Effect of acupressure on labor pain

INTERVENTION: Acupressure at GB‐21 in 3‐4 and 7‐8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention. Acupressure at GB‐21 in 3‐4 cm dilatation and assessing labor pain before,immediatly,30 and 60 min after the intervention Acupressure at SP‐6 in 3‐4 cm dilatation and assessing labor pain before,immediatly,30 and 60 min after the intervention Acupressure at SP‐6in 3‐4 and 7‐8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention. Control group: Tuching GB‐21 in 3‐4 and SP‐6 in 7‐8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention. Intervention 1: Acupressure at GB‐21 in 3‐4 and 7‐8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention. Intervention 2: Acupressure at GB‐21 in 3‐4 cm dilatation and assessing labor pain before,immediatly,30 and 60 min after the intervention. Intervention 3: Acupressure at SP‐6 in 3‐4 cm dilatation and assessing labor pain before,immediatly,30 and 60 min after the intervention. Intervention 4: Acupressure at SP‐6in 3‐4 and 7‐8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention. Intervention 5: Control group: Tuching GB‐21 in 3‐4 and SP‐6 in 7‐8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention. CONDITION: labor pain. ; Pregnancy, childbirth and the puerperium Pregnancy, childbirth and the puerperium xv o00‐o99 PRIMARY OUTCOME: Labor pain. Timepoint: Before intervention, Immidietly, 30 minuts and 60 minuts after intervention. Method of measurement: Visual Analog Scale. SECONDARY OUTCOME: Delivery type. Timepoint: After delivery. Method of measurement: Number of vaginal delivery and cesarean section. Duration of active phase of labor. Timepoint: After the end of active phaz. Method of measurement: Measuring the time duration. Duration of second stage of labor. Timepoint: After delivery. Method of measurement: Measuring the time duration. Neonatal Apgar. Timepoint: 1st and 5th minutes after delivery. Method of measurement: Apgar number. INCLUSION CRITERIA: INCLUSION CRITERIA: 1. Nulliparous women aged 18‐ 35 years and 37 to 41 weeks gestational age singleton and cephalic fetus. 2‐ Women in the active phase of labor (4‐3 cm dilatation) or before. 3‐ Failure to develop mental and anatomical disorders (psychosis, schizophrenia, abnormalities of uterine and pelvic stenosis).4‐ Lack of chronic diseases (heart disease, pulmonary hypertension, and diabetes).5‐ Lack of high‐risk pregnancy (gestational hypertension, decreased fetal movements, intrauterine growth restriction, fetal death, and polyHydramnious oligohydramnious recognized by ultrasound, rupture of membranes more than 12 hours, history of infertility). 6 ‐ The literacy level of secondary school. 7 ‐ No risk of skin ailments like eczema and skin infections, are the limitations of acupressure. .8 ‐no use of oxytocin to induce and strengthen labor. Physically healthy and do not have any limit for the intervention (pre‐eclampsia, seizures, premature rupture of membran