Implementation of a Hydrotherapy Protocol to Improve Postpartum Pain Management

Batten, Meghann; Stevenson, Eleanor L.; Zimmermann, Deb; Isaacs, Christine

doi:10.1111/jmwh.12580

Cited by 10 publications

(14 citation statements)

References 29 publications

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“…Relieving pain during childbirth represents an important challenge for both health care professionals and pregnant women (16)(17)(18)(19)(20). Pain relief strategies include non-pharmacologic and pharmacologic approaches (20)(21)(22)(23)(24)(25). In obstetrics, pharmacologic methods such as epidural anesthesia have proven to be efficient in reducing pain during labor and are now routinely used, and even expected, to manage pain (18).…”

Section: Discussionmentioning

confidence: 99%

“…Non-pharmacologic approaches to relieve pain during labor, when used as a part of hospital pain relief strategies, provide significant benefits to women and their infants without causing additional harm. Non-pharmacological methods of labor analgesia in- clude doula support during labor and delivery, music therapy, postural changes, water immersion and birth, and acupuncture (20)(21)(22)(23)(24). A Cochrane systematic review of immersion in water in labor and birth found that immersion in water significantly reduced the duration of the first stage of labor and reduced the use of epidural anesthesia, but did not significantly reduce intrapartum C-section in the included RCTs (25).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Maternal and Fetal Stress Hormones During the Process of Birth

Karakaya

Moraloğlu

Fındık

et al. 2018

Gynecol Obstet Reprod Med

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Objective: This study aims to determine whether mode of delivery is associated with the endocrine stress response in mother and newborn.Study Design: This prospective observational study was conducted with 86 women with a normal singleton pregnancy who delivered healthy infants between 37 and 41 weeks of gestation in a tertiary center. Study groups included; (1) women undergoing normal vaginal delivery with epidural anesthesia, (2) women undergoing vaginal delivery with immersion in water for pain relief during labor, (3) women delivered through elective caesarean section without labor. After delivery, thyroid stimulating hormone, cortisol, insulin, prolactin and Beta-endorphin levels were measured in maternal and umbilical cord serum and their relationships between modes of delivery were investigated.Results: It was found that the concentrations of cortisol and beta-endorphin after vaginal delivery with immersion in water group in both mothers and infants were higher than other two modes of delivery and these differences were statistically significant. Umbilical cord concentration of cortisol was the lowest in the caesarean section group.Conclusions: Maternal and fetal stress response was found to be associated with the mode of delivery and labor.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of Maternal and Fetal Stress Hormones During the Process of Birth

Karakaya

Moraloğlu

Fındık

et al. 2018

Gynecol Obstet Reprod Med

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“…The critical analysis of the results (Table 2) showed that LEs ranged from 1 to 5, with 8 (29.6%) three meta-analyzes 18,25,32 , five systematic reviews of RCTs (SRRCT) 24,27,28,33,35 and 6 (22.2%) randomized clinical trials (RCT) 14,20,21,30,34,39 were found in LE 1 and 2 respectively; non-randomized controlled trials (NRCT) [15][16][17]22,23,26,29,31,[37][38]40 11 (40.7%) (LE 3); a Cohort 19 (3,7%) in LE 4; in LE 5 only one (3.7%) qualitative and quantitative descriptive study was identified 36 and none in the LE 6 and 7. Therefore, the studies focused on the hierarchical levels of evidence 1 to 3 12,13 considered high and moderate and when related to the quality of strong and sufficient evidence levels 13 , respectively, demonstrating that the PICS studied appear to be effective in pain control.…”

Section: A26mentioning

confidence: 99%

Hydrotherapy and crenotherapy in the treatment of pain: integrative review

Antunes¹,

Daher²,

Giaretta³

et al. 2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:The Integrative and Complementary Practices were implemented in the Unified Health System as adjunctive modalities in the treatment of pain. This article focuses on crenotherapy and hydrotherapy, whose agents are the natural mineral waters and common for the rehabilitation of functional alterations. The scarcity of these practices for the treatment of pain in the literature justifies this review. This study aimed to check the scientific productions about the efficacy of balneology/balneotherapy/crenotherapy and hydrotherapy in the treatment of pain. CONTENTS: It is an integrative review, carried out in May 2018, searching in the electronically available scientific articles, in full, in the LILACS, Pubmed, BVS and CINAHL database in periodicals published in the last 10 years focusing on crenotherapy and hydrotherapy for pain relief, in the Portuguese, English and Spanish language. The descriptors used were: "Pain", "Balneology", "Crenotherapy", "Hydrotherapy" "Efficacy"; "Effectiveness" in the three languages, combined with the Boolean expressions AND/Y/E and OR/O/U/OU, finding 2306 articles, of which 111 were identified, and only 27 met the inclusion criteria, analyzed and incorporated the evidence that emerged in pain relief. CONCLUSION: This study showed that most of the evidence emerged from the studies analyzed regarding the efficacy of hydrotherapy and balneology in pain pictures focused on levels 1 to 3. Of the 27 studies, 18 showed the efficacy of hydrotherapy and eight of balneology in the pain symptomatology and one in relation to the lack of knowledge of the use of these complementary therapies in pain relief.

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“…The most common method used to relieve after-pains is oral analgesics such as acetaminophen and ibuprofen (13). However, some analgesics (e.g., mefenamic acid and ibuprofen) sometimes cause side effects such as nausea, vomiting, diarrhea, abdominal pain, bleeding, gastrointestinal obstruction or perforation, dizziness, drowsiness, seizures, acute renal failure, and interstitial nephritis (14,15).…”

Section: Introductionmentioning

confidence: 99%

A Randomized Clinical Trial on the Effect of Foot Reflexology in the Fourth Stage of Labor on Uterine After Pain

Sharifi

Bahri

Talasaz

et al. 2020

Preprint

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Objective: Uterine after-pains are among the most prevalent complaints after natural vaginal delivery. Non-pharmacological treatment modalities to relieve after-pains are an important care priority. This study aimed to investigate the effect of foot reflexology in the fourth stage of labor on after-pains in multiparous women.Methods: This single-blind randomized clinical trial recruited 80 eligible pregnant women presenting to Allameh Bohlool Hospital in Gonabad and 17-Shahrivar Hospital in Mashhad in 2019. In the first and second hours postpartum, the reflexology group received 10 minutes of general massage and specific reflexology massage on each foot in uterine, pituitary, and solar plexus points. The control group received 10 minutes of general massage, and then rotational massage on a neutral point on the lateral side of the heel. The pain was measured every hour up to 4 hours postpartum using a visual analog scale. The collected data were analyzed in SPSS-16 software at a significance level of P<0.05.Results: The median of after-pain score in the first hour postpartum was not statistically significantly different between the two groups (P=0.05), but it was lower in the reflexology group at the second (P=0.04), third (P<0.001), and fourth hours postpartum (P<0.001). The mean total after-pain score of the four hours postpartum was significantly lower in the reflexology group (P<0.001).Conclusions: The results revealed that foot reflexology in the fourth stage of labor has positive effects on the relief of uterine after-pain. It is therefore recommended that reflexology be used to reduce postpartum uterine after-pain.

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Implementation of a Hydrotherapy Protocol to Improve Postpartum Pain Management

Cited by 10 publications

References 29 publications

Evaluation of Maternal and Fetal Stress Hormones During the Process of Birth

Evaluation of Maternal and Fetal Stress Hormones During the Process of Birth

Hydrotherapy and crenotherapy in the treatment of pain: integrative review

A Randomized Clinical Trial on the Effect of Foot Reflexology in the Fourth Stage of Labor on Uterine After Pain

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