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Archives of Gynecology and Obstetrics

, Volume 286, Issue 1, pp 19–23 | Cite as

Effects of massage therapy and presence of attendant on pain, anxiety and satisfaction during labor

  • Seyedeh Hamideh Mortazavi
  • Siavash Khaki
  • Rayhaneh Moradi
  • Kazem Heidari
  • Seyedeh Fatemeh Vasegh RahimparvarEmail author
Maternal-Fetal Medicine

Abstract

Purpose

To investigate the effects of massage and presenting an attendant on pain, anxiety and satisfaction during labor to clarify some aspects of using an alternative complementary strategy.

Methods

120 primiparous women with term pregnancy were divided into massage, attendant and control groups randomly. Massage group received firm and rhythmic massage during labor in three phases. After 30 min massage at each stage, pain, anxiety and satisfaction levels were evaluated. Self-reported present pain intensity scale was used to measure the labor pain. Anxiety and satisfaction were measured with the standard visual analog scale.

Results

Massage group had lower pain state in second and third phases (p < 0.05) in comparison with attendant group but reversely, the level of anxiety was lower in attendant group in second and third phases (p < 0.05) and satisfaction was higher in massage group in all four phases (p < 0.001). The massage group had lower pain and anxiety state in three phases in comparison with control group (p < 0.05). Data analysis of satisfaction level showed higher values in four phases in massage group compared with control (p < 0.001) and comparison of attendant and control groups showed higher satisfaction in attendant group in phases 2, 3 and 4 as well (p < 0.001). Duration of active phase was lower in massage group (p < 0.001).

Conclusions

Findings suggest that massage is an effective alternative intervention, decreasing pain and anxiety during labor and increasing the level of satisfaction. Also, the supportive role of presenting an attendant can positively influence the level of anxiety and satisfaction.

Keywords

Anxiety Attendant Labor support Massage therapy Pain Satisfaction 

Notes

Acknowledgments

This research has been supported by Students’ Scientific Research Center of Tehran University of Medical Sciences and health Services grant. The authors would also want to acknowledge Baharlou hospital, as the educational hospital of Tehran University of Medical Sciences for providing all the assistance and cooperation for this research.

Conflict of interest

None.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Seyedeh Hamideh Mortazavi
    • 1
  • Siavash Khaki
    • 1
  • Rayhaneh Moradi
    • 2
  • Kazem Heidari
    • 3
  • Seyedeh Fatemeh Vasegh Rahimparvar
    • 2
    Email author
  1. 1.Students’ Scientific Research Center, School of MedicineTehran University of Medical ScienceTehranIran
  2. 2.Department of Midwifery, School of Nursing and MidwiferyTehran University of Medical ScienceTehranIran
  3. 3.Department of Epidemiology and Biostatistics, School of Public HealthTehran University of Medical SciencesTehranIran

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