Received Date: 15 October 2018 | Accepted Date: 06 December 2018 | Published Date: 31 December 2018
Keywords: Duration of labour, effectiveness, intermittent heat and cold application, intranatal mothers, labour pain.
Childbirth is a natural biological process and the pain associated with it is also perceived as normal and natural. The primigravida women experience more intense pain during labour compared to multigravida. Experience of severe labour pain affects women's attitudes about vaginal birth. Heat and cold application on Intranatal mothers are very cheap and simple method and no need previous experience and it will have no side effects. The objectives of this study is to evaluate the effectiveness of intermittent heat and cold application on labour pain and duration of labour among the experimental group mothers in comparison to control group mothers. This study was a quantitative approach and Quasi Experimental Design. The setting was in the Labour room and the sample size were 60 (30 in experimental group and 30 in control group) selected through Convenience Sampling Technique. The instruments used for data collection was a standardized Wong Baker FACES Pain Rating Scale and modified WHO Partograph and analysed by SPSS package 16.0 version. Results of research showed a significant decrease in the pain intensity in the intervention group during the first stage of labour and comparing two groups showed significantly difference (p<0.01). The calculated unpaired “t” value of first and second stage of labour 5.409 and 8.927 were found to be statistically significant at p<0.05 level. In conclusion, intermittent heat and cold application to the Intranatal mothers was found to be effective in reducing the level of labour pain and duration of first and second stage of labour among intranatal mothers.
|Ahmad-Shirvani, M., & Ganji, J. (2016). Comparison of separate and intermittent heat and cold therapy in labour pain management. Nursing Practice Today, 3(4), 179-186.|
|Al-Battawi, J. I., Mahmoud, N. M., & Essa, R. M. (2017). Effect of ice pack application on pain intensity during active phase of the first stage of labor among primiparaous. Journal of Nursing Education and Practice, 8(2), 35-45.
|Behmanesh, F., Pasha, H., & Zeinalzadeh, M. (2009). The effect of heat therapy on labor pain severity and delivery outcome in parturient women. Iranian Red Crescent Medical Journal, 11(2), 188-192.|
|Bobak, M. I., & Jenson, D. M. (1993). Maternal and Gynaecologic Care. 5th edition. St. Louis: Mosby publications.|
|Brunner, L. S., & Suddarth, D. S. (2010). Textbook of Medical Surgical Nursing. 12th edition Philadelphia: Lippincott Williams and Wilkins Publication.|
|Burns, N. (2007). Understanding nursing Research. 4th edition Philadelphia: W. B Saunders Company.|
|Burns, N., & Grove, S. K. (2010). Understanding Nursing Research-eBook: Building an Evidence-Based Practice. Elsevier Health Sciences.|
|Cunningham, F. G. (2001). Williams Obstetrics. 21st edition, East Norway: apealton.|
|Dutta, D. C. (2005). Text book of Gynaecology. 6th edition Calcutta: New Central Book Agency.|
|Fahami, F., Behmanesh, F., Valiani, M., & Ashouri, E. (2011). Effect of heat therapy on pain severity in primigravida women. Iranian Journal of Nursing and Midwifery Research, 16(1), 113.|
|Ganji, Z., Shirvani, M. A., Rezaei-Abhari, F., & Danesh, M. (2013). The effect of intermittent local heat and cold on labor pain and child birth outcome. Iranian Journal of Nursing and Midwifery Research, 18(4), 298.|
|Ghani, R. M. A. (2014). Effect of heat and cold therapy during the first stage of labor on women perception of birth experience: a randomized controlled trial. Journal of Biology, Agriculture and Healthcare, 4(26), 66-72.|
|Pillitteri, A. (2007). Maternal and child nursing. 5th edition Philadelphia: Lippincott Williams and Wilkins Publication.|
|Polit, D. F., & Beck, C. T. (2007). Nursing Research. 7th edition. New Delhi: Lippincott Williams and Wilkin.|
|Ricci, S. S. (2009). Essentials of maternity, newborn and womens health nursing 2nd edition. Published by Wolters Kluwer, Lippincott Williams and Wilkims.|
|Sharma, S. K. (2012). Nursing research and statistics. Published by Elsevier India pvt., New Delhi.|
|Taylor, C. (2009). Fundamentals of Nursing. 6th edition Philadelphia: Lippincott Williams and Wilkins Publication.|