Sterile Water Injections For Pain Relief İn Labor
Primary Purpose
Labour Pain, Back Pain
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Sterile Water
Dry Injections
Sponsored by
About this trial
This is an interventional treatment trial for Labour Pain focused on measuring Sterile Water Injection, Midwifery
Eligibility Criteria
Inclusion Criteria:
- Aged between 18-35
- 37-42 weeks of gestation
- Expecting vaginal delivery
- Cephalic presentation
- Single, healthy fetus
- Spontaneous onset of labor
- Active phase of first stage of labor (3-7 cm cervical dilatation)
- Severe low back pain (VAS>7cm)
- Required pain relief
Exclusion Criteria:
- Gestation <37 weeks
- Multiple pregnancy
- Malpresentation
- Second stage labour
- Pharmacological analgesia prior to SWI
- Back pain assessed by VAS <7
- Women whose labour would be considered high risk
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Sterile Water Injection
Dry Injection
Arm Description
Participants randomised to the intervention group received 4 intracutaneous injections of 0.1 ml sterile water into the skin surrounding the Michaelis rhomboid over the sacral area.
Participants in the control group received 4 dry injections in the same region using an insulin needle .
Outcomes
Primary Outcome Measures
Pain scores-30
In pain scoring Visual Analog Scale was used
Secondary Outcome Measures
Pain scores-10
In pain scoring Visual Analog Scale was used
Pain scores-60
In pain scoring Visual Analog Scale was used
Pain scores-90
In pain scoring Visual Analog Scale was used
Pain scores-120
In pain scoring Visual Analog Scale was used
Pain scores-180
In pain scoring Visual Analog Scale was used
APGAR score of neonate
Maternal satisfaction
Likelihood to use again with subsequent labour, Women satisfaction with analgesic effect, Likelihood to recommend to SWI to others
Rates of breastfeeding-1
In breastfeed scoring The Infant Breastfeeding Assessment Tool was used
Rates of breastfeeding-24
In breastfeed scoring The Infant Breastfeeding Assessment Tool was used
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02697994
Brief Title
Sterile Water Injections For Pain Relief İn Labor
Official Title
Intradermal Sterile Water Injections for Labour Pain: A Randomised Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
March 2014 (Actual)
Study Completion Date
March 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Beykent
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
ABSTRACT Introduction: In addition to pain caused by uterine contractions in labour, in 33% of women, continuous and severe back pain is observed. In management of this pain, sterile water injection is considered to be an effective method. Aim of this study is assessment of effectiveness and satisfaction of this method among Turkish women in which analgesic methods are not extensively used in labour and rates of cesarean section exponentially increases.
Material and Methods: 168 termed, healthy women who admitted to Istanbul Gaziosmanpaşa-Taksim Training and Research Hospital with labour pain and had severe back pain were randomized into 4x0.1 ml sterile water and 4xdry Injection groups. Injections were applied to Michaelis Rhomboid region in sacral region. Pain scores were assessed at 10th, 30th, 60th, 120th and 180th minutes with Visual Analog Scale (VAS). Additionally, need for epidural analgesia, APGAR score, mode of delivery, time of delivery, maternal satisfaction and breastfeeding scores were assessed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Labour Pain, Back Pain
Keywords
Sterile Water Injection, Midwifery
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
168 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Sterile Water Injection
Arm Type
Experimental
Arm Description
Participants randomised to the intervention group received 4 intracutaneous injections of 0.1 ml sterile water into the skin surrounding the Michaelis rhomboid over the sacral area.
Arm Title
Dry Injection
Arm Type
Placebo Comparator
Arm Description
Participants in the control group received 4 dry injections in the same region using an insulin needle .
Intervention Type
Other
Intervention Name(s)
Sterile Water
Intervention Description
0.1 ml intracutaneous sterile water injections into the skin surrounding the Michaelis rhomboid over the sacral area.
Intervention Type
Other
Intervention Name(s)
Dry Injections
Intervention Description
dry injections into the skin surrounding the Michaelis rhomboid over the sacral area.
Primary Outcome Measure Information:
Title
Pain scores-30
Description
In pain scoring Visual Analog Scale was used
Time Frame
at 30 mins after interventions
Secondary Outcome Measure Information:
Title
Pain scores-10
Description
In pain scoring Visual Analog Scale was used
Time Frame
at 10 mins after interventions
Title
Pain scores-60
Description
In pain scoring Visual Analog Scale was used
Time Frame
at 60 mins after interventions
Title
Pain scores-90
Description
In pain scoring Visual Analog Scale was used
Time Frame
at 90 mins after interventions
Title
Pain scores-120
Description
In pain scoring Visual Analog Scale was used
Time Frame
at 120 mins after interventions
Title
Pain scores-180
Description
In pain scoring Visual Analog Scale was used
Time Frame
at 180 mins after interventions
Title
APGAR score of neonate
Time Frame
at 5 mins after birth
Title
Maternal satisfaction
Description
Likelihood to use again with subsequent labour, Women satisfaction with analgesic effect, Likelihood to recommend to SWI to others
Time Frame
at 1 hour after birth
Title
Rates of breastfeeding-1
Description
In breastfeed scoring The Infant Breastfeeding Assessment Tool was used
Time Frame
at 1 hour after birth
Title
Rates of breastfeeding-24
Description
In breastfeed scoring The Infant Breastfeeding Assessment Tool was used
Time Frame
at 24.hours after birth
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Aged between 18-35
37-42 weeks of gestation
Expecting vaginal delivery
Cephalic presentation
Single, healthy fetus
Spontaneous onset of labor
Active phase of first stage of labor (3-7 cm cervical dilatation)
Severe low back pain (VAS>7cm)
Required pain relief
Exclusion Criteria:
Gestation <37 weeks
Multiple pregnancy
Malpresentation
Second stage labour
Pharmacological analgesia prior to SWI
Back pain assessed by VAS <7
Women whose labour would be considered high risk
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Sterile Water Injections For Pain Relief İn Labor
We'll reach out to this number within 24 hrs