The Effect of Hydrotherapy Application on Pain During Birth and Postpartum Fatigue and Comfort

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-04-01 DOI:10.1111/jep.70060

Zeynep Cambaz, Ayça Şolt Kırca

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Abstract

Background

The aim of this study is to investigate the effect of hydrotherapy applied during labour on pain felt at birth, postpartum fatigue and comfort, and person-centred maternity care.

Methods

The sample of this randomized controlled experimental study consisted of 80 pregnant women (40 in the experimental group and 40 in the control group) who would give a birth for the second time. The experimental group was given a shower twice with water at 32°C–37°C in the desired position for 20 min when the dilation was 4–5 cm and 6–8 cm. The control group was given routine care. Data were collected with a descriptive information form and the Visual Analogue Scale (VAS) before the birth and with the Visual Analogue Scale for Fatigue (VASF), the Postpartum Comfort Scale (PCS), and the Person-Centred Maternity Care Scale (PCMCS) following the birth. Pearson's χ² test, independent samples t-test and Mann–Whitney U test were used to analyze the data, and the confidence interval was evaluated at p < 0.05.

Results

The labour times, VAS values and VASF scores of the hydrotherapy group were significantly lower than those of the control group (VAS: 6.98 ± 1.46; 9.45 ± 0.68; VASF: 59.43 ± 36.33; 76.47 ± 26.91, respectively). The hydrotherapy group had significantly higher 1st- and 5th-minute Apgar scores, postpartum comfort scores and PCMCS scores than the control group (PCS: 138.4 ± 15.62; 135.35 ± 10.84; PCMCS: 59.35 ± 5.32; 58.55 ± 4.11, respectively).

Conclusion

It was determined that hydrotherapy application shortened labour time, had a positive effect on newborn Apgar scores, relieved pain felt during birth, reduced postpartum fatigue, increased postpartum comfort and had a positive effect on person-centred maternal care.

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.