Abstract
Introduction: Childbirth is a distinctive and joyous moment in every mother’s life. Giving birth is one of the powerful and vital event. This study aimed to assess and evaluate the effectiveness of warm compression (moist heat) on lumbo-sacral region in terms of labor pain intensity and labor outcomesMethods: An experimental research design was carried out on 88 nulliparous mothers with normal singleton term pregnancy (44 participants in each group) who were admitted in the labor room. Mothers who had high-risk pregnancy were excluded. Warm compression was given to nulliparous mothers of the experimental group with hydrochollator pack at 70◦C temperature for 20 minutes for 3 times with one-hour interval on lumbo sacral region starting from 4-5 cm of cervical dilatation. Labor pain intensity score, fetal heart rate, frequency and duration of uterine contractions were assessed before and immediately of warm compression and again after 30 minutes only labor pain was assessed.Results: Study results revealed that immediately after first, second and third time of warm compression labor pain intensity score in experimental group was lower than control group respectively ( t= 3.20; P< 0.001; t =4.45; P< 0.001; t= 6.18; P< 0.001). But no significant difference found in fetal heart rate and labor outcomes in terms of duration of labor, type of delivery, baby born alive/ not and cried immediately after birth.Conclusion: Warm compression was useful method to decrease the labour pain among nulliparous mothers in the first stage of labour and mothers reported satisfaction with intervention.
Highlights
Childbirth is a distinctive and joyous moment in every mother’s life
Warm compression was given to nulliparous mothers of the experimental group with hydrochollator pack at 700C temperature for 20 minutes for 3 times with one-hour interval on lumbo sacral region starting from 4-5 cm of cervical dilatation
Results of this study revealed that labour pain in experimental group immediately after warm compression was lower as compared to control group
Summary
Childbirth is a distinctive and joyous moment in every mother’s life. Giving birth is one of the powerful and vital event. Fetal heart rate, frequency and duration of uterine contractions were assessed before and immediately of warm compression and again after 30 minutes only labor pain was assessed. Labour pain can be described as a conflicting experience, one that is unbearable and still considered worthwhile because of the joy of having a baby.[2] there are series of factors which affect mother’s insight including previous labor pain experience, women’s capability to tolerate pain, mental and emotional condition regarding labour which all together forms a distinctive experience for every mother.[3]. The intensity and the frequency of the pain aggravates as the labour progress.[4] Pain at the time of first stage of labour is because of the many factors such as pain due to the contracting uterus, cervical dilatation, stretching of the ligaments, and perineum during the birth of the baby. Women rank labour pain as highest ranked pain as compared to other pain.[5]
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