Evidence map›Paper›PMID 29072177›Full record

Trial reportBalkan medical journal2018

Effects of Intradermal Sterile Water Injections in Women with Low Back Pain in Labor: A Randomized, Controlled, Clinical Trial.

Refika Genç Koyucu, Nurdan Demirci, Ayşe Ender Yumru, Süleyman Salman, Yavuz Tahsin Ayanoğlu, Yıldız Tosun, Cihangir Tayfur

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Balkan medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04240483 (Intracutaneous Sterile Water Injections for Acute Low Back Pain in the Emergency Department), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04240483 naterminatednot on this mapstarted 2020, after this paper: background citation

Intracutaneous Sterile Water Injections for Acute Low Back Pain in the Emergency Department: a Pilot Study

TypeinterventionalSponsorLindsey schmelzerRan2020 to 2021Enrolled6ConditionsLow Back PainArmsIntracutaneous sterile water injections (ISWI) group, Intracutaneous dry injections (IDI) group
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Refika Genç KoyucuDepartment of Maternity and Gynecology Nursing, Beykent University School of Medicine, İstanbul, Turkey.
Nurdan DemirciDepartment of Maternity and Gynecology Nursing, Marmara University School of Medicine, İstanbul, Turkey.
Ayşe Ender YumruDepartment of Maternity and Gynecology, University of Healty Sciences, Şişli Etfal Training and Research Hospital, İstanbul, Turkey.
Süleyman SalmanDepartment of Obstetric and Gynecology, University of Healty Sciences, Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul, Turkey.
Yavuz Tahsin AyanoğluDepartment of Obstetric and Gynecology, University of Healty Sciences, Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul, Turkey.
Yıldız TosunDepartment of Obstetric and Gynecology, University of Healty Sciences, Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul, Turkey.
Cihangir TayfurEsenyurt State Hospital, İstanbul, Turkey.
Gaziosmanpaşa Taksim Eğitim ve Araştırma Hastanesi · TRBayburt State Hospital · TRBeykent University · TRMarmara University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn addition to the pain caused byuterine contractions during labour, continuous and severe back pain is observed in 33% of women. Several pharmacological and nonpharmacological methods are available for managing this pain. Sterile water injection is considered as alternative method for nonpharmacological pain management.

aimsTo assess the satisfaction level and effectiveness of sterile water injection for back pain among women in labour. STUDY

designRandomized controlled trial.

methodsA total of 168 term, healthy women with labour pain and severe back pain were randomized into the sterile water injection (study) and dry injection (placebo) groups. Injections were applied to the rhombus of Michaelis in the sacral area. Pain scores were assessed at 10, 30, 60, 120, and 180 min using a visual analogue scale. Additionally, the need for epidural analgesia, Apgar score, mode of delivery, time of delivery, maternal satisfaction, and breastfeeding score were assessed.

resultsThe mean back pain scores at 30 min after injections were significantly lower in the study group (study group: 31.66±11.38; placebo: 75±18.26, p<0.01). The mean decrease in pain scores after 30 min according to baseline was significantly higher in the study group (study group: 54.82±7.81; placebo: 13.33±12.05, p<0.01). The need for epidural analgesia, time of delivery, mode of delivery, and Apgar and breastfeeding scores were similar in both groups. Maternal satisfaction from the analgesic effect was significantly higher in the study group (study group: 84.5%; placebo: 35.7%, p<0.01).

conclusionThe application of sterile water injection is effective for relieving back pain in the first stage of labour and has a sufficient satisfaction level among women.

Indexed as

AdultAnalgesia, ObstetricalFemaleHumansLabor, ObstetricLabor PainLow Back PainPain ManagementPregnancyProspective StudiesWaterWaterAnalgesiainjectionslaborobstetricalpain randomized controlled trial.

Identifiers

PMID29072177
PMCPMC5863252
OpenAlexW2765494519

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.