]>
IRCT20190205042624N2 IRCT 2026-08-09 Shahid Beheshti University of Medical Sciences A Comparative study of the effectiveness of acupressure on Labor Pain Intensity During the First Stage A Comparative Study of the Efficacy of Proximal vs. Distal Acupressure Points on Labor Pain Intensity During the First Stage 2026-08-23 anticipated 105 Recruiting https://irct.ir/trial/91841 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The website (https://www.sealedenvelope.com/simple-randomiser/v1/lists) will be used to randomly assign primiparous and multiparous women to three groups. In this way, before the start of the study, 105 people will be randomly assigned in blocks of 3, 6, and 3 in two primiparous and multiparous classes to three acupressure groups: near, far, and control. White envelopes will be provided for the primiparous class and green envelopes for the multiparous class. One envelope will be numbered from 1 to 52 and the other from 1 to 53, and the groups will be recorded and entered into the envelope based on the determined sequence. The sealed envelopes will be provided to the researcher conducting the intervention before the study. In this way, the researcher conducting the study will be unaware of the assignment of individuals to groups before the intervention. N/A Pain relief during the first stage of labor. Intervention 1: Intervention group: Acupressure is applied to points close to the pain focus (BL31, BL32, BL33) at dilations of 4-5, 6-7, and 8-10 cm for 9 minutes. Intervention 2: Intervention group: Acupressure is applied to points distant from the pain focus (SP6, LI4, GB21) at dilations of 4-5, 6-7, and 8-10 cm for 9 minutes. Intervention 3: Control group: The researcher is present in the delivery room, and all the measures that were performed for the intervention groups, except for acupressure, are also performed for the control group. No - There is not a plan to make this available Justification or reason for not sharing IPD is Some part our spss data dystroied
public Sedigheh Sedigh Mobarakabadi
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Niayesh Highway, Vali-asr Street
Tehran Iran (Islamic Republic of) 1985717443 +98 21 8865 5366 sedighehsedigh@gmail.com Shahid Beheshti University of Medical Sciences scientific Sedigheh Sedigh Mobarakabadi
School of Nursing and Midwifery, Niayesh Highway, Vali-asr Street
Tehran Iran (Islamic Republic of) 1985717443 +98 21 8865 5366 Sedighehsedigh@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Age between 18-35 years Number of miscarriages less than two Have no history of more than two deliveries. Skin areas where acupressure is to be performed are healthy. Gestational age between 37-42 weeks (ultrasound before 12 weeks with LMP) Singleton, vertex presentation Dilation of 4-5 cm (at the beginning of the active phase of labor) Presence of at least three contractions in 10 minutes Cephalopelvic disproportion No use of analgesic drugs (chemical or herbal) in the past 8 hours. Not having a chronic disease such as cardiovascular disease, kidney disease, rheumatoid arthritis, and epilepsy No known mental illness No history of adverse events such as the death of a spouse or a close relative during pregnancy No pregnancy complications such as preeclampsia, chorioamnionitis, etc. No obstetric complications (such as abruption, abnormal fetal heart rate, etc.) at the time of entry into the study 18 years 35 years Female Mother's unwillingness to continue participating in the study Emergency cesarean section (after registration) Failure to complete the three stages of the intervention Use of pharmacological pain relief during the intervention Occurrence of adverse outcomes (placental abruption, fetal distress, failure to progress labor) (after registration) Treatment - Other Treatment - Other Other Intervention group: Acupressure is applied to points close to the pain focus (BL31, BL32, BL33) at dilations of 4-5, 6-7, and 8-10 cm for 9 minutes. Intervention group: Acupressure is applied to points distant from the pain focus (SP6, LI4, GB21) at dilations of 4-5, 6-7, and 8-10 cm for 9 minutes. Control group: The researcher is present in the delivery room, and all the measures that were performed for the intervention groups, except for acupressure, are also performed for the control group. Pain relief during the first stage of labor. Timepoint: The intervention is applied at dilations of 4-5, 6-7, and 8-10 cm and for 9 minutes. Method of measurement: The level of labor pain is determined using a numerical rating scale before intervention. Shahid Beheshti University of Medical Sciences Approved 2026-07-21 Research Ethics Committee of School of Pharmacy and Nursing & Midwifery- Shahid Beheshti University Next to Taleghani hospital; SHahid Arabi Ave, Yaman street; SHahid CHamran highway Tehran Tehran Iran (Islamic Republic of)