The Effect of Back Massage with and without Ginger Oil on the Pain Intensity of the Active Phase of Labor in Primiparous Women

Document Type: Original Research Article


1 MSc in Midwifery, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

2 Lecturer, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Assistant Professor, Pharmacological Research Center of Medicinal Plants, Mashhad University of Medical Sciences, Mashhad, Iran

4 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


Background & aim: The negative effect of labor pain on the tendency of mothers to choose vaginal delivery necessitates identifying effective and safe methods to reduce pain. Regarding the analgesic effects of ginger, the present study aimed to determine the effect of back massage with and without ginger oil on the pain intensityof the active phase of labor in primiparous women.
Methods: This randomized clinical trial was conducted on 90 primiparous women in Umm al-Banin Hospital, Mashhad, Iran (2017). The samples were selected using convenient sampling and randomly assigned into three groups, namely massage with ginger oil, massage with placebo (i.e., paraffin), and control. The intervention groups received 15-min back massage in the active phase of labor (dilations 4-5, 6-7, and 8-10 cm). The pain intensity was measured in three groups before and after each dilation. The data were collected using Demographic and Midwifery Questionnaire and Visual Analog Scale for Pain. The obtained data were analyzed in SPSS software (Version 16) through and Kruskal-Wallis and the Chi-square tests. P-value less than 0.05 was considered statistically significant.
Results: According to the results, the mean values of pain intensity after three stages of the evaluation were obtained at 4.1±2.29, 6.8±1.73, and 7.6±1.43 in ginger, placebo, and control groups, respectively. In addition, the results showed that the ginger group reported the lowest level of pain during the active phase of labor (P<0.001).
Conclusion: Back Massage with ginger oil not only has a double effect on pain relief but also is completely safe and simple in order to apply to mothers during the first maternal experience.


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