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The effect of GB21 acupressure on pain intensity in the first stage of labor in primiparous women: A randomized controlled trial
Affiliation:1. Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;3. Iranian Scientific Acupuncture Association, Tehran, Iran;4. Department of Biostatistics, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:IntroductionLabor pain is one of the most intensive pains experienced by women; it results in physical, emotional, and physiological changes in women’s body. The present study aimed to examine the effect of GB21 acupressure on labor pain.DesignIn this randomized clinical trial, 174 primiparous women in their first stage of labor were selected and assigned to three groups: GB21 acupressure group (n = 58), sham group (n = 58), and control group (n = 58).InterventionsThe acupressure and sham groups received routine labor care and acupressure in three different phases of cervical dilations to 3−5 cm, 6−7 cm, and 8−10 cm. The control group received routine care in labor.Main outcome measuresPain severity was measured using a pain scale ruler in three cervical dilations before and after intervention. The collected data were analyzed using the ANOVA, Kruskal–Wallis, paired-t test and Mann–Whitney tests.ResultsPain reduction was significantly higher in GB21 groups compared with sham and control groups (P = 0.001). No statistically significant difference was observed between the three groups in terms of delivery outcomes.ConclusionsIn this study, GB21 acupressure was effective in pain relief during labor, hence recommended as a practical, effective, inexpensive, and accessible method for labor pain management.
Keywords:Acupressure  GB21 point  Labor pain  Sham point  Primiparous women
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