A randomized controlled trial of nonpharmacologic approaches for relief of low back pain during labor.

摘要: Background Low back pain is common during labor. Our randomized controlled trial compared the effectiveness of 3 nonpharmacologic approaches for relief pain. Methods A total 34 women suffering from low labor were randomly assigned to receive 1 treatments: (1) intracutaneous sterile water injections (ISW); (2) transcutaneous electrical nerve stimulation (TENS); and (3) standard care, including massage, whirlpool bath, liberal mobilization. Women self-evaluated both intensity affective dimensions using visual analog scales. Their evaluations control satisfaction assessed adapted versions Labour Agentry Scale Labor Delivery Satisfaction Index. Results in ISW group rated unpleasantness experimental period significantly lower than care or TENS group, (P = .001 P .003, respectively). Similar results observed .01) .03) just before delivery request an epidural. Mean at 15 60 minutes after randomization was reduced with 2 other groups. There no significant difference groups level delivery, but less indicated that they would like same treatment another delivery. Conclusions Intracutaneous are more effective (back mobilization) relieving