The Effect of Breathing Techniques on Enhancing the Effect of Massage in Reducing the Pain in the Second Stage of Labour: A Parallel Randomized Clinical Trial

  • Arezoo Haseli 1 1. Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
  • Zahra Chenari 2 2. Student Research Committee, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
  • Mona Nami 2
  • Fereshteh Jahdi 3 3. Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
  • Leila Neisani Samani 4 4. School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
  • Hamid Haghani 5 5. Collage of Management and Medical Information, Iran University of Medical Sciences, Tehran, Iran.

Abstract

Background: massage is commonly used for labor pain relief and has been the subject of research for many years. The present study was conducted to evaluate the effect of abdominal massage on labor pain as well as assessing the effect of breathing techniques in reducing the labor pain by massage.Methods: In this parallel-randomized clinical trial, 96 nulliparous women from were recruited from July to December 2010 and allocated into two experimental groups (massage only and massage with breathing groups) and one control group. Before allocation, an informed consent form was obtained from all the subjects. Visual Analog Scale (VAS) was used to assess the pain during active and transitional phases of labor 30and 60 min after intervention. The duration of active phase, path of delivery, episiotomy, neonatal Apgar score at 1 and 5 min and neonatal birth weight were considered as secondary outcomes of this study.Results: After 30 and 60 min of intervention in active phase, the mean VAS scores of both experimental groups significantly decreased compared to the control group (P<0.01). No significant difference was observed in mean VAS scores after intervention on transitional phase (P>0.05). In second stage of labor, the mean VAS scores of massage with breathing group were significantly lower than the massage and control groups (P<0.05). Both experimental groups had significant shorter time used in active phase of labor than the control group (P<0.05).Conclusions: Breathing techniques only strengthen the pain-relieving effect by the massage in the second stage of labor. Therefore, it is recommended to use breathing techniques, especially in the second stage of labor. 
Published
Jun 18, 2019
How to Cite
HASELI 1, Arezoo et al. The Effect of Breathing Techniques on Enhancing the Effect of Massage in Reducing the Pain in the Second Stage of Labour: A Parallel Randomized Clinical Trial. International Journal of Health Studies, [S.l.], june 2019. ISSN 2423-6594. Available at: <http://ijhs.shmu.ac.ir/index.php/ijhs/article/view/439>. Date accessed: 31 may 2020. doi: http://dx.doi.org/10.22100/ijhs.v4i2.439.
Section
Articles

Keywords

Abdominal massage, Breathing technique, Labour pain, Primiparous, Respiratory practice.