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Comparison the effect of Swedish massage and interferential electrical stimulation on labor pain and childbirth experience in primiparous women: a randomized controlled clinical trial.

Archives of gynecology and obstetrics
July 1, 2022
Mahsa Maghalian et al. (6 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of Swedish massage (SM) and interferential electrical stimulation (IES) on labor pain, childbirth experience, satisfaction, duration of active phase, and side effects in primiparous women.

Results Summary

Swedish massage significantly reduced labor pain, improved childbirth experience and satisfaction, and shortened the active phase of labor compared to routine care, with no serious side effects reported.

Population

Primiparous women in labor.

Effective Dosage

Two massage techniques (effleurage and petrissage) applied at cervical dilatation of 4 and 8-10 cm.

Duration

Administered during labor (specific duration not detailed).

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Swedish massage (SM)
decrease
mean pain
primiparous women
adjusted mean difference (AMD) - 0.86; 95% confidence interval (95% CI) - 1.60 to - 0.11
significantly lower
#1
interferential electrical stimulation (IES)
decrease
mean pain
primiparous women
adjusted mean difference (AMD) - 0.95; 95% confidence interval (95% CI) - 1.70 to - 0.21
significantly lower
#2
Swedish massage (SM)
increase
mean score of childbirth experience
primiparous women
MD 5.63; 95% CI 2.15-9.11
significantly higher
#3
interferential electrical stimulation (IES)
increase
mean score of childbirth experience
primiparous women
MD 3.66; 95% CI 0.18-7.14
significantly higher
#4
Swedish massage (SM)
increase
mean childbirth satisfaction
primiparous women
p = 0.003
significantly higher
#5
interferential electrical stimulation (IES)
increase
mean childbirth satisfaction
primiparous women
p = 0.046
significantly higher
#6
Swedish massage (SM)
decrease
duration of the active phase of labor
primiparous women
p < 0.001
significantly lower
#7
interferential electrical stimulation (IES)
decrease
duration of the active phase of labor
primiparous women
p < 0.001
significantly lower
#8
Swedish massage (SM)
no change
side effects
primiparous women
-
No serious side effects were occurred
#9
interferential electrical stimulation (IES)
no change
side effects
primiparous women
-
No serious side effects were occurred
#10
Abstract

BACKGROUND: Since mothers are more inclined toward non-pharmacological labor pain management methods, this study aimed to compare the effect of interferential electrical stimulation (IES) and Swedish massage (SM) on labor pain and childbirth experience (primary outcomes) and childbirth satisfaction, duration of active phase and side effects (secondary outcomes) in primiparous women. METHODS: This randomized controlled trial was performed on 90 primiparous women. Participants were randomly assigned into three groups through the block randomization method. The SM group received two massage techniques of effleurage and petrissage, on T10-L1 and S2-S4 at cervical dilatation of 4 and 8-10 cm. The IES group received electrical stimulation in a similar way to SM group, with a base frequency of 4000 Hz and a pulse frequency of 80-120 Hz by a physiotherapist. Control group received only routine care. RESULTS: The mean pain was significantly lower in the SM group (adjusted mean difference (AMD) - 0.86; 95% confidence interval (95% CI) - 1.60 to - 0.11) and the IES group (AMD - 0.95; 95% CI - 1.70 to - 0.21) compared to the control group. The mean score of childbirth experience was significantly higher in the SM (MD 5.63; 95% CI 2.15-9.11) and IES (MD 3.66; 95% CI 0.18-7.14) group compared to the control group. The mean childbirth satisfaction in the SM (p = 0.003) and IES (p = 0.046) groups was significantly higher than the control group; and duration of the active phase of labor was significantly lower (p < 0.001) than the control group. No serious side effects were occurred in none of the groups. CONCLUSION: SM and IES are safe methods that can significantly reduce pain and duration of active phase and improve the experience and satisfaction of childbirth.

Medical Subject Headings (MeSH)
Electric StimulationFemaleHumansLabor PainMassageParturitionPregnancySweden
Study Links
Quality Scores
Safety95
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations3
Citations/Year1.0
Relative Citation Ratio0.54
NIH Percentile29.5%
Research Impact Scores
APT Score0.25
Weight Score2.42
Normalized Score0.88
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