Assess the Effectiveness of Warm Compress on Sacral Region in Reducing Labour Pain during First Stage of Labour among the Primigravida

Abstract

Background of study:Ms.RingkangmaiLiangkiuwiliu conducted a research study titled "A study to assess the effectiveness of warm compress on sacral region in reducing labour pain during the first stage of labour among primigravida at Selected Hospital, Greater Noida, U P." under the supervision of SapamDebika Devi as a partial fulfilment of the requirement for the degree of Master of Science in Obstetrical and Gynecological Nursing, SNSR, Sharda University, Greater Noida, U.P.

Objectives:

1. To assess the level of labour pain on sacral region among primigravida during the first stage of labour.


2. To assess the effectiveness of sacral warm compress on pain during the first stage of labour among primigravida.


3. To find the association between level of pain during the first stage of labour with their selected demographic variables among primigravida.

Methods:An experimental research design was used on 50 primigravidas who were admitted to the labour room with a normal term pregnancy (25 participants in each group).Primigravida with high-risk pregnancy were not included. Sacral warm compression was given to primigravida during first stage of labour pain (4-8cm cervical dilatation) of the experimental group with dry warm water bag at 120 ℉ for 20minutes with 1hours interval until the 8cm dilatation of cervix. Labor pain intensity score were assessed before and after the end sacral warm compression by using standardized comparative pain scale for both the experimental and control group.

Results: The study revealed that in experimental group, the standardized comparative pain score in pre-test is 3.84 which decreased to 3.28 in post-test. The corresponding t-value and p-value is 4.80 and 0.001*. And in control group, the standardized comparative pain score in pretest is 3.68 which is increased to 3.78 in post-test. The corresponding t-value and p-value is -0.81 and 0.42.As the p-value of experimental group is less than p-value of control group, which shows that, the level of labour pain is less in experimental group as compare to the control group.

Conclusion: Sacral warm compress was useful method to reduce the labour pain among primigravida during first stage of labour and mothers recommend warm compress as a satisfactory intervention.