A pre-experimental study to evaluate the effectiveness of back massage among pregnant women in first stage of labour pains admitted in labour room of a selected hospital, Ludhiana, Punjab, India

Abstract

Background: Labour is a health state that most women aspire to, at some point in their lives. The first thought that comes to the mind of an expecting woman regarding her delivery is the pain of labour. The major role and responsibility of the nurse is in identifying the problems of the woman in labour, providing appropriate information regarding the alternative modalities of pain relief during labour. A pre-experimental study was conducted to evaluate the effectiveness of back massage on pain among pregnant women in first stage of labour pains in a selected Hospital, Ludhiana, Punjab. The objectives of the study were to assess the pre-test level of pain in first stage of labour pains among pregnant women, to administer the back massage in first stage of labour pains, to assess the post-test level of pain and to compare the pre-test and post-test level of pain in first stage of labour pains among pregnant women and to determine the relationship of pre-test and post-test level of pain with the selected variables.Methods: Conceptual framework was based on General system theory by Ludwig Von Bertanlanffy. Modified Labour Pain Relief Tool and Participants Opinionnarie were used to assess the effectiveness of back massage.Results: Findings of the study were in the pre-test mean score was 5.83 and post-test mean score was 3.75 which was found statistically highly significant at p<0.01 level. Gravida had significant impact on level of pain. Back massage had impact on level of pain among pregnant women.Conclusions: Present study revealed that in the pre-test mean score was 5.83 and post-test mean score was 3.75 which was found statistically highly significant at p<0.01 level. Age, education, mother’s occupation, period of gestation and any history of abortion had no significant relationship with pain, and gravida had statistically significant relationship with pain. Back massage had impact on pain level. Therefore it was concluded that back massage was effective to reduce the level of pain.

The effect of sacral massage on labor pain and anxiety: A randomized controlled trial

“…They found that the satisfaction scores in the four phases of labor were significantly higher in the group that was administered a massage compared with the control group (Mortazavi et al, ). Similar results were shown in the study by Sethi and Barnabas (). In their study, it is stated that back massage had a significant impact on pain and that back massage had a significant role in the reduction of pain and the improvement of the emotional experience of labor (Sethi & Barnabas, ).…”

“…Similar results were shown in the study by Sethi and Barnabas (). In their study, it is stated that back massage had a significant impact on pain and that back massage had a significant role in the reduction of pain and the improvement of the emotional experience of labor (Sethi & Barnabas, ).…”

“…The complications caused by prolonged labor in mother and fetus are enormous and the massage for shortening of duration of labor is simple, affordable, safe and more acceptable for pregnant women. In the literature massage was applied for 30 min, thus in this study the women in the experimental group were administered a massage to the sacral region under the supervision of a doctor for 30 min at every phase of labor (Gallo et al, 2013;Haghighi, Masoumi, & Kazemi, 2016;Sethi & Barnabas, 2017).…”

“…Psychological factors include fear and anxiety, previous experiences, inadequate support, inadequate knowledge. Pain perceived during labor may be different for each woman (Sethi & Barnabas, 2017). The fear and anxiety that pregnant women experience during the labor process leads to the stretching of pelvic muscles and creates resistance against the repulsive force of the uterus and the repulsive force exerted by women during labor.…”

Effect of effleurage massage versus warm application on shoulder pain among postoperative women with gynecological laparoscopic surgery

“…[54] The pain rating index rank as measured by JPOM sensory and affective response in the present study supports the previous results. As massage seems to be effective in reducing shoulder pain intensity immediately after intervention; the present finding agrees with the study carried out by Sethi et al (2017), they concluded that the back massage had an impact on pain level. Therefore, it was demonstrated that back massage was effective to reduce the level of pain.…”