PowerPoint Presentation
Effects of L14 Acupressure on Labor Pain in the First Stage of
Labor.
Type of study: A quantitative research; a randomized, controlled
trialPurpose of study: The purpose of this study was to examine the
effect of acupressure in the relief and duration of labor. Research
Methods: It was a two group pretest and posttest design.Comparison
of pain levels, labor duration, and overall satisfaction between
the control and the variable group who received acupressure.
Sample: 100 women were included in this study, half being
multiparous and half being nulliparous. The women included in the
sample had to be in their 1st to 3rd pregnancy, no drug addiction,
ability to read and write, 37 weeks or greater, natural birth with
vertex and anterior presentation, not induced for labor with cervix
dilation between 3 and 5cm, between the ages of 20 and 40, having
never experienced acupressure, no damage at LI4 pressure point, and
no history of cesarean birth.
Effects of L14 Acupressure on Labor Pain in the First Stage of
Labor.
Data collection method: The visual analogue scale from 0 to 10
to measure pain: 10 being the worst pain and 0 being no pain. A
6-point satisfaction scale was used to see how satisfied patients
were with the birth process, with 1 being not satisfied at all and
6 being totally satisfied.statistical methods used were
chi-squared, independent and paired t-tests, as well as the Fisher
exact test. Findings:Acupressure was found to be beneficial in
shortening the first and second stages of labor as well as managing
pain.Limitations:No measures were taken to ensure the women
reported truthfully.Individual differences to pain limits.
The findings proved significant enough to continue researching
this method as a possible alternative option for pain
management.
Effect Of Birth Ball Usage On Pain In The Active Phase Of Labor:
A Randomized Controlled Trial.
Type of Study: A quantitative research study; randomized
controlled trial using convenience sampling.Purpose of Study: To
evaluate the effectiveness of use of a birth ball on labor pain,
contractions, and duration of the active phase of labor. Sample: 60
primiparous women; ages of 18-24, with singleton pregnancies,
cephalic presentation of fetuses, 38 to 40 complete weeks of
gestation, anticipation of a normal birth, and no history of
infertility.Research Methods:Comparison of pain levels, labor
duration, and overall satisfaction between the control and the
variable group who used the birthing ball during the active stage
of labor.
Effect Of Birth Ball Usage On Pain In The Active Phase Of Labor:
A Randomized Controlled Trial.
Data Collection Method: Visual analogue scale from 0 to 10 to
measure pain The patients were asked their level of pain before the
intervention, then at 30, 60, and 90 minutes after the
intervention.The statistical methods used to measure the data were
chi-squared and t test. Findings: The average level of pain
severity reported amongst the birth ball group was significantly
less than that of the control group. However, there was no
significant difference in the duration of uterine contractions or
in the duration of the active phase of labor between the two
groups. Limitations:Not assessing the use of the birthing ball
during ALL phases of laborCannot be certain that equal
representation on laboring w omens attitudes towards the use of a
birthing ball, and an equal distribution of cultural differences
was reflected in this study.
Utilization Of researchSimavli et al., (2014) showed how much
music helped to reduce pain and decrease depression as well as
increase satisfaction with the labor process. This will help to
improve patient satisfaction as well as decrease pain and
post-partum depression for patients. It is also a cost saving
factor as well for hospitals.Hamidzadeh, et al., (2012) noted that
acupressure was beneficial in decreasing the pain level for a woman
in child birth. It was also noted that the labor was shortened as
well as the patient satisfaction was increased for the overall
labor process. If this treatment was implemented in the current
settings of labor and delivery in hospitals there would be a higher
satisfaction in child birth as well as decreased pain and less use
of medications. This again is an inexpensive way of treating pain
for hospitals and a benefit to them for higher patient
satisfaction.Taavoni et al., (2011) found that the use of the
birthing ball helped to significantly decrease pain in laboring
women. If this were implemented in the hospitals on a regular basis
it would help women with their pain thus increasing satisfaction
for the patient. Patient outcomes will be improved and it is also
cost effective for the hospital. Taavoni, et al., (2013) showed how
heat can reduce pain in women during labor therefore increasing
patient satisfaction with the overall birth process. This
inexpensive way of helping decrease pain is highly recommended for
hospitals. Will reduce the need for medications and an
anesthesiologist to place epidurals which can be costly. Davey et
al., (2013) found that a womens state of mind affected her pain
level and perceptions of pain. This will improve patient outcomes
by helping the mind stay focused and making choices about pain
management instead of going into hysterics or being distracted by
all the commotion of a hospital.Miquelutti, et al., (2011) showed
how education during the pregnancy of the different methods of pain
management were beneficial in helping the women be in control of
her labor thus increasing satisfaction during the birth process.
Hospitals should highly recommend the parent becoming educated in
regards to the different options one has during labor to control
pain. This will increase patient satisfaction also improves patient
outcomes giving them more control over their own health care
decisions.
ConclusionThorough assessments of a womans satisfaction with her
care during labor and birth are important aspects to being a
competent health care provider and health care facility.
Non-pharmacologic options can address the physical sensation of
labor pain, help enhance the psychological/emotional components of
care by reducing anxiety and increasing satisfaction, and help a
woman feel a sense of control during her labor process. There are
many options for non-pharmacologic pain relief
methods:RelaxationBreathing techniques MassageHot/Cold
TherapyMusicAcupressure/Acupuncture Mind, body, and spiritBirthing
ball.
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