Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT06183957 |
| Other study ID # |
KirklareliAS-9 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
March 3, 2023 |
| Est. completion date |
February 29, 2024 |
Study information
| Verified date |
June 2024 |
| Source |
Kirklareli University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
According to the definition of the International Association for the Study of Pain, pain; It
is an unpleasant sensory and emotional sensation and behavior related to the individual's
past experiences, caused by real or potential tissue damage originating from any part of the
body. Birth pain is the most severe pain experience known and defined, with physiological as
well as psychological and sociocultural components that may vary among
individuals.Pharmacological and non-pharmacological applications are used to relieve birth
pain. While pharmacological methods reduce pain, they distract women from the physiological
reality of birth and prevent women from accepting pain as a natural part of birth.
Non-pharmacological methods are alternative options that will help women manage pain during
birth by ensuring that women experience pain.
Showering (hydrotherapy), one of the non-pharmacological methods used to reduce pain in
labor, is used to increase relaxation and reduce birth pain. In a study conducted
domestically, it was stated that the use of hydrotherapy during labor pain helped the woman
relax, reduced the pain felt, lowered blood pressure and increased diuresis. Fatigue, in
addition to being a universal symptom associated with diseases, is also a common complaint
among healthy individuals.
In line with the literature information, this study aims to examine the effect of shower
applied during birth on postpartum fatigue and postpartum comfort.
Description:
According to the definition of the International Association for the Study of Pain, pain; It
is an unpleasant sensory and emotional sensation and behavior related to the individual's
past experiences, caused by real or potential tissue damage originating from any part of the
body. Birth pain is the most severe pain experience known and defined, with physiological as
well as psychological and sociocultural components that may vary among individuals.
Physiological components; The pressure on the tissues of the birth canal and the stretching
of the tissues are psychosocial components; It is related to fear, anxiety and coping ability
during the birth process. The individual's response to pain with cultural values and learned
behaviors constitutes the sociocultural dimension of pain. In addition to these known
characteristics of labor pain, the degree of pain varies according to the frequency, duration
and intensity of contractions and the cervical opening. The American Society of Obstetrics
and Gynecology states that labor pain should be treated and that it may have negative effects
on maternal and neonatal health in cases where the pregnant woman has difficulty coping with
labor pain.
Pharmacological and non-pharmacological applications are used to relieve birth pain. While
pharmacological methods reduce pain, they distract women from the physiological reality of
birth and prevent women from accepting pain as a natural part of birth. Non-pharmacological
methods are alternative options that will help women manage pain during birth by ensuring
that women experience pain. The World Health Organization (WHO) recommends the use of
non-pharmacological methods such as massage and touching, distraction and imagination,
movement and position, music, making sounds and praying, aromatherapy, hydrotherapy,
acupressure, hot and cold applications in labor pain.
Showering (hydrotherapy), one of the non-pharmacological methods used to reduce pain in
labor, is used to increase relaxation and reduce birth pain. In a study conducted
domestically, it was stated that the use of hydrotherapy during labor pain helped the woman
relax, reduced the pain felt, lowered blood pressure and increased diuresis. The use of water
during labor and regular feeding of the uterus in the first stage of labor has helped to feel
less pain during contractions and to have shorter and less invasive births.
Fatigue, in addition to being a universal symptom associated with diseases, is also a common
complaint among healthy individuals. The North American Nursing Diagnosis Association (NANDA)
defines fatigue as "a predominant, persistent feeling of exhaustion and a decrease in normal
physical and mental working capacity". defines. Symptoms of fatigue; Inability to carry out
daily tasks, impaired concentration, difficulty in remembering, short-term memory loss,
indifference to the environment, decreased awareness, lack of energy, fatigue, difficulty in
making decisions, muscle weakness, increased physical complaints, emotional changes, tendency
to sleep, hallucinations, perceptual weakness. is suffering.
Fatigue is a common symptom during pregnancy, birth and the postpartum period. In addition to
being a very special, happy experience for women, birth also means coping with physical pain
and difficulties and fatigue due to insomnia. With the birth, the six-week period begins,
called the postpartum period, during which the woman feels social, physical and psychological
changes. This process is a woman's; It is a difficult period in which all systems and organs
in the body return to their pre-pregnancy state, the woman tries to adapt to the new roles
and responsibilities acquired in the transition to parenthood, and many progressive and
regressive changes occur in the woman's body. Fatigue, which is an inevitable part of this
period, can increase until the sixth postpartum week. In the study of Kılıç et al., it was
reported that 88.5% of women experienced fatigue in the postpartum period.
In line with the literature information, this study aims to examine the effect of shower
applied during birth on postpartum fatigue and postpartum comfort.
