Journal of evaluation in clinical practice · 2025
The Effect of Hydrotherapy Application on Pain During Birth and Postpartum Fatigue and Comfort.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Cambaz Zeynep, Şolt Kırca Ayça
Аннотация
BACKGROUND: The aim of this study is to investigate the effect of hydrotherapy applied during labour on pain felt at birth, postpartum fatigue and comfort, and person-centred maternity care.
METHODS: The sample of this randomized controlled experimental study consisted of 80 pregnant women (40 in the experimental group and 40 in the control group) who would give a birth for the second time. The experimental group was given a shower twice with water at 32°C-37°C in the desired position for 20 min when the dilation was 4-5 cm and 6-8 cm. The control group was given routine care. Data were collected with a descriptive information form and the Visual Analogue Scale (VAS) before the birth and with the Visual Analogue Scale for Fatigue (VASF), the Postpartum Comfort Scale (PCS), and the Person-Centred Maternity Care Scale (PCMCS) following the birth. Pearson's χ2 test, independent samples t-test and Mann-Whitney U test were used to analyze the data, and the confidence interval was evaluated at p < 0.05.
RESULTS: The labour times, VAS values and VASF scores of the hydrotherapy group were significantly lower than those of the control group (VAS: 6.98 ± 1.46; 9.45 ± 0.68; VASF: 59.43 ± 36.33; 76.47 ± 26.91, respectively). The hydrotherapy group had significantly higher 1st- and 5th-minute Apgar scores, postpartum comfort scores and PCMCS scores than the control group (PCS: 138.4 ± 15.62; 135.35 ± 10.84; PCMCS: 59.35 ± 5.32; 58.55 ± 4.11, respectively).
CONCLUSION: It was determined that hydrotherapy application shortened labour time, had a positive effect on newborn Apgar scores, relieved pain felt during birth, reduced postpartum fatigue, increased postpartum comfort and had a positive effect on person-centred maternal care.
METHODS: The sample of this randomized controlled experimental study consisted of 80 pregnant women (40 in the experimental group and 40 in the control group) who would give a birth for the second time. The experimental group was given a shower twice with water at 32°C-37°C in the desired position for 20 min when the dilation was 4-5 cm and 6-8 cm. The control group was given routine care. Data were collected with a descriptive information form and the Visual Analogue Scale (VAS) before the birth and with the Visual Analogue Scale for Fatigue (VASF), the Postpartum Comfort Scale (PCS), and the Person-Centred Maternity Care Scale (PCMCS) following the birth. Pearson's χ2 test, independent samples t-test and Mann-Whitney U test were used to analyze the data, and the confidence interval was evaluated at p < 0.05.
RESULTS: The labour times, VAS values and VASF scores of the hydrotherapy group were significantly lower than those of the control group (VAS: 6.98 ± 1.46; 9.45 ± 0.68; VASF: 59.43 ± 36.33; 76.47 ± 26.91, respectively). The hydrotherapy group had significantly higher 1st- and 5th-minute Apgar scores, postpartum comfort scores and PCMCS scores than the control group (PCS: 138.4 ± 15.62; 135.35 ± 10.84; PCMCS: 59.35 ± 5.32; 58.55 ± 4.11, respectively).
CONCLUSION: It was determined that hydrotherapy application shortened labour time, had a positive effect on newborn Apgar scores, relieved pain felt during birth, reduced postpartum fatigue, increased postpartum comfort and had a positive effect on person-centred maternal care.