the evaluation of the one apache method specific educational intervention to reduce pain during childbirth
although okay during childbirth is not usually associated to tissue damage is very intense
it comprises of at least two components
pain intensity and pain unpleasantness
options to reduce pain are pharmacological but have higher medical interventions
and on particle logic which show inconclusive or conflicting results
the aim of this multi centre control
study is to measure the effects on pain perception during labour and delivery of the
by apache method which specifically addresses pain modulation techniques compared to traditional chopper training programs
the one apache method is based on three and a generous mechanism
the first is the central nervous system control
which comprises breathing relaxation and mostly deviation of attention it modulate
pain unpleasantness most
thinking control theory is like massage and emulation
and this is a light massage
of the painful areas
this is a block it's a part of the message in the spine
and modulated mostly pain intensity
the third mechanism is a diffuse noxious inhibitory control also known as that in excess
to
that the next system consist of creating a second pain anywhere and by
this mostly modulate spain intensity
so what happens when you create the second pain the signal goes to the brain
the brain wants to attract attention and understand what the nature of the second pain
is
releases endorphins all over the body except in the zone where we create the second
page
so we teach parents
the father especially how to activate
this mechanism through painful massage in acupressure points
in the lower back
in the hand and foot and elsewhere
methodology of this study
consists of women we evaluated the pain every fifteen minutes
during all phases of labour and delivery
for the two groups were the one apache method which was eight hours of training
specifically on modulating pain and traditional chopper training programs which were mostly which consisted mostly
of information on child word and on the lip
the results are a reduction of both pain intensity and pain unpleasantness of forty five
and forty six percent
and this reduction is present during all phases of labour and delivery for pain intensity
and the last three phases of labour and delivery for pain unpleasantness
this shows
that
not pharmacological approaches to reduce pain work
they reduce both intensity and unpleasantness of pain at a level that is probably tolerable
to most women
future research should include randomized controlled trials
that evaluate not only pain intensity an unpleasant this but also
different obstacle outcome
thank you
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