The Effect of BL25 Acupressure on Pain Intensity in the First Stage of Labor, And Birth outcome in Primiparous Women

Determining the effect of acupressure of BL25 points on the intensity of active phase pain and the outcome of childbirth in primiparous women referred to Imam Khomeini Hospital in Bandar-e Torkman in 1402-1403.

Clinical trial with control and sham groups, with parallel groups, single-blind, randomized, on 90 patients. The randomization will be done using the Random Allocation Software.

The research environment is the maternity ward of Imam Khomeini Hospital in Bandar-e Torkman. The sampling method is purpose-based sampling, the primiparous women referred for childbirth, if they are willing to participate in the study and have the characteristics of the research units, are considered as the research sample. Before the beginning of the sampling, with the help of the software, the random order of assigning people to the groups is specified by the supervisor from 1 to 90 and is placed inside the envelope. On the envelope, the number related to the sequence of the person's entry into the research is written, but the researcher will not know the type of group of people before starting the intervention.

Entry conditions: term primiparous singleton pregnancy with vertex presentation, mother's absence of chronic disease and pregnancy complications. Conditions of non-entry: the mother's unwillingness to continue participating in the study and the occurrence of adverse side effects

Intervention in the acupressure group is performed on BL25 and Sham points for 20 minutes during uterine contractions in three stages (dilatation of 4-5, 6-7, and 8-10 cm) and a total of 60 minutes. The control group will receive all the care of the intervention groups, except acupressure.

Pain intensity of the first stage and the outcome of childbirth in primiparous women.

Modification of the primary variable part of the time section field: the measurement of pain intensity before the intervention and 10 minutes after the intervention and immediately after the intervention was changed to the measurement of pain intensity before the intervention and immediately after the intervention. Secondary variable section: The field of secondary variables was added. Due to the delay in the expected start of sampling, the start date was changed. Modification of the section responsible for scientific accountability was changed from the name of the student to the supervisor. Modification of the sponsoring officer section was changed from the name of the student to the official of the university. Correction of the address of the patient care center and the place to receive the code of ethics

Agreeable and eligible people will be selected to enter the study and after giving sufficient explanations about the goals and groups, written consent will be obtained from the samples. Then, randomly, people will be placed in three acupressure groups of BL25 points, Sham (placebo) acupressure points, and control. Random Allocation Software will be used to assign people to groups randomly. In this way, before the beginning of sampling with the help of the software, the order of the random sequence of assigning people to groups is determined by the supervisor from 1 to 90 and placed inside the envelope. On the envelope, the number related to the sequence of the person entering the research is written, but the researcher will not know the type of group of people before the intervention. After assigning people to groups, the envelope is opened and the type of research unit group is determined for the researcher. The research units will also be informed that they will be in the control or intervention group, but they will not be informed about whether they are in the BL25 or Sham acupressure group. Also, these numbers are recorded as codes on the observation and examination checklist and the information form of the research units so that the type of people's group is hidden during data entry into SPSS.

Agreeable and eligible people will be selected to enter the study and after giving sufficient explanations about the goals and groups, written consent will be obtained from the samples. Then, randomly, people will be placed in three acupressure groups of BL25 points, Sham (placebo) acupressure points, and control. Random Allocation Software will be used to assign people to groups randomly. In this way, before the beginning of sampling with the help of the software, the order of the random sequence of assigning people to groups is determined by the supervisor from 1 to 90 and placed inside the envelope. On the envelope, the number related to the sequence of the person entering the research is written, but the researcher will not know the type of group of people before the intervention. After assigning people to groups, the envelope is opened and the type of research unit group is determined for the researcher. The research units will also be informed that they will be in the control or intervention group, but they will not be informed about whether they are in the BL25 or Sham acupressure group. Also, these numbers are recorded as codes on the observation and examination checklist and the information form of the research units so that the type of people's group is hidden during data entry into SPSS.