Effect of Ice Compression on Hand and Sacrum Region in Parturient Women for Reducing Labor Pain

Document Type : Original Article

Authors

1 Clinical instructor of Maternity & Newborn Health Nursing, Clinical Embaba Institute

2 Professor of Maternity and Gynecological Nursing, Faculty of Nursing - Ain Shams University

3 Assistant professor of Maternity and Gynecological Nursing, Faculty of Nursing - Ain Shams University

Abstract

The aim of this study was to evaluate the effect of ice compression on hand and sacrum
region in parturient women to reduce labor pain. Subjects and methods: research design: Quasi
Experimental design was used to conduct this study. Settings: The study was conducted on labor
and delivery unit at the ElGlaa Maternity Hospital. Sampling technique: purposive sampling
technique was used in collecting the data, total sample of One hundred and fifty (150) parturient
women according equation of a 25% of the annual flow rate of primipara of normal vaginal delivery
admitted in the hospital in 2017. Tools of data collection was collected through three tools: The
first tool was a self-structured interviewing questionnaire that was designed by the researcher 20
multiple choice questions (MCQ). It represents general characteristics of studied groups, assessment
of current Obstetrical history. The second tool Labor Progress Record (Partograph, WHO, 2018),
it was used to assess labor progress Which includes, Fetal condition, Labor progress and
Maternal condition. The third tool Modified version of visual analogue scale (VAS) is adopted
from Bird, Callisaya, Cannell, et al. (2016) to assess severity of pain and consisted of a blank line
(10 cm) anchored at each end of the line by adjectives that describe the extremes of pain
corresponding to cervical dilatation. Results: The study revealed that there is slight reduce pain
among the studied group more than the control group especially in hand group decrease in pain
intensity. Conclusion: Ice cold compression reduce labor pain, but hand group had more persistent
slight effects on pain intensity, in spite of slight increasing of contraction frequency in the study
group than control group. Recommendation’s: Providing continuing educational programs for
nurses about the benefits of ice cold compression and continuous education about how to use it
probably.

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