Subcutaneous Sterile Water Injection for Relief of Low Back Pain

Subcutaneous Sterile Water Injection for Relief of Low Back Pain During Normal Labor: Randomized Controlled Study

To compare the effect of subcutenous sterile water injection technique with the subcutaneous saline injection technique in the degree and duration of low back pain-relieving during childbirth

Study sample:

The convenience sample will be recruited randomly on the basic of odd number will have saline injection and even number will be given a placebo (Sterile water injection)

Setting:

Labor ward in Women's health center at Assiut university hospital

Study design:

Experimental Randomized control study

Sample size:

The sample size was calculated using the formula N= (Zα+Zβ)2 x 2p(1-p)÷d2 ,taking the level of significance as 5%, Zα=1.96 and power of the test as 80%, Zβ=0.84. p=0.113. A sample size of 165 in each group was calculated. Total of 330 women will be studied (165 in each arm) Inclusion criteria

• In labour (spontaneous or induced
• During first stageof labour
• Primary and multiparous women
• A term singleton pregnancy (between 37 + 0 and 41 weeks)
• Have a fetus in a cephalic presentation
• Experience back pain assessed by visual analogue scale VAS and Face pain analogue ( Warden V, Hurley AC, Volicer L.2003)
• Provide informed consent.

Exclusion criteria

• Multiple pregnancy
• Malpresentation (breech, transverse, shoulder)
• Previous CS
• Infection or inflammation at the injection sites or complications that could cause bleeding at injection site eg. Thrombocytopenia.

Study Tools:

1. Personal data questionnaire
2. Visual Analogue Scale and Face analogue scale
3. Satisfaction scale

Inclusion Criteria:

• In labour (spontaneous or induced record
• During first stage of labour
• Primary and multiparous women
• A term singleton pregnancy (between 37 + 0 and 41 weeks)
• Have a fetus in a cephalic presentation
• Experience back pain assessed by visual analogue scale VAS and Face pain analogue
• Provide informed consent.

Exclusion Criteria:

• Women with chronic disease
• Medical condition associated with pregnancy ( Pre-eclampsia- Eclampsia- Diabetic pregnancy.... etc)
• Complicated labor process ( obstructed, preterm labor, twins)