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Subcutaneous Sterile Water Injection for Relief of Low Back Pain

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Woman's Health University Hospital, Egypt

Keywords

Abstract

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

Description

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

Dates

Last Verified: 05/31/2016
First Submitted: 06/17/2016
Estimated Enrollment Submitted: 06/20/2016
First Posted: 06/26/2016
Last Update Submitted: 06/20/2016
Last Update Posted: 06/26/2016
Actual Study Start Date: 01/31/2015
Estimated Primary Completion Date: 05/31/2016
Estimated Study Completion Date: 05/31/2016

Condition or disease

Low Back Pain

Intervention/treatment

Other: Subcutaneous sterile water injection

Other: saline injection

Phase

Phase 1/Phase 2

Arm Groups

ArmIntervention/treatment
Experimental: Sterile Water injection
Subcutenous injection at low back portion during labor pain
Experimental: saline injection
Subcutenous injection at low back portion during labor pain

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyFemale
Accepts Healthy VolunteersYes
Criteria

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)

Outcome

Primary Outcome Measures

1. Pain relief [two hours for each client]

the investigator spend two hours with each client to measure the effect of pain relief

2. Women's Saisfaction [each 15 min until 120 min]

measuring pain relief within different minutes

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