Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial

Introduction: Prolonged labor leads to adverse birth outcomes. Thermotherapy is a new non-pharmacological method to reduce duration of labor. Hot water bags and infrared are the methods of thermotherapy. Due to the different mechanism of these two methods and lack of study regarding their comparison...

Full description

Bibliographic Details
Main Authors: Fatemeh Dastjerd, Fatemeh Erfanian, Ameneh Sazegarnia, Farideh Akhlaghi, Masoumeh Kordi, Habibollah Esmaeili
Format: Article
Language:fas
Published: Mashhad University of Medical Sciences 2020-12-01
Series:Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
Subjects:
Online Access:https://ijogi.mums.ac.ir/article_17492_876faf63c9753058e67a44c8bedbcacc.pdf
_version_ 1798044395310678016
author Fatemeh Dastjerd
Fatemeh Erfanian
Ameneh Sazegarnia
Farideh Akhlaghi
Masoumeh Kordi
Habibollah Esmaeili
author_facet Fatemeh Dastjerd
Fatemeh Erfanian
Ameneh Sazegarnia
Farideh Akhlaghi
Masoumeh Kordi
Habibollah Esmaeili
author_sort Fatemeh Dastjerd
collection DOAJ
description Introduction: Prolonged labor leads to adverse birth outcomes. Thermotherapy is a new non-pharmacological method to reduce duration of labor. Hot water bags and infrared are the methods of thermotherapy. Due to the different mechanism of these two methods and lack of study regarding their comparison, this study was conducted with aim to compare the effect of infrared belt and hot water bag on the duration of the first stage of labor in primiparous women. Methods: This parallel three-group randomized clinical trial was conducted on 150 primiparous women referred to Mashhad Um Al-Benin Hospital in 2019. At first stage of labor, two 20-minute cycles of thermotherapy was performed in the intervention groups by the infrared belt and hot water bag at dilation of 4-5 cm and of 6-7 cm of the cervix. The control group received routine care. Duration of the first stage was assessed from the beginning of 4-5 cm dilation per minute. Data were analyzed by SPSS software (version 25) and Kruskal-Wallis test and one-way analysis of variance. p < 0.05 was considered statistically significant. Results: Mean duration of the first stage of labor was significantly different in the three groups (p <0.001). Mean duration of the first stage of delivery was significantly less in the infrared belt group than the hot water bag group (p <0.001). The infrared belt and hot water bag had no adverse effect on FHR, Apgar score and PPH. Conclusion: The use of infrared belt is an effective way to reduce the duration of the first stage of labor. This method can be used as a complementary method and a non-pharmaceutical treatment method for management of labor.
first_indexed 2024-04-11T23:03:04Z
format Article
id doaj.art-cf7b2194df1d48e19af69be5c0bd9fe1
institution Directory Open Access Journal
issn 1680-2993
2008-2363
language fas
last_indexed 2024-04-11T23:03:04Z
publishDate 2020-12-01
publisher Mashhad University of Medical Sciences
record_format Article
series Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
spelling doaj.art-cf7b2194df1d48e19af69be5c0bd9fe12022-12-22T03:58:04ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632020-12-012310829510.22038/ijogi.2020.1749217492Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical TrialFatemeh Dastjerd0Fatemeh Erfanian1Ameneh Sazegarnia2Farideh Akhlaghi3Masoumeh Kordi4Habibollah Esmaeili5M.Sc. Student in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.Assistant Professor, Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.Professor, Department of Medical Physics, Medical Physics Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction: Prolonged labor leads to adverse birth outcomes. Thermotherapy is a new non-pharmacological method to reduce duration of labor. Hot water bags and infrared are the methods of thermotherapy. Due to the different mechanism of these two methods and lack of study regarding their comparison, this study was conducted with aim to compare the effect of infrared belt and hot water bag on the duration of the first stage of labor in primiparous women. Methods: This parallel three-group randomized clinical trial was conducted on 150 primiparous women referred to Mashhad Um Al-Benin Hospital in 2019. At first stage of labor, two 20-minute cycles of thermotherapy was performed in the intervention groups by the infrared belt and hot water bag at dilation of 4-5 cm and of 6-7 cm of the cervix. The control group received routine care. Duration of the first stage was assessed from the beginning of 4-5 cm dilation per minute. Data were analyzed by SPSS software (version 25) and Kruskal-Wallis test and one-way analysis of variance. p < 0.05 was considered statistically significant. Results: Mean duration of the first stage of labor was significantly different in the three groups (p <0.001). Mean duration of the first stage of delivery was significantly less in the infrared belt group than the hot water bag group (p <0.001). The infrared belt and hot water bag had no adverse effect on FHR, Apgar score and PPH. Conclusion: The use of infrared belt is an effective way to reduce the duration of the first stage of labor. This method can be used as a complementary method and a non-pharmaceutical treatment method for management of labor.https://ijogi.mums.ac.ir/article_17492_876faf63c9753058e67a44c8bedbcacc.pdfduration of laborhot packinfraredthermotherapy
spellingShingle Fatemeh Dastjerd
Fatemeh Erfanian
Ameneh Sazegarnia
Farideh Akhlaghi
Masoumeh Kordi
Habibollah Esmaeili
Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial
Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
duration of labor
hot pack
infrared
thermotherapy
title Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial
title_full Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial
title_fullStr Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial
title_full_unstemmed Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial
title_short Effect of infrared belt and hot water bag on the duration of first stage of labor in Primiparous women: A Randomized Clinical Trial
title_sort effect of infrared belt and hot water bag on the duration of first stage of labor in primiparous women a randomized clinical trial
topic duration of labor
hot pack
infrared
thermotherapy
url https://ijogi.mums.ac.ir/article_17492_876faf63c9753058e67a44c8bedbcacc.pdf
work_keys_str_mv AT fatemehdastjerd effectofinfraredbeltandhotwaterbagonthedurationoffirststageoflaborinprimiparouswomenarandomizedclinicaltrial
AT fatemeherfanian effectofinfraredbeltandhotwaterbagonthedurationoffirststageoflaborinprimiparouswomenarandomizedclinicaltrial
AT amenehsazegarnia effectofinfraredbeltandhotwaterbagonthedurationoffirststageoflaborinprimiparouswomenarandomizedclinicaltrial
AT faridehakhlaghi effectofinfraredbeltandhotwaterbagonthedurationoffirststageoflaborinprimiparouswomenarandomizedclinicaltrial
AT masoumehkordi effectofinfraredbeltandhotwaterbagonthedurationoffirststageoflaborinprimiparouswomenarandomizedclinicaltrial
AT habibollahesmaeili effectofinfraredbeltandhotwaterbagonthedurationoffirststageoflaborinprimiparouswomenarandomizedclinicaltrial