The effectiveness of sacral massage in reduction of pain during first stage of labour among primi gravida mothers at selected hospital in Madurai, Tamilnadu

Abstract

Delivery is a natural phenomenon, it has been demonstrated that the accompanying pain is considered severe or extreme in more than half of cases. Besides conventional approaches, such as epidural analgesia, many complementary or alternative methods have been reported to reduce pain during labour and delivery. The research design of this study was quasi experimental post test only design. The setting of the study was the Infant Jesus Hospital at Madurai. The sample size was 60, (i.e) 30 in control group and 30 in experimental group respectively. PROBLEM STATMENT: A Study to determine the effectiveness of sacral massage in reduction of pain during first stage of labour among primi gravida mothers at selected Hospital, Madurai. OBJECTIVES: To assess the level of pain among control group mothers. To assess the level of pain among experimental group of mothers after giving sacral massage. To determine the effectiveness of sacral massage in terms of reduction in pain among experimental group and control group mothers. To find out the association between effectiveness of sacral massage with selected demographic variables of primi gravida mothers such as age, education, religion, type of family, phases of labour, Types of labour among experimental group mothers. HYPOTHESIS: There will be a significant difference in post test pain score among the mothers in experimental group and control group. There will be a significant association between the effectiveness of sacral massage and selected demographic variables such as age, education, religion, type of family, phases of labour, types of labour and duration of first stage of labour among experimental group. MAJOR FINDINGS OF THE STUDY: In control group 100% had severe pain. Experimental had 93% moderate pain and 7% severe pain in the post test. The effectiveness of sacral massage was found between control and experimental group showed significant improvement in pain score. The observed value was 26.42 at 95% of confidential interval (2.73704- 3.19629). Comparison of pain score control and experimental group after sacral massage. In pain, significant value is not less than 0.05, it is noted that improved in pain score level. There was a significant association between post test pain score of experimental group and selected demo variables such as age, education, type of family and type of labour. RECOMMENDATION:- A similar study can be done on a large sample. A study can be done involving family members or husband in pain reduction during labour using sacral massage. A comparative study could be done to assess the effectiveness of sacral massage in terms of reduction of pain among primi gravid mothers and multi gravida mothers. A comparative study can be carried out in hospital and community set up. CONCLUSION:- Labour is beautiful experience to a women and pain is a critical determinant for survival in the labour period. If the mother with labour pain, it is fear and anxiety for the mother. As per the record, the occurrence of pain during labour is high, but it is differ from individual to individual. Demonstration is an effective method of increasing the practice of nurse as well as family members regarding sacral massage