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This study examined whether showering during labor affects pain, anxiety, comfort, satisfaction, and labor outcomes in women undergoing vaginal birth. Non-pharmacological methods are commonly used to support women during labor, and warm showering may help reduce discomfort and emotional distress during the labor process.
In this randomized controlled trial, pregnant women in active labor were assigned either to a shower group or to a control group receiving routine labor care. Women in the shower group were allowed to shower during labor under standardized conditions, while the control group received routine intrapartum care without showering. Pain and anxiety levels were assessed repeatedly during labor, while comfort and birth satisfaction were evaluated during and after birth using validated measurement tools.
The results of this study aim to contribute to evidence-based intrapartum care practices by evaluating the role of showering as a supportive intervention during labor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shower During Labor | Experimental | Participants were allowed to shower during active labor (cervical dilation >5 cm) in a private bathroom within the labor room. Showering was permitted at the participant's preference, for at least 20 minutes per session, with water temperature maintained between 35-40°C. Safety measures were implemented, including accompaniment by a companion or researcher. |
|
| Control: Routine Labor Care | No Intervention | Participants received routine intrapartum care without showering during labor. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Showering During Labor | Behavioral | Participants were allowed to shower during active labor (cervical dilation >5 cm) in a private bathroom within the labor room. Showering was permitted at the participant's preference, for at least 20 minutes per session, with water temperature maintained between 35-40°C. Safety measures were implemented, including accompaniment by a companion or researcher. |
| Measure | Description | Time Frame |
|---|---|---|
| Labor Pain Intensity | Pain intensity assessed using the Visual Analog Scale (VAS) during labor. | Every 2 hours during labor (up to 8 hours) and immediately before and after each shower session during the same labor admission. |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety Level During Labor | Anxiety assessed using the Visual Analog Scale (VAS) during labor. | Every 2 hours during labor (up to 8 hours) and immediately before and after each shower session during the same labor admission. |
| Maternal Comfort During Labor |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State Obstetrics and Gynecology Hospital, Istanbul | Istanbul | Istanbul | 34010 | Turkey (Türkiye) |
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Maternal comfort assessed using the Childbirth Comfort Questionnaire. |
| At 10 minutes after the first shower session during active labor |
| Birth Satisfaction | Birth satisfaction assessed using the Birth Satisfaction Scale. | 2 hours postpartum. |
| Duration of Labor | Total duration of labor measured in hours, obtained from clinical records. | From admission to the labor unit until delivery. |
| Mode of Delivery | Type of delivery (vaginal or cesarean) recorded from clinical records. | At delivery. |
| Use of Obstetric Interventions | Use of obstetric interventions (e.g., induction, augmentation, episiotomy) recorded from clinical records. | During labor and recorded at delivery. |