Hot Patch Applied to the Lower Back for Pain Relief during the Active Phase of the First-stage Labor: A randomized controlled trial
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Creator Chanakarn Suthisuntornwong
Title Hot Patch Applied to the Lower Back for Pain Relief during the Active Phase of the First-stage Labor: A randomized controlled trial
Contributor Thumwadee Tangsiriwatthana
Publisher PIMDEE Co., Ltd.
Publication Year 2565
Journal Title Thai Journal of Obstetrics and Gynaecology
Journal Vol. 30
Journal No. 2
Page no. 109-119
Keyword hot patch, non-pharmacologic, labor pain
URL Website https://tci-thaijo.org/index.php/tjog/index
Website title www.tci-thaijo.org
ISSN 2673-0871
Abstract Objectives: To determine the efficacy of hot patch for pain relief during the active phase of the firststage labor.Materials and Methods: Fifty-eight singleton pregnant women undergoing normal delivery at KhonKaen Hospital between February 5 and May 30, 2020, were randomly assigned into two groups:hot patch and standard care. The hot patch was applied to the lower back (dermatome T10 toL1) when cervix dilatation reached 4-6 cm until fully dilated. Pain scores were recorded beforehot patch application and every hour until the end of the first stage labor.Results: Baseline characteristics were not significantly different between groups (p > 0.2). The meanpain score of the hot patch group was significantly less than the control group at 1, 2, 3, 4, and5 hours after intervention (4.4 ? 1.9 vs. 6.4 ? 1.8, 5.6 ? 2.2 vs. 7.4 ? 1.3, 5.4 ? 1.8 vs. 8.1 ? 0.8,5.7 ? 2.2 vs. 8.4 ? 0.7, 8.0 ? 0.0 vs. 8.7 ? 0.5, p < 0.001, respectively). The mean duration ofthe active phase of the first stage labor in the hot patch group was significantly < 0.001). Therewas no adverse event found.Conclusion: A hot patch applied to the lower back significantly reduced labor pain during the firststage labor.
Thai Journal of Obstetrics and Gynaecology

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