A comparison of the effect of nipple stimulation and oxytocin infusion on the duration of phases of labor

AUTHORS

Sohila Pirdadeh Beiranvand 1 , * , Sohila Akbari 2 , Seddighe Azhari 3 , Mahdi Birjandi 4

AUTHORS INFORMATION

1 Dept. of Midwifery, Paramedical School, Lorestan University of Medical Sciences, Khoramabad, Iran

2 Dept. of Obstetrics and Gynecology, Lorestan University of Medical Sciences, Khoramabad, Iran

3 Dept. of Midwifery, Paramedical School, Mashad University of Medical Sciences, Mashad, Iran

4 Dept. of Biostatistics and Epidemiology, School of Public Health, Lorestan University of Medical Sciences, Khoramabad, Iran

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 13 (2); e79800
Published Online: September 19, 2009
Article Type: Research Article
Received: January 27, 2009
Accepted: June 30, 2009

Crossmark

CHEKING

READ FULL TEXT
Abstract

Background: Oxytocin infusion is used for induction or augmentation of labor to prevent prolonged labor. A cheap and nonaggressive alternative which is effectively used for contraction stress test is nipple stimulation. However research regarding its efficacy and safety is still limited. This study aims to compare the effectiveness of nipple stimulation and oxytocin infusion on the duration of phases of labor.

Methods: This randomized clinical trial included 132 low-risk pregnant women admitted to Asali hospital in 2006 -2007. Those having poor contractions in active phase of labor were randomly assigned into two groups of nipple stimulation and oxytocin infusion. Women in the nipple stimulation group had their nipples messaged by hands moving in circle and using lubricant gel. The oxytocin infusion was started at 0.25 mIU/min for the oxytocin infusion group. Data collection was carried out through observation, examination and interviews. Data were analyzed using statistical tests, repeated measure test, independent T test, and spss software SPSS.

Results: The mean duration active phase of labor for the nipple stimulation group was 203.48±104.90 compared to 191.75±79.01 of the oxytocin infusion group, indicating no statistically significant difference (p=0.470) on this. The same thing applied to the second and the third stage of labor between the two groups (p=0.092, p=0.872).

Conclusion: Our findings showed that nipple stimulation is a safe effective technique to induce or augment labor. Future studies are recommended for further investigations.

Keywords

nipple stimulation oxytocin infusion duration of phases of labor

© 2009, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
Fulltext

References
1 The references of this article is available on PDF
COMMENTS

LEAVE A COMMENT HERE: