcher will touch the hands of the people of this group for 15 minutes with rhythmic and calm movements (without any pressure) at the beginning of the mother's pains. Intervention group:For the Distraction technique (watching the movie), four 45-minute counseling sessions will be held one week apart based on the existing protocol during pregnancy. Then the researcher will play 15-minute clips (with different pre-prepared contents) according to the mother's interests in the active phase of labor (6 cm dilation until entering the second stage of labor) at the beginning of the mother's pain. Control group: Routine care Labor pain score. Timepoint: Before and after the intervention. Method of measurement: Visual analog pain scale (WONG-BAKER Pain Scale) to prevent misappropriation by the colleague present in the block who is unaware of the type and process of the intervention and the pain ruler (VAS = Visual Analogue Scale) by the mother herself once every hour in the phase Active labor (from the entry of the participating women to dilation of 6 cm until the entry into the second stage of labor) will be measured. Zanjan University of Medical Sciences Approved 2022-10-28 The Ethics Committee of Zanjan University of Medical Sciences Zanjan University of Medical Sciences، Azadi Blvd, Zanjan Zanjan Zanjan Iran (Islamic Republic of)