0:00:04the evaluation of the one apache method specific educational intervention to reduce pain during childbirth
0:00:11although okay during childbirth is not usually associated to tissue damage is very intense
0:00:18it comprises of at least two components
0:00:20pain intensity and pain unpleasantness
0:00:24options to reduce pain are pharmacological but have higher medical interventions
0:00:30and on particle logic which show inconclusive or conflicting results
0:00:37the aim of this multi centre control
0:00:40study is to measure the effects on pain perception during labour and delivery of the
0:00:45by apache method which specifically addresses pain modulation techniques compared to traditional chopper training programs
0:00:55the one apache method is based on three and a generous mechanism
0:00:59the first is the central nervous system control
0:01:02which comprises breathing relaxation and mostly deviation of attention it modulate
0:01:08pain unpleasantness most
0:01:11thinking control theory is like massage and emulation
0:01:14and this is a light massage
0:01:16of the painful areas
0:01:19this is a block it's a part of the message in the spine
0:01:23and modulated mostly pain intensity
0:01:26the third mechanism is a diffuse noxious inhibitory control also known as that in excess
0:01:32to
0:01:33that the next system consist of creating a second pain anywhere and by
0:01:39this mostly modulate spain intensity
0:01:42so what happens when you create the second pain the signal goes to the brain
0:01:46the brain wants to attract attention and understand what the nature of the second pain
0:01:51is
0:01:52releases endorphins all over the body except in the zone where we create the second
0:01:57page
0:01:59so we teach parents
0:02:00the father especially how to activate
0:02:03this mechanism through painful massage in acupressure points
0:02:07in the lower back
0:02:09in the hand and foot and elsewhere
0:02:12methodology of this study
0:02:15consists of women we evaluated the pain every fifteen minutes
0:02:19during all phases of labour and delivery
0:02:23for the two groups were the one apache method which was eight hours of training
0:02:27specifically on modulating pain and traditional chopper training programs which were mostly which consisted mostly
0:02:36of information on child word and on the lip
0:02:41the results are a reduction of both pain intensity and pain unpleasantness of forty five
0:02:46and forty six percent
0:02:49and this reduction is present during all phases of labour and delivery for pain intensity
0:02:54and the last three phases of labour and delivery for pain unpleasantness
0:03:00this shows
0:03:02that
0:03:02not pharmacological approaches to reduce pain work
0:03:07they reduce both intensity and unpleasantness of pain at a level that is probably tolerable
0:03:12to most women
0:03:14future research should include randomized controlled trials
0:03:18that evaluate not only pain intensity an unpleasant this but also
0:03:23different obstacle outcome
0:03:25thank you
0:03:28if there is not limited but i've actually in it have a cell discussed in
0:03:32that a put it is realized without all the time i
0:03:38okay let alone yellow man this will pop but allergic any swat design cell
0:03:44and can probably due corpus on lake austin that would have a last but is
0:03:48likely at the time
0:03:51exist do you think there are still cool
0:03:54studies we have set of a cell grammatic pharmacology mailing click in the markets illness
0:03:59and the last step we caff it is a portion of pharmacology don't the reason
0:04:04to use all echo cannot control bits
0:04:10the object it's it it's to the company limited but i've actually without constraints another
0:04:15pass on any cells pool that shone the light levels of i
0:04:22let me tell what i've actually buses so one make any small the sign motivated
0:04:26that can you make an estimate of controlled these some
0:04:31i have a lateral access yelling team actually model that largest bic also to this
0:04:35would see
0:04:36i met them was really cool is all the players on west but is that
0:04:41gonna i do that
0:04:43the museum again is a second useful in order to do you need to deal
0:04:48it's a mechanism probably canada massages it's if it look you see that on one
0:04:54so assessed passed a in stimulus only child relies on two words back massage you
0:05:01see that the live in the lehigh
0:05:05so that the sole mechanism what's is to next bit in prosody don't play make
0:05:10dusty that
0:05:12the only can is a significant role in the screen the since it's a
0:05:18consistently and so on the on the corpus all the gossip right not able to
0:05:21do
0:05:22not on my value key
0:05:24account lexemes and again this lists a gaussian you have in this is it's it
0:05:28well miss out of syllable the syllables can solve crystal city no that's a sexy
0:05:34a pool don't good seconds a pixel inverse also still well velocity and that's the
0:05:40important that looks in back to back off
0:05:43maybe that it is useless it it's a non that might be a they found
0:05:46them as a reading task the last bit later this likely have the logo on
0:05:50the twenty style have i
0:05:52oracle battery do group john was with and without changing it
0:05:57the chronicle et al and limited but i actually don't a factual series of proportional
0:06:02so we meet are the form a seal
0:06:05is don't clean approach to specific numbers is selected six on the lower
0:06:09e only the compactly grouped it's an l two or three be read all the
0:06:12form i still case all that markers is therefore myself but to a long period
0:06:18to lend themselves it on this
0:06:21and it is a personal computer
0:06:23i between the risks elastic getting the lead without pulling thus the last that exactly
0:06:28at the cannot find give the cannot suspects not expect even not
0:06:32set in stone is to get sleep are not too many studies have i believe
0:06:36that's the is a highly what the only stand style i do this that is
0:06:40likely a
0:06:42the whole corpus all c two in the nap approach soundly gasp or is really
0:06:46a very fast the last but exactly at the dendrogram
0:06:50and e score not it was way that should still don't accessible and easy to
0:06:55the how the musical only performance of a set up a shot
0:06:59key if well even if we allow for like prosody last but exactly at the
0:07:03level army will see doubleclick is that we can come to offset this is valuable
0:07:08to such that