IF: 0.644

The Effect of Reflexology on Pain Intensity and Duration of Labor on Primiparas


M Dolatian 1 , * , A Hasanpour 2 , Sh Montazeri 3 , R Heshmat 2 , H Alavi Majd 2

1 Department of Midwifery, Shahid Beheshti University of Medical Sciences, mhdolatian@Yahoo.com, Tehran, Iran

2 Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Medicine and Health, International Medical University (IMU), Bukit, Jalil, Malaysia

How to Cite: Dolatian M, Hasanpour A, Montazeri S, Heshmat R, Alavi Majd H. The Effect of Reflexology on Pain Intensity and Duration of Labor on Primiparas, Iran Red Crescent Med J. Online ahead of Print ; 13(7):475-479.


Iranian Red Crescent Medical Journal: 13 (7); 475-479
Article Type: Research Article
Received: October 10, 2010
Accepted: January 10, 2011




Background: Reflexology is an ancient, mild and non-invasive technique, used widely as one of the non-pharmacological methods for pain relief. The aim of this research was to determine the effect of reflexology on pain intensity as well as to determine the duration of labor in primiparas.

Methods: In 2008, a randomized clinical trial study was conducted randomly enrolling 120 parturient women with low risk pregnancy into three groups in Shahid Akbarabadi Hospital, Tehran, Iran. The first group received 40 minutes of reflexology at the beginning of active phase (4-5 cm cervical dilatation). Emotional support was offered for the second group in the same stage of pregnancy and with the same duration. The third group received only routine care during labor. Pain severity was evaluated with visual analogue scale (0 to 10 cm). In all groups, pregnant women were asked to evaluate the severity of pain experienced before and after intervention and also at cervical dilatations of 6-7 cm and 8-10 cm respectively. Data were collected through the numerical pain scale.

Results: Pain intensity at all the three stages of cervical dilatation was significantly lower in the reflexology group. During the 4-5 cm dilatation stage, women in the supported group reported less severe pain compared to those receiving routine care, but no significant differences at the later stages of labor. This indicates that reflexology could decrease the duration of first, second and third stages of labor.

Conclusion: Our findings showed that reflexology can be useful to decrease the pain intensity as well as duration of labor.


Reflexology Primiparas Pain intensity Duration of labor

© 0, Author(s). 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.

Full Text

Full text is available in PDF