Massage Therapy Study: Massage Therapy and Labour Outcomes
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Purpose
OBJECTIVE: To measure the benefits of massage, administered by a registered massage therapist, to pain management for women in active labour.
DESIGN: A randomized controlled trial.
SETTING: BC Women's Hospital, a tertiary level maternity teaching hospital in Vancouver, British Columbia, Canada.
PARTICIPANTS: Healthy first time mothers experiencing an uncomplicated pregnancy who present to the hospital in labour. Seventy women will be enrolled in each trial arm.
MAIN OUTCOME MEASURES: The primary outcome is time to use of epidural analgesia measured as cervical dilatation at the time of epidural insertion. Secondary outcomes include use of epidural and narcotic analgesia, and measures of intensity and characteristics of pain.
DATA ANALYSIS: Study outcomes will be compared among women randomized to receive a maximum of five hours of massage during labour administered by a registered massage therapist versus usual care. Analysis will be by intention to treat. Prognostics factors not balanced between trial arms (massage and usual care) will be controlled for in a multivariate analysis.
| Condition | Intervention | Phase |
|---|---|---|
|
Pain During Labour |
Procedure: Massage |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Massage Therapy and Labour Outcomes; A Randomized Controlled Trial |
- The primary outcome is time to use of epidural analgesia measured as cervical dilatation at the time of epidural insertion. [ Time Frame: During labour ] [ Designated as safety issue: No ]
- Secondary outcomes include use of epidural and narcotic analgesia and measures of intensity and characteristics of pain. [ Time Frame: During labour ] [ Designated as safety issue: No ]
| Enrollment: | 77 |
| Study Start Date: | January 2008 |
| Study Completion Date: | May 2009 |
| Primary Completion Date: | May 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Massage therapy by a regulated massage therapist
|
Procedure: Massage
Massage therapy by an RMT during labour
|
|
Active Comparator: 2
Massage by anyone else, eg. husband, nurse, doula
|
Procedure: Massage
Massage by anyone else, eg. husband, nurse, doula
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 35 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy primiparous women
- Nulliparous
- Singleton gestation
- Cephalic presentation
- Term gestation (37-41 completed weeks of pregnancy)
- Maternal age between 18 and 35 years of age
- In spontaneous labour, defined for our purposes as painful contractions which have resulted in cervical change, i.e. cervix is 1 cm dilated or more with effacement at 25% (0.5 cm) or more on admission to the labour unit
- Able to speak and read English or speak a language for which there is a nursing interpreter available
Exclusion Criteria
- Pre-existing medical conditions including but not limited to: insulin dependent diabetes, renal, cardiac, or thyroid conditions, hypertension, epilepsy, psychosis, use of illicit street drugs
- Conditions arising during pregnancy which require non-routine surveillance and/or intervention including but not limited to gestational diabetes, gestational hypertension, 2nd or 3rd trimester hemorrhage, intrauterine growth restriction, presence of a fetal congenital anomaly, history of preterm prelabour rupture of membranes
- Statement by women on admission that she has been in labour for more than 24 hours
- Cervical dilatation 10 cm (full dilatation) on admission to the labour ward
Contacts and Locations| Canada, British Columbia | |
| BC Women's Hospital | |
| Vancouver, British Columbia, Canada, V6H 3N1 | |
| Principal Investigator: | Patricia Janssen, Ph.D | University of British Columbia |
More Information
No publications provided
| Responsible Party: | Patricia Janssen, University of British Columbia |
| ClinicalTrials.gov Identifier: | NCT00611221 History of Changes |
| Other Study ID Numbers: | H07-00528, CW07-0090 |
| Study First Received: | January 28, 2008 |
| Last Updated: | April 26, 2011 |
| Health Authority: | Canada: Health Canada |
Keywords provided by University of British Columbia:
|
massage labour |
ClinicalTrials.gov processed this record on May 16, 2013