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Oct 2018, Vol 6, Issue 4
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Original Article
Comparing The Effects Of Acupressure At The Hugo Point (LI4) And Hyoscineon Duration Of Labor Stages And Fetal-neonatal Outcomes In Nulliparous Women: A Controlled Randomized Clinical Trial
Solmaz Babazadeh Topraghlou1, Fahimeh Sehhatie Shafaie2, Mojgan Mirghafourvand3, Narges Salehi4
1Nursing and Midwifery Faculty, Iranian social security organization, Students' research committee, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3Social Determinans of Health Research Center, Tabriz University of Medical Sciences, Iran
4Department of Gyn & Obs, Fculty of Medicine Ardabil Branch, Islamic Azad University, Ardabil, Iran


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Abstract

Objective: Shortened duration of labor without creating major complications is ideal for mother and infant. Prolonged labor is accompanied by maternal and fetal consequences.  Considering its importance, the purpose of this study was to compare the effects of acupressure at the Hugo point (LI4) and Hyoscine on duration of labor stages and fetal-neonatal outcomes in nulliparous women.

Materials and Methods: This controlled randomized clinical trial was carried out in 2017 on 162 nulliparous women who referred to Ardabil Sabalan Hospital. Participants were divided into three groupsof Hugo acupressure, hyoscineand control group by means of randomized blocks. There were 54 nulliparous women in each group.  In the Hugo group, the pressure exerted on the Hugo point at 5 cm dilatation and in the hyoscinegroup, the hyoscinewas injected intramuscularly at 5 cm dilatation. Data were analyzed using one-way ANOVA, Kruskal-Wallis, Fisher’s exact and chi-square tests.

Results: The mean (SD) duration of the active phase of labor in the Hugo, hyoscineand control group was137/0 (15/1), 143/3 (17/2) and 187/7 (24/7) minutes respectively. Also, the mean (SD) duration of the second stage of labor in the Hugo, hyoscineand control group was39.5 (8.5), 52.4 (15.0) and 58.3 (8.7)minutes respectively (p<0.001).

Conclusion: The implementation of acupressure at the Hugo point led to greater reduction in the duration of labor stages compared to hyoscineinfusion without imposing side-effects on mother.

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