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IRCT20170203032374N4 IRCT 2025-12-20 Rasht University of Medical Sciences The Effects of Acupressure on Post-Cesarean Pain Intensity in Mothers Hospitalized in the Postpartum ward Comparison of the Effects of Acupressure at Hegu and Sanyinjiao Points and Their Combination on Post-Cesarean Pain Intensity in Mothers Hospitalized in the Postpartum ward: A Randomized Four-Group Clinical Trial 2026-01-04 anticipated 128 Complete https://irct.ir/trial/88190 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: Eligible participants will be enrolled in the study using a consecutive sampling method and will then be allocated by block randomization into three intervention groups (Hegu points, Sanyinjiao points, and a combination of Hegu and Sanyinjiao points) and one control group, in a 1:1:1:1 ratio. Block randomization will be performed using the Randomizer program with block sizes of eight, Blinding description: The researcher will be aware of the study procedures; however, the statistician and the study participants will be blinded to the type of intervention. N/A Pain of Cesarean. Intervention 1: The first Intervention group: Pressure was applied to the Hegu point (located on the dorsum of the hand between the first and second metacarpals, approximately along the radial bone) using 10-second pressure and 2-second rest cycles, until a total of 20 minutes of effective pressure was completed. Intervention 2: The second Intervention group: Pressure was applied to the Sanyinjiao point (5 cm or four finger-widths above the medial tibial malleolus) using 10-second pressure and 2-second rest cycles, until a total of 20 minutes of effective pressure was completed. Intervention 3: The third Intervention group: Combination of Hegu (LI4) and Sanyinjiao (SP6) points. Intervention 4: Control group: Light touch without pressure was applied in cycles of 10 seconds of touch followed by 2 seconds of rest, for a total of 20 minutes, at the Hegu, Sanyinjiao, or combined points, in random order. 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 No further information is available

public Fatemeh Jafarzadeh Kenarsari

Shahid Beheshti Highway, Daneshjoo Street, Shahid Beheshti School of Nursing and Midwifery

Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 2088 f.kenarsari2013@gmail.com Rasht University of Medical Sciences scientific Fatemeh Jafarzadeh Kenarsari

Shahid Beheshti Highway, Daneshjoo Street, Shahid Beheshti School of Nursing and Midwifery

Rasht Iran (Islamic Republic of) 4146939841 +98 13 3355 2088 f.kenarsari2013@gmail.com Rasht University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Having a pain score of 4 or higher on the VAS, gestational age of 37–42 weeks, live-born neonate, absence of congenital anomalies and respiratory problems in the neonate born in the recent cesarean section that would require admission to the neonatal unit, literacy (ability to read and write) and comprehension of the Persian language, willingness to participate in the study, no hearing, speech, or visual impairments, no history of psychiatric illness and no use of psychotropic medications (based on self-report and medical records), no previous experience with acupressure, and no lesions at the sites of acupressure or touch (Hegu and Sanyinjiao points). no limit no limit Female Unwillingness of the study participants to continue cooperation during the course of the study, the need for repeat surgery, post-cesarean hemorrhage, uterine atony, and the requirement for bimanual uterine massage will be considered as exclusion criteria. Treatment - Other Treatment - Other Treatment - Other Treatment - Other The first Intervention group: Pressure was applied to the Hegu point (located on the dorsum of the hand between the first and second metacarpals, approximately along the radial bone) using 10-second pressure and 2-second rest cycles, until a total of 20 minutes of effective pressure was completed. The second Intervention group: Pressure was applied to the Sanyinjiao point (5 cm or four finger-widths above the medial tibial malleolus) using 10-second pressure and 2-second rest cycles, until a total of 20 minutes of effective pressure was completed. The third Intervention group: Combination of Hegu (LI4) and Sanyinjiao (SP6) points Control group: Light touch without pressure was applied in cycles of 10 seconds of touch followed by 2 seconds of rest, for a total of 20 minutes, at the Hegu, Sanyinjiao, or combined points, in random order. The severity of post-Cesarean Pain based on visual analog scale (vas). Timepoint: before intervention, immediately after intervention (within 5 minutes), and one hours after intervention. Method of measurement: Visual analog scale (vas). Analgesic type administered. Timepoint: During the first 24 hours following admission to the post-cesarean ward (after the intervention). Method of measurement: Information extracted from the patient’s medical record and medication administration chart. Timing of the first analgesic request. Timepoint: During the first 24 hours following admission to the post-cesarean ward (after the intervention). Method of measurement: Information extracted from the patient’s medical record and nursing documentation. Total analgesic dose administered during the first 24 hours of post-cesarean hospitalization. Timepoint: During the first 24 hours following admission to the post-cesarean ward (after the intervention). Method of measurement: Information extracted from the patient’s medical record and nursing documentation. Rasht University of Medical Sciences Approved 2025-12-03 Research ethics committees of Guilan university of medical sciences The ola building of the Faculty of Health, in front of 17 Shahrivar Hospital, Shahid Siadati St. Namjoo St.Rasht Rasht Guilan Iran (Islamic Republic of)