The effect of chewing gum on the severity of labor pain in primiparous women

Determining the effect of chewing gum on the severity of labor pain in primiparous women

A clinical trial with a control group, with parallel groups, design (Open label), randomized, on 116 mothers in natural childbirth. Stata version 15 software was used for randomization.

In the maternity department of Yahiinejad and Ayatollah Rouhani Hospital, Babol, using a random list, mothers were assigned to the intervention and control groups. The control group received the necessary care and training for hospitalization, and the intervention group received sugar-free gum (at least twice for 20 minutes) used. Questionnaires of pain intensity and anxiety in two groups were filled by the participant in the active phase of labor

All the clients admitted to the Yahya Nejad and Ayatollah Rouhani Babol maternity ward before the start of the intervention were considered based on the evidence of nearly 116 people who met the study entry criteria. Inclusion criteria: Primiparous women with a gestational age of 38-42 weeks and presenting with cephalic... and exclusion criteria for the study Abnormal heartbeat of the fetus and unwillingness to continue cooperation...

In the intervention group Sugar-free gum was given to patients by midwives on admission to ensure that all patients used the same gum. The gum of choice was unflavored and sugar-free: a generic brand found in any store that had no nutritional value (no fat, carbohydrates, or protein). The safety of the gum was guaranteed by the Food and Drug Administration. The load was performed in the active mode (dilation of 3-4cm), second (5-7cm) and third( 8-10cm) in each stage of labor for 20 minutes. in the control group Routine prenatal care and emphasis on not using gum during labor

Primary outcome: labor pain Secondary outcome: anxiety

Randomization method: Our sample size was 116 people, of which 58 people were placed in each group. The block random allocation method was designed by the project collaborator using Stata version 15 software. The number of considered blocks is 6. The concealment process of random assignment (Concealment): The list of random allocation of patients was only available to the collaborator of the project. In order to hide the random allocation process, the order of treatments was written on 116 cards based on the randomized list, and only the project associate was aware of the relevant coding. When the obstetrician and gynecologist announced the eligibility of a patient, the colleague will provide the plan for the type of interventions for the primiparous mother. Blinding: Due to the treatment methods of the two groups, blinding is not possible and the design is open label. In order to analyze the data, a statistician who is separate from the study process and is unaware of all the performed processes was used.