Volume 31, Issue 116 (February 2019)                   IJN 2019, 31(116): 18-27 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fathi L, Amraei K. Effects of Phoenix dactylifera Syrup Consumption on the Severity of Labor Pain and Length of the Active Phase of Labor in Nulliparous Women. IJN 2019; 31 (116) :18-27
URL: http://ijn.iums.ac.ir/article-1-2842-en.html
1- Lecturer, Department of Midwifery, School of Nursing and midwifery, Lorestan University of Medical Sciences, Khorramabad, Departement of Midwifery, School of Nursing and midwifery, Tehran University of medical Science, Tehran, Iran
2- Assistant Professor, Departement of Psychology, Faculty of Literature and Humanities, Lorestam University, Khorramabad, Iran. (Correspnding author) Tel: 06633120001 Email: amraei.k@lu.ac.ir
Abstract:   (5033 Views)
Background & Aims: Delivery is a painful event, and the management of labor pain is of utmost importance. The present study aimed to assess the effects of the oral consumption of date palm (Phoenix dactylifera) syrup on labor pain and length of the active phase of labor in nulliparous women.
Materials & Methods: This randomized clinical trial was conducted on 64 healthy volunteer nulliparous women who met the inclusion criteria at Asali Teaching Hospital in Khorramabad, Iran. The participants were selected randomly and assigned to two groups of intervention (date palm syrup) and control (32 subjects per group). Data were collected using a questionnaire with the domains of demographic characteristics and vaginal examinations in labor, and pain intensity was assessed using the visual analogue scale (VAS). Pain intensity was measured every 30 minutes during the active phase of labor. Data analysis was performed in SPSS version 16.
Results: The mean score of pain intensity was significantly lower in the intervention group compared to the control group (P<0.05). Moreover, the mean length of the active phase of labor was significantly lower in the intervention group compared to the control group (P<0.01).
Conclusion: According to the results, the consumption of date palm syrup significantly decreased pain intensity and the length of delivery, so that despite reducing the labor pain, labor was not prolonged, and the length of the active phase of labor significantly reduced as well. Considering the importance of evidence-based research and its use in practice, further investigations in this regard are required.
Full-Text [PDF 924 kb]   (1711 Downloads)    
Type of Study: Research | Subject: Midwifery
Received: 2018/11/10 | Accepted: 2019/02/7 | Published: 2020/02/7

References
1. Treede R-D. The International Association for the Study of Pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes. Pain reports. 2018;3(2). [DOI:10.1097/PR9.0000000000000643] [PMID] [PMCID]
2. Avery MD. Supporting a physiologic approach to pregnancy and birth: A practical guide: John Wiley & Sons; 2013. [DOI:10.1002/9781118783320]
3. Fishman SM. Bonica's management of pain: Lippincott Williams & Wilkins; 2012.
4. Nanbakhsh F, Ahmadnejad E, Jalili N, Zadeh Mohammadi A. the Effect of Music in Reducing the Pain and Stress during Delivery. J Urmia Univ Med Sci. 2009;20(3):209-14.
5. Reynolds F. Regional analgesia in obstetrics: a millennium update: Springer; 2000. [DOI:10.1007/978-1-4471-0435-3]
6. Neal JL, Ryan SL, Lowe NK, Schorn MN, Buxton M, Holley SL, et al. Labor dystocia: uses of related nomenclature. J Midwifery Womens Health. 2015;60(5):485-98. [DOI:10.1111/jmwh.12355] [PMID]
7. Yelikar K, Deshpande S, Deshpande R, Lone D. Safety and efficacy of oral mifepristone in pre-induction cervical ripening and induction of labour in prolonged pregnancy. J Obstet Gynecol India. 2015;65(4):221-5. [DOI:10.1007/s13224-014-0584-6] [PMID] [PMCID]
8. Harrison MS, Ali S, Pasha O, Saleem S, Althabe F, Berrueta M, et al. A prospective population-based study of maternal, fetal, and neonatal outcomes in the setting of prolonged labor, obstructed labor and failure to progress in low-and middle-income countries. Reproductive health. 2015;12(2):S9. [DOI:10.1186/1742-4755-12-S2-S9] [PMID] [PMCID]
9. SAAT SS, HAJI AM, Basirat Z, NAZARI R, Beheshti Z. Comparison of atropine-promethazine combination and pethidine effects on active phase of labor. Journal of Babol University of Medical Sciences. 2007;3(9):39-42..
10. Huntley AL, Coon JT, Ernst E. Complementary and alternative medicine for labor pain: a systematic review. Am J Obstet Gynecol. 2004;191(1):36-44. [DOI:10.1016/j.ajog.2003.12.008] [PMID]
11. Eisenach JC, Pan PH, Smiley R, Lavand'homme P, Landau R, Houle TT. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression. Pain. 2008;140(1):87-94. [DOI:10.1016/j.pain.2008.07.011] [PMID] [PMCID]
12. Chaillet N, Belaid L, Crochetière C, Roy L, Gagné GP, Moutquin JM, et al. Nonpharmacologic approaches for pain management during labor compared with usual care: a meta‐analysis. Birth. 2014;41(2):122-37. [DOI:10.1111/birt.12103] [PMID]
13. Sharma S, Menia V, Bedi J, Dogra S. Labor analgesia: An unmet right of laboring women in India. J South Asian Fed Obstet Gynaecol. 2013;5:26-32. [DOI:10.5005/jp-journals-10006-1214]
14. Cunningham FG, MacDonald PC, Gant NF. Williams obstetrics: McGraw-Hill Professional New York, NY; 2005.
15. Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M. Relaxation techniques for pain management in labour. Cochrane Database of Systematic Reviews. 2018 (3). [DOI:10.1002/14651858.CD009514.pub2] [PMCID]
16. Behmanesh F, Pasha H, Zeinalzadeh M. The effect of heat therapy on labor pain severity and delivery outcome in parturient women. Iranian Red Crescent Medical Journal. 2009;11(2):188-92.
