Comparison of the Effect of Hot and Cold Massage at Spleen 6 on Pain Relief During Active Labor Phase: A Clinical Trial

Abstract

Background: Delivery is a major event that the vast majority of women experience during their lives with inevitable pain. Uncontrolled pain can prolong the labor process and cause multiple injuries to the mother and fetus. Thus, introducing measures to relieve labor pain, especially by noninvasive procedures, should be a priority in obstetrics and gynaecology.Objectives: This study aimed to compare the effect of hot and cold massage at spleen 6 (SP-6) on pain relief during active labor. Methods: This clinical trial was conducted in 2017 on 80 primiparous women who had referred to Amir Al-Momenin Hospital in Zabol, Iran. The subjects were randomly assigned to two groups of hot and cold massage. The effects of hot and cold massage (four sessions of 30 minutes) at SP-6 on pain relief were studied during the active labor before the intervention, 5 and 30 minutes after the start of the intervention, and 30 minutes after the end of the intervention. The results were compared between the two groups. A demographic form was used to collect demographic and midwifery characteristics and McGill Pain Questionnaire was adopted to evaluate pain intensity. Data were analyzed in SPSS V. 21 using descriptive and analytical statistics.Results: There was no statistically significant difference in the mean pain intensity between the two groups before the intervention (P = 0.606). Similarly, no significant difference was observed in terms of pain intensity between the two groups 4 minutes after the intervention (P = 0.248). However, 30 and 60 minutes after the end of the intervention, the reduction in pain intensity was significantly more in the cold massage group than in the hot massage group (P < 0.001). Conclusions:The results showed that cold massage at SP-6 significantly relieved labor pain more effectively than hot massage. Thanks to its low cost and non-specialized equipment, it is recommended that treatment teams utilize this method to help mothers experience less pain during their labor process.

The Effect of Ice Massage Applied to SP6 Point on Labor Pain, Labor Comfort, Labor Duration, and Anxiety

“…Only one study was encountered in the literature in which the effects of ice massage applied to SP6 point in reducing labor pain were examined. Nehbandani et al (2019) reported that labor pain level of the intervention group who were applied cold pressure to SP6 point was lower at minute 30 and 60 after the intervention compared to the warm massage group. 3 There are also other studies in which cold massage was applied to Hegu (LI4) point other than SP6 point.…”

“…Managing labor pain, increasing comfort, and reducing anxiety are among the basic features of midwifery care, and they are the primary purpose of care in childbirth. [1][2][3][4][5][6] Pharmacological methods used in order to reduce labor pain have various side effects for fetal and maternal health. 3,7 Therefore, non-pharmacological methods, which have no side effects for the fetus and the mother and provide comfort, should be the primary choice in pain management.…”

“…[1][2][3][4][5][6] Pharmacological methods used in order to reduce labor pain have various side effects for fetal and maternal health. 3,7 Therefore, non-pharmacological methods, which have no side effects for the fetus and the mother and provide comfort, should be the primary choice in pain management. There are plenty of nonpharmacological methods that midwives can use in labor.…”

“…19 Cold pressure application on acupressure points have various effects such as facilitating energy flow at acupressure points and relieving pain perception and muscle tension by stimulating peripheral nerve receptors. 3,20 In the literature, there are studies in which ice massage was applied to Hegu point located on hands, which is one of the acupressure points, in order to reduce labor pain. 12,13 Only one study was encountered in the literature which examined the effect of cold application to SP6 point on labor pain.…”

“…However, in the said study, labor comfort, labor duration, and anxiety level were not determined. 3 Hence, the purpose of the present study was to identify the effect of ice massage applied to SP6 point on labor pain, labor comfort, labor duration, and anxiety during labor.…”