• Suad Abdul-Sattar Khudhur Ali and Hamdia Mirkhan Ahmed.
• Midwifery Unit, Erbil General Directorate of Health, Erbil City, Kurdistan Region, Iraq.
• Pain Manag Nurs. 2018 Jun 1; 19 (3): 288-294.

BackgroundLabor is one of the most painful events in a women's life. Frequent change in positions and back massage may be effective in reducing pain during the first stage of labor.AimThe focus of this study was to identify the impact of either change in position or back massage on pain perception during first stage of labor.DesignA quasi-experimental study.SettingTeaching hospital, Kurdistan Region, Iraq, November 2014 to October 2015.SubjectsEighty women were interviewed as a study sample when admitted to the labor and delivery area and divided into three groups: 20 women received frequent changes in position (group A), 20 women received back massage (Group B), and 40 women constituted the control group (group C).MethodsA structured interview questionnaire to collect background data was completed by the researcher in personal interviews with the mothers. The intervention was performed at three points in each group, and pain perception was measured after each intervention using the Face Pain Scale.ResultsThe mean rank of the difference in pain scores among the study groups was as follows after the first, second, and third interventions, respectively: group A-52.33, 47.00, 49.2; group B-32.8, 30.28, 30.38; group C-38.44, 42.36, 41.21. There were significant differences between groups A, B, and C after the first, second, and third interventions (p1 = .011, p2 = .042, p3 = .024).ConclusionsBack massage may be a more effective pain management approach than change in position during the first stage of labor.Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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