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J Caring Sci. 2019;8(4): 257-263.
doi: 10.15171/jcs.2019.036
PMID: 31915629
PMCID: PMC6942653
  Abstract View: 149
  PDF Download: 100

Original Research

Do Breathing Techniques Enhance the Effect of Massage Therapy in Reducing the Length of Labor or not? a Randomized Clinical Trial

Arezoo Haseli 1,2 ORCID logo, Ashraf Ghiasi 2 ORCID logo, Mozhgan Hashemzadeh 2 * ORCID logo

1 Department of Nursing, Ilam University of Medical Sciences, Ilam, Iran
2 Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran

Abstract

Introduction: Prolonged labor is a common birth complication that is associated with some negative maternal and fetal effects. The aims of this study were 1) to evaluate the effect of effleurage abdominal massage and 2) to assess the effects size of breathing techniques with massage on the length of labor.

Methods: This study was a randomized trial with concealed allocation, assessor blinding for some outcomes and intent-to-treat analysis. Primiparous women (n=117) age 18-35 years who were randomly assigned to three groups; abdominal massage (n=37), abdominal massage with breathing technique (n=38) and control (n=42). Although it was randomized block design with the allocation ratio 1:1:1 but soon after the sample was withdrawn in labor, another was replaced. Experimental groups’ participants received a 30-min effleurage abdominal massage during the active and transitional phases of labor. Particular breathing techniques in each stage of labor were done. Data were analyzed using SPSS ver.13.

Results: Duration of the active phase was 244.89(83.30) min in the massage, 254(68.55) min in massage with breathing and 312.07(67.17) min in control group, which was significantly different between the massage and control groups (P<0.001, Min Diff; -67.18), as well as massage with breathing and control groups (P=0.003, Min Diff; -9.63). The Scheffe test showed no significant difference between the two experimental groups.

Conclusion: Effleurage abdominal massages decrease length of active phase on labor, but the learning of breathing techniques in labor couldn’t enhance this effect of massage, so it is likely that breathing exercises may be considered during pregnancy.

Keywords: Breathing exercises, Massage, First labor stage, Intention to treat analysis
Citation: Haseli A, Ghiasi A, Hashemzadeh M. Do Breathing Techniques Enhance the effect of massage therapy in reducing the length of labor or not? a randomized clinical trial. J Caring Sci 2019; 8 (4): 257-63. doi:10.15171/jcs.2019.036
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Submitted: 20 Apr 2018
Accepted: 22 Oct 2018
ePublished: 01 Dec 2019
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