Although the use of a birth ball had no effect on the duration of the active phase of labor, the duration of uterine contractions, or the interval between contractions, this complementary treatment could reduce the intensity of pain during the active phase of labor.

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Sleep problems, can lead to low quality of life in Menopausal women. There are a wide variety of pharmacologic and nonpharmacologic methods for solving it. Some of Herbal Medicine, which have low side effect, may be useful for management of sleep disturbance during this time.AimTo evaluate effects of valerian extract on improvement of sleep quality in menopause women.Material and methodsIn this randomized, triple- blind, controlled trials 100 volunteer menopause women with age 50–60, who had insomnia and selected from 250 volunteers, had been visited in Public clinics of West of Tehran. Instrument includes demographic form and Pittsburg sleep quality index (PSQI). Samples randomly divided to two groups. Each group received twice a day for four weeks 530 mg of concentrated Valerian extract or 50 mg Starch as placebo in capsules.ResultsEquality of personal characteristics and sleep quality before intervention were checked and there were no differences in two groups. Valerian led to significant decrease in average of PSQI in compared to placebo (Valerian before intervention: 9.8 ± 3.6, after one month intervention: 6.02 ± 2.6) (Placebo before intervention: 11.14 ± 4.3, after one month intervention: 9.4 ± 3.9) (p = 0.000). Also 30% of valerian group and 4% of placebo group had important improvement in sleep quality, which was decreasing of 5 score of PSQI. There were significant difference between two groups (p = 0.00).ConclusionFindings from this study add to the scientific evidence that support use of valerian in the clinical management of insomnia especially in menopausal women.

Valerian improves the quality of sleep in women with menopause who are experiencing insomnia. Findings from this study add support to the reported effectiveness of valerian in the clinical management of insomnia.

These results indicated that, compared to placebo, dried leaves of red clover were more effective in reducing the severity of menopausal symptoms in postmenopausal women.