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Natural birth is a unique experience in the mother's life, but it is associated with severe pain due to uterine contractions during labor, so the control of this pain is an important requirement for them. The massage and breathing techniques during labor are considered Non-pharmacological methods that can help mothers cope with this Pain, for that reason this semi-experimental study aimed to know the effect of massage therapy and breathing techniques on severe pain in (30) women during the first stage of labor chosen by in the obstetrics and children's hospital and university Tishreen Hospital in Lattakia, where they randomly assigned to three groups: (10) were treated with massage therapy, (10) were treated with breathing techniques, and (10) were treated with massage and breathing techniques together. The researcher used tools to collect demographic data and to measure the pain intensity as determined by the women verbally, and the intensity of the pain as it appears on the face of the women. The study found a decrease in the intensity of pain in the women in the sample when applying both massage and breathing techniques on their own and when applied together during the first stage of labor. The current study recommended massage and breathing techniques during the first stage of labor to reduce labor pain, educate midwives on the importance of massage and breathing techniques in the alleviation of labor pains and train them to apply it, and to conduct research on the effectiveness of participation between the use of other methods of non-pharmacological pain relief and non-participation Among them.
Postpartum Hemorrhage (PPH) is the leading cause of maternal death worldwide. In the developing countries, it is responsible for the death of about 125 000 women each year. In most cases 67-80% are caused by uterine atony. Uterine massage would re present a simple intervention with the potential to have a major effect on PPH and maternal mortality in under resourced settings. Aim: The aim of the present study is to study the effect of uterine massage on the immediate postpartum hemorrhage among primiparae. Materials and Methods: The study was conducted of al-Assad Hospital and Children & Obstetrics Hospital (Lattakia), a convent sample of 40 primiparae women. Checklist application form was used to assess the postpartum hemorrhage by hemoglobin and hematocrit measurement before applying uterine massage and after the end of procedure. Results: This study demonstrated that the rate of hemorrhage decreased in the experimental group, hemoglobin and hematocrit was higher (10.4 mg/dl, 32.3%) (P=0.029*) (P=0.015*) among primipara who received uterine massage. Conclusions and Recommendations: Our present study results advice to apply uterine massage for all women after labor and delivery because its effective in reducing blood loss. It is also recommended to learn nurses how to apply uterine massage.
Introduction: Sleep disturbance is common among patients in intensive care units (ICUs). Changes in clinical practice to promote sleep in the ICUs have been sporadic. The European Respiratory Society and the European Society of Intensive Care Medicin e recognize that massage therapy may improve quality of sleep. Goal: This study was conducted to identify the effects of back and face massage on sleep quality in ICU patients. Material and Methods: A sample of 45 patients in intensive care units in Al-Assad University Hospital and Alwatani Hospital were recruited in the study. Both the massage and control participants were evaluated for sleep quality by Groningen sleep quality scale, 1 hour after administration of the protocol. Results: The effectiveness of back and face massage, as quality of sleep, is significantly improved (p=0.000) in the experimental back and face massage groups (mean score 3.9981), and (mean score 4,4043) respectively, than in control group (mean score – 0.8117). In conclusion, our data suggest that back and face massage therapy is effective in improving the quality of sleep in ICU patients
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