Abstract

Objective:Labor induction in post-term pregnancy is considered as a conventional process of mothers’ care. Shiatsu technique is one of the complementary methods which use for post-term pregnancy induction. Therefore, the researchers decided to examine the effect of Shiatsu technique on the induction of post-term pregnancy.Materials and Methods:This is a randomized control trials which conducted on 288 women with post-term pregnancy who referred to consulting clinic at Ali- Ibn- Abi -Talib Hospital, in Zahedan-Iran in 2010-2011. Participants were selected based on random table. The participants divided into two groups: the first was shiatsu technique and the second group was control group (routine procedure). Shiatsu technique was conducted on the participants of intervention group for 30s on three points by an experienced midwife. The gathered data analyzed by SPSS version 15.00 and comparing tests were t-students tests, chi-square.Results:Mothers ages range were between 16 to 42 yr (mean 26.5-5.7) in shiatsu and 17 to 43 yr (mean 24.5-5.1) in control group. Regarding spontaneous initiation of labor, 82 women (56.9%) in Shiatsu group had spontaneous initiation of labor, whereas the number of women was only 12 (8.3%) in control group. Women who have used Shiatsu technique were significantly more likely to have spontaneous labour than those women who did not.Conclusions:Results of the study showed that shiatsu technique can be used as one of safe complementary methods for post-term pregnancy induction.

Highlights

  • Labor induction is considered as a conventional process of mothers' care (Hall et al, 2011)

  • Labor induction in post-term pregnancy is considered as a conventional process of mothers' care

  • Shiatsu technique is one of the complementary methods which use for post-term pregnancy induction

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Summary

Introduction

Labor induction is considered as a conventional process of mothers' care (Hall et al, 2011). Labor induction rate in the US is mentioned as 134 out of 1000 live births and its indications include post-term pregnancy, premature rupture of amniotic sac and medical problems of mother such as diabetes and blood pressure induced during pregnancy (Summers, 1997). The chance for post-term labor recurrence will be twice or triple in daughters with post-term mothers. Low-risk pregnancies are occurring for over 42 weeks, have a high risk for prenatal morbidity and mortality (ACOG, 2004). Post-term pregnancy brings higher risk of newborns hospitalization in NICU and an increase of infancy morbidity (Norwitz, 2007). Prolonged pregnancy leads to macrosomia and difficulty in labor, and an increase in prenatal mortality (Morgen et al, 1999)

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