17. Behmanesh F, Fahami F, Zeynalzadeh M, Bizhani A. Effect of heat therapy on pain severity and duration of labor in primigravida women. 2008.
18. imkin P, Klein MC. Nonpharmacological approaches to management of labor pain. UpToDate online. 2007;15.
19. Ergol S, Eroglu K, Taskin L. The effect of oral fluid food support during labor on labor duration and perception of labor pains. HealthMED. 2012;6(6):2093-9.
20. American of Nurse-Midwives AC. Providing Oral Nutrition to Women in Labor. Journal of Midwifery & Women's Health. 2008;53(3):276-83. [DOI:10.1016/j.jmwh.2008.03.006] [PMID]
21. Shea-Lewis A, Eckardt P, Stapleton D. CE: Original Research An Investigation into the Safety of Oral Intake During Labor. AJN The American Journal of Nursing. 2018;118(3):24-31. [DOI:10.1097/01.NAJ.0000530913.80349.53] [PMID]
22. Hosseini E, Asadi N, Zareei F. Effect of massage therapy on labor progress and plasma levels of cortisol in the active stage of first labor. Zahedan Journal of Research in Medical Sciences. 2013;15(9):35-8.
23. Carvalho B, Zheng M, Aiono-Le Tagaloa L. A prospective observational study evaluating the ability of prelabor psychological tests to predict labor pain, epidural analgesic consumption, and maternal satisfaction. Anesth Analg. 2014;119(3):632-40. [DOI:10.1213/ANE.0000000000000357] [PMID]
24. Rahmani R, Khakbazan Z, Yavari P, Granmayeh M, Yavari L. Effect of oral carbohydrate intake on labor progress: randomized controlled trial. Iranian journal of public health. 2012;41(11):59.
25. Ahmad M, Khan MA, Marwat SK, Zafar M, Khan MA, Hassan TU, et al. Useful medicinal flora enlisted in Holy Quran and Ahadith. Am Eurasian J Agric Environ Sci. 2009;5(1):126-40.
26. Mojahed S, Aflatunian A, Khadem N, Dehghani Firouzabadi R, Karimi Zarchi M. An investigation into effectiveness of date (Rutab) on postpartum hemorrhage. SSU_Journals. 2012;20(2):159-66.
27. Kordi M, Nasiri N, Safarian M, Esmaili H, Shadjuo K. The effect of oral honey-date syrup intake during labor on labor progress of nulliparous women. Iranian Journal of Obstetrics, Gynecology and Infertility. 2010;13(2):23-30.
28. Kordi M, Aghaei Meybodi F, Tara F, Nemati M, Taghi Shakeri M. The effect of late pregnancy consumption of date fruit on cervical ripening in nulliparous women. Journal of Midwifery and Reproductive Health. 2014;2(3):150-6.
29. Rahmani BR, Khakbazan Z, Bahri N, Baloochi T, Khargani R. The effect of food intake during labor on pain and anxiety in pregnant women. Zahedan Journal of Research in Medical Sciences. 2012;13(8):44-7.
30. Winkelman C, Norman D, Maloni JA, Kless JR. Pain measurement during labor: comparing the visual analog scale with dermatome assessment. Appl Nurs Res. 2008;21(2):104-9. [DOI:10.1016/j.apnr.2006.05.002] [PMID]
31. Al-Kuran O, Al-Mehaisen L, Bawadi H, Beitawi S, Amarin Z. The effect of late pregnancy consumption of date fruit on labour and delivery. J Obstet Gynaecol. 2011;31(1):29-31. [DOI:10.3109/01443615.2010.522267] [PMID]
32. Ahmed IE, Mirghani HO, Mesaik MA, Ibrahim YM, Amin TQ. Effects of date fruit consumption on labour and vaginal delivery in Tabuk, KSA. Journal of Taibah University Medical Sciences. 2018;13(6):557-63. [DOI:10.1016/j.jtumed.2018.11.003]
33. Shabani M, Zangiabadi N, Asadi-Shekaari M. Evidence for positive effects of date extract that attenuates thermal hyperalgesia in a diabetic rat model of neuropathic pain. Neurosci Med. 2013;4(01):16. [DOI:10.4236/nm.2013.41003]
34. Mohammadierad R, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Fazil F. Effect of Saffron with or Without Date Sugar on Intensity of Pain and Anxiety During Labor in Primiparous Females: A Randomized, Controlled Trial. Iranian Red Crescent Medical Journal. 2018;20(S1). [DOI:10.5812/ircmj.61289]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb