Comparing Hoku point (LI4) acupressure and San-Yin-Jiao(SP6) acupressure on labor pain and length of delivery time in nulliparous women in Iran hospital in 2008-2009

INTERVENTION: In the Hoku group acupressure served in the same manner as in the other group at Hoku points on two hands. This was carried out in Hoku point throughout contractions Intervention 1: In the Hoku group acupressure served in the same manner as in the other group at Hoku points on two hands. This was carried out in Hoku point throughout contractions. Intervention 2: The Sanyinjiao group received acupressure at Sanyinjiao points for 20 minute during contractions on two feet. The Sanyinjiao group received acupressure at Sanyinjiao points for 20 minute during contractions on two feet CONDITION: labor pain. PRIMARY OUTCOME: Labor pain. Timepoint: Labor pain was measured four times using a structured questionnaire, a subjective labor pain scale (visual‐analogue scale [VAS]): before and 20 minute after the intervention in 4, 6, 8 and 10 cm cervical dilation. Method of measurement: visual‐analogue scale. SECONDARY OUTCOME: Duration of the active phase of labor. Timepoint: from 4 cm cervical dilation to full cervical dilatation. Method of measurement: timer. INCLUSION CRITERIA: INCLUSION CRITERIA: being at the beginning of active phase of labor, gestational age between 38‐42 weeks, single pregnancy, cephalic presentation of the fetus, and primiparous women, good health, not diagnosed with any specific diseases, and planned have a vaginal delivery of a single fetus. Exclusion criteria: Any psychotic and diagnosed anatomic disorder, chronic diseases such as cardiopulmonary disease, diabetes mellitus, skin disease, any damage, inflammation and eczema in the acupressure region, women with gestational hypertension, polyhydraminus and oligohydramimus known with sonography, women with fetal movement reduction, intrauterine growth retardation, fetal death, history of chronic pelvic pain, CPD, women with a history of infertility, abnormal pattern of fetal heart rate, and participants who were taking psychotherapeutic drugs