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17965

Impact of Doula sand Acupressure during laboron Labor Pain Intensity and Infant’s Apgar Score

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Last updated: 03 Jan 2025

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Abstract

Background and Objectives: Delivery is considered as one of the most painful experiences of women's life. There fore continuous labor support offers multiple benefits for mothers and infants. The present study aimed to compare the effects of maternal supportive care and acupressure (at LI4 a cupoint) during labor on labor pain intensity, and infant's Apgar score. Methods: Parturient women (n=150) with low-risk pregnancy (with singleton pregnancies in the active phase of spontaneous labor, without any medical or obstetric problems, were enrolled in this single-blinded, randomized, clinical trial)were randomly divided into supportive care(Doulas)group, LI4 acupressure group, and control group each containing 50 subjects in which no pharmacological or non-pharmacological methods of pain relief were used. Pain intensity was measured by visual analog scale before and after the intervention in the first stage of labor. Pressure or touch was applied for 30 minutes during uterine contractions. The data were collected using a questionnaire including demographic and pregnancy characteristics. Then, the data were analyzed using Chi-square test and one-way ANOVA. Results: The difference in the pain scores between Doulas, the acupressure and control group was statistically significant (p<0.001). Moreover, the frequency of Apgar score>8 in the first and 5th minutes was higher in the supportive care and acupressure groups compared to the control group, and the difference was statistically significant (P<0.001). Conclusion and recommendation: Continuous support and acupressure are an effective, non-invasive, and easily applicable technique to reduce labor pain and could reduce the length of labor stages and. Therefore, these methods, as effective non-pharmacolo

DOI

10.21608/ejhc.2017.17965

Keywords

impact, Doulas, Acupressure, Labor, Labor Pain, infant's Apgar score

Authors

First Name

Maryam

Last Name

Mohamed Ali

MiddleName

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Affiliation

Department of Obstetric physiotherapy, Faculty of physiotherapy, Egypt

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Orcid

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First Name

Inaam

Last Name

Hassan abd El-Ati

MiddleName

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Affiliation

Department of Maternity, Gynecology & Obstetric Nursing, Faculty of Nursing, Port Said University, Egypt

Email

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City

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Orcid

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First Name

Seham

Last Name

Shehata Ibrahim

MiddleName

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Affiliation

Department of Maternity, Gynecology & Obstetric Nursing, Faculty of Nursing, Port Said University, Egypt

Email

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City

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Orcid

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First Name

Ebtesam

Last Name

EL sayed Shama

MiddleName

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Affiliation

Department Family & Community Nursing, Faculty of Nursing, Port Said University, Egypt

Email

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City

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Orcid

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First Name

Manal

Last Name

Farouk Mohamed

MiddleName

-

Affiliation

Department of Pediatric Nursing. Faculty of Nursing, Suez Canal University, Egypt

Email

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City

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Orcid

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Volume

8

Article Issue

1

Related Issue

1875

Issue Date

2017-03-01

Receive Date

2018-10-30

Publish Date

2017-03-01

Page Start

192

Page End

207

Print ISSN

1687-9546

Link

https://ejhc.journals.ekb.eg/article_17965.html

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https://ejhc.journals.ekb.eg/service?article_code=17965

Order

14

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Impact of Doula sand Acupressure during laboron Labor Pain Intensity and Infant’s Apgar Score

Details

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Article

Created At

22 Jan 2023