Effect of intradermal sterile water injection on controlling low back pain intensity during the first stage of labour

Document Type : Original Article

Authors

1 Lecturer of Obstetrics & Gynecology- Faculty of Nursing-South Valley University (Kena),

2 Assist professor of Obstetrics& Gynecology- Faculty of Nursing- Zagazig University.

10.12816/0029199

Abstract

Background: Pain in labor is a nearly universal experience for childbearing women Non
pharmacologic methods of pain relief such as, intradermal water blocks, and warm water
baths are effective techniques for management of labor pain. Aim of the study: To identify
the effect of intradermal sterile water injections on controlling low back pain intensity during
first stage of labor. Subjects and Methods: Research design: A quasi- experimental design
Setting: Labor and delivery suite at private obstetric center (El hyiaa) center Benha city
Subjects: included 100 primipara during their 1st of stage of labor Tools of data collection:
Four tools were used for data collection: Structured Interviewing Schedule, Partograph, Pain
rating scale and visual analogue scale and woman satisfaction questionnaire. Results: SWI
induced significant decrease of pain scores success rate of 62% compared to admission.
Pain scores till 60-min showed non-significant difference. Pain scores at 90 and 120-min were
significantly higher compared to 10-60 min scores but were significantly lower compared to
admission scores. Four parturient found SWI is effective, but of short duration and requested
it once again, 6 found SWI weakly effective and requested epidural analgesia, 5 parturient
found SWI is weakly effective and 4 found SWI was ineffective and refused further analgesia.
Total satisfaction score of parturient received SWI was 22.2±7.8. Conclusion: SWI provided
satisfying analgesia for decreasing pain during 1st stage of labor Recommendations:
Provision of knowledge about using SWI for decreasing labor pain during the antenatal visits
especially for primipara women. Further study on large sample is needed.

Keywords