Comparison of a single vs. a four intradermal sterile water injection for relief of lower back pain for women in labour: A randomised controlled trial

Lee, Nigel; Webster, Joan; Beckmann, Michael; Gibbons, Kristen; Smith, Tric; Stapleton, Helen; Kildea, Sue

doi:10.1016/j.midw.2012.05.001

Cited by 27 publications

(39 citation statements)

References 24 publications

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“…Although there were controversies regarding the use of this method, the participants reported improvement soon after their application. (13,18,29) Such a method usually occurs in protocols with only one or four injections. One RCT compared both cases, and their findings demonstrated that the use of four injections led to a greater sensation of analgesia for patients, but, due to the intense pain during administration, there is still uncertainty if this method would be actually worthy.…”

Section: Acupuncture and Acupressurementioning

confidence: 99%

“…One RCT compared both cases, and their findings demonstrated that the use of four injections led to a greater sensation of analgesia for patients, but, due to the intense pain during administration, there is still uncertainty if this method would be actually worthy. (29) To investigate the effect of sterile water injections, a study (13) compared the administration of four "dry" syringes (without any contents) to four water-filled syringes. The findings demonstrated that there was a significant decrease in pain intensity in the EG.…”

Section: Acupuncture and Acupressurementioning

confidence: 99%

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Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

et al. 2019

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Resumo Objetivo Identificar na literatura nacional e internacional, estudos sobre a eficácia de métodos não farmacológicos na redução da dor do parto. Métodos Revisão integrativa realizada nas bases de dados MEDLINE/PUBMED, SCOPUS, CINAHL, LILACS e BDENF, com recorte temporal entre os anos de 2013 a 2018, em português, inglês e espanhol. Utilizado a metodologia PICo para construir a pergunta de pesquisa e selecionar descritores controlados e não controlados, que foram combinados com os operadores booleanos “AND”, “OR” e “NOT”. Resultados Foram selecionados 19 artigos. Dentre os métodos não farmacológicos encontrados, destacam-se: a acupuntura e suas principais variações (acupressão e auriculoterapia) (29,17%), hidroterapia (25%), exercícios perineais com a bola suíça (16,67%), terapias térmicas (8,33%) e os demais métodos (20,83%). Conclusão A acupuntura e a acupressão agem tanto sobre aspectos fisiológicos da dor como sobre sua subjetividade. O banho quente de aspersão, a musicoterapia, a aromaterapia e as técnicas de respiração promovem o relaxamento e a diminuição dos níveis de ansiedade. As terapias térmicas contribuem para a analgesia local de regiões afetadas pela dor. Os exercícios na bola suíça são importantes para reduzir a dor e adotar a posição vertical, importante na progressão do trabalho de parto.

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Section: Acupuncture and Acupressurementioning

confidence: 99%

Section: Acupuncture and Acupressurementioning

confidence: 99%

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

et al. 2019

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“…This pain, different from pains related to uterine contraction, originates from the lumbosacral area that is supplied by afferent neurons ending in the dorsal horns of spinal subdivisions located at T10-L1 and is a referred pain from the lower back 3 . Lower back pain most likely occurs during latent and early active phases of the first stage of labor 4 . There has been a significant growth in the use of pharmacological epidural analgesia during childbirth 5 .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of injecting lower dose subcutaneous sterile water versus saline to relief labor back pain: Randomized controlled trial

Fouly¹,

Herdan²,

Habib³

et al. 2018

Eur J Midwifery

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INTRODUCTION The aim of this study was to investigate the effect of a lower dose subcutaneous sterile water injection technique versus subcutaneous saline injection, on the relief of low-back pain for women during childbirth, and to explore the lasting effects of pain relief after administration (followed at 15, 30, 45, 90 and 120 minutes). METHODS A prospective randomized controlled single-blinded study was conducted, with trial registration (NCT02813330). Women received one-time injections (sterile water or saline) and the effectiveness was observed at 15, 30, 45, 90 and 120 minutes after the intervention. RESULTS The intervention group had statistically significant pain reduction. Assessment of subsequent pain, followed at 30, 45, 90 and 120 minutes, reflected an increasing change with a statistically significant difference. The intervention group had more burning sensations than the control group with a statistically significant difference. CONCLUSIONS The modified technique of double injections of subcutaneous 'water/ saline' resulted in significant relief of low-back pain during childbirth.

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“…A qualitative sub-study of a randomised controlled trial examining the use of SWI for back pain in labour (Sterile Water Injections Techniques Comparison: SWITCh trial: Trial registry number ACTRN12609000964213) conducted at two metropolitan hospitals in Queensland, Australia (Lee et al, 2013).…”

Section: Methodsmentioning

confidence: 99%

“…The results of the SWITCh trial (Lee, et al, 2013) support the observations of other SWI trials which found that approximately 10% of women experience inadequate or no pain relief following SWI administration (Lytzen, Cederberg, & Moller-Nielsen, 1989;Martensson & Wallin, 1999 Sarah's observation; that in one instance labour was "too far gone" to benefit from SWI, is supported by an early study that found that SWI was less effective in women approaching, or in, the second stage of labour (Lytzen, et al, 1989). Conversely, in a study of women's experiences of SWI use in labour (Lee, et al, 2016) multiparous women describe how the use of SWI benefited them during second stage whilst nulliparous women used SWI earlier in labour to provide a period of rest.…”

Section: When We See Women and You Say To Them Oh After They've Had mentioning

confidence: 99%

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

2017

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Comparison of a single vs. a four intradermal sterile water injection for relief of lower back pain for women in labour: A randomised controlled trial

Cited by 27 publications

References 24 publications

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto

Effectiveness of injecting lower dose subcutaneous sterile water versus saline to relief labor back pain: Randomized controlled trial

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

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