The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis
Introduction Heat therapy may help in reducing pain during labor as it blocks the receptors of pain, according to gate control theory. This systematic review and metaanalysis study aims to evaluate the effect of heat therapy (HT) systematically and critically on pain intensity, duration of labor dur...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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European Publishing
2022-11-01
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| Series: | European Journal of Midwifery |
| Subjects: | |
| Online Access: | http://www.europeanjournalofmidwifery.eu/The-effect-of-heat-therapy-on-pain-intensity-duration-of-labor-during-first-stage,156487,0,2.html |
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| author | Sujata Goswami Prasuna Jelly Suresh K. Sharma Rizu Negi Rakesh Sharma |
| author_facet | Sujata Goswami Prasuna Jelly Suresh K. Sharma Rizu Negi Rakesh Sharma |
| author_sort | Sujata Goswami |
| collection | DOAJ |
| description | Introduction
Heat therapy may help in reducing pain during labor as it blocks the
receptors of pain, according to gate control theory. This systematic review and metaanalysis
study aims to evaluate the effect of heat therapy (HT) systematically and critically
on pain intensity, duration of labor during the first stage of labor and Apgar scores.
Methods
We searched for randomized controlled trials published until October 2020 in
PubMed/Medline, EMBASE, ClinicalKey, Ovid Discovery, and other sources. Randomized
controlled trials (RCTs) comparing heat therapy with standard treatment were selected.
Results
Out of 7625 screened, 10 studies met the inclusion criteria. The results of
pooled data have shown that heat therapy was significantly effective in reducing pain
intensity in the first stage of labor (standard mean difference, SMD= -1.31; 95% CI: -1.88
– -0.73; p<0.001). Heat therapy had significantly reduced the duration of the first stage
of labor (pooled MD= -50.09; 95% CI: -89.70–10.48; p=0.01) and was also superior to
the standard therapy group in terms of better Apgar scores at the 5th minute of birth of
the newborn (pooled MD= -0.10; 95% CI: -0.19–0.02; p=0.02).
Conclusions
Current evidence shows that heat therapy effectively decreases labor pain
intensity and shortens the duration of labor in the first stage, and it can be used as nonpharmacological
management for labor pain. |
| first_indexed | 2024-04-11T05:56:49Z |
| format | Article |
| id | doaj.art-c3e6332363db44c3ab3cefd50e69481f |
| institution | Directory Open Access Journal |
| issn | 2585-2906 |
| language | English |
| last_indexed | 2024-04-11T05:56:49Z |
| publishDate | 2022-11-01 |
| publisher | European Publishing |
| record_format | Article |
| series | European Journal of Midwifery |
| spelling | doaj.art-c3e6332363db44c3ab3cefd50e69481f2022-12-22T04:41:52ZengEuropean PublishingEuropean Journal of Midwifery2585-29062022-11-016November1910.18332/ejm/156487156487The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysisSujata Goswami0https://orcid.org/0000-0001-6415-1244Prasuna Jelly1https://orcid.org/0000-0002-4974-6167Suresh K. Sharma2https://orcid.org/0000-0003-1214-8865Rizu Negihttps://orcid.org/0000-0002-3188-588XRakesh Sharmahttps://orcid.org/0000-0002-8627-4517College of Nursing, All India Institute of Medical Sciences, Rishikesh, IndiaCollege of Nursing, All India Institute of Medical Sciences, Rishikesh, IndiaCollege of Nursing, All India Institute of Medical Sciences, Jodhpur, IndiaIntroduction Heat therapy may help in reducing pain during labor as it blocks the receptors of pain, according to gate control theory. This systematic review and metaanalysis study aims to evaluate the effect of heat therapy (HT) systematically and critically on pain intensity, duration of labor during the first stage of labor and Apgar scores. Methods We searched for randomized controlled trials published until October 2020 in PubMed/Medline, EMBASE, ClinicalKey, Ovid Discovery, and other sources. Randomized controlled trials (RCTs) comparing heat therapy with standard treatment were selected. Results Out of 7625 screened, 10 studies met the inclusion criteria. The results of pooled data have shown that heat therapy was significantly effective in reducing pain intensity in the first stage of labor (standard mean difference, SMD= -1.31; 95% CI: -1.88 – -0.73; p<0.001). Heat therapy had significantly reduced the duration of the first stage of labor (pooled MD= -50.09; 95% CI: -89.70–10.48; p=0.01) and was also superior to the standard therapy group in terms of better Apgar scores at the 5th minute of birth of the newborn (pooled MD= -0.10; 95% CI: -0.19–0.02; p=0.02). Conclusions Current evidence shows that heat therapy effectively decreases labor pain intensity and shortens the duration of labor in the first stage, and it can be used as nonpharmacological management for labor pain.http://www.europeanjournalofmidwifery.eu/The-effect-of-heat-therapy-on-pain-intensity-duration-of-labor-during-first-stage,156487,0,2.htmlhot temperaturewarm compresslaborpainapgar scorepain managementuterine contractionobstetric |
| spellingShingle | Sujata Goswami Prasuna Jelly Suresh K. Sharma Rizu Negi Rakesh Sharma The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis European Journal of Midwifery hot temperature warm compress labor pain apgar score pain management uterine contraction obstetric |
| title | The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis |
| title_full | The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis |
| title_fullStr | The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis |
| title_full_unstemmed | The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis |
| title_short | The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis |
| title_sort | effect of heat therapy on pain intensity duration of labor during first stage among primiparous women and apgar scores a systematic review and meta analysis |
| topic | hot temperature warm compress labor pain apgar score pain management uterine contraction obstetric |
| url | http://www.europeanjournalofmidwifery.eu/The-effect-of-heat-therapy-on-pain-intensity-duration-of-labor-during-first-stage,156487,0,2.html |
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