title: Effect of sacrum-perineum heat therapy on active phase labor pain and client satisfaction: a randomized, controlled trial study.
abstract: OBJECTIVE
  Reduction of labor pain is one of the most important aspects of obstetric care. Heat therapy, typically applied to the woman's back, lower abdomen, groin, and/or perineum during last stage of labor, is an easy pain relief method that does not require highly skilled care. The effectiveness of heat therapy applied to the perineum during the first stage of labor has not been evaluated. This study aimed to evaluate the effectiveness of heat therapy for pain and woman's satisfaction during physiological labor.
  
  
  METHODS
  Sixty primiparous women aged 18-35 years old were randomly assigned to heat therapy and control groups. Pain and satisfaction scores were measured by visual analog scale. The measurements of satisfaction were accomplished after birth. Data were analyzed by using the t-test and chi-square
  
  
  RESULTS
  Mean pain scores in the heat therapy group were significantly lower than the control group (P < 0.05). The mean satisfaction score in the heat therapy group was significantly higher than in the control group (P < 0.05).
  
  
  CONCLUSIONS
  Heat therapy, an inexpensive complementary treatment with low risk, can reduce the intensity of pain and increase mothers' satisfaction with care during the active phase of labor.
authors.affiliation: Nursing and Midwifery Faculty; Medicine Faculty; Tehran University of Medical Sciences, Research Institute for Islamic & Complementary Medicine (RICM, TUMS), Tehran.
authors.forename: Simin
authors.initials: S
authors.lastname: Taavoni
authors.forename: Somayeh
authors.initials: S
authors.lastname: Abdolahian
authors.forename: Hamid
authors.initials: H
authors.lastname: Haghani
mesh_terms: D000293:Adolescent; D000328:Adult; D016362:Analgesia, Obstetrical / Q000379:methods*; D005260:Female; D006358:Hot Temperature / Q000627:therapeutic use*; D006801:Humans; D048949:Labor Pain / Q000628:therapy*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D017060:Patient Satisfaction; D010502:Perineum / Q000502:physiology*; D011247:Pregnancy; D012447:Sacrum / Q000502:physiology*; D055815:Young Adult
keywords: Heat; Labor; Management; Pain; Satisfaction