{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:31:04Z","timestamp":1790861464875,"version":"4.1.0"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Natural delivery is distressing, and the mother's anxiety in this condition can have negative impacts on the fetus, mother, and the delivery process. Hence, many women tend to use pharmacological or nonpharmacological methods for reduction of labor stress and anxiety. The aim was to assess the effect of supportive care and acupressure during labor on the mother's anxiety level and arterial oxygen pressure of the umbilical cord of infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>This performed on 150 pregnant women were randomly assigned to two interventions and a control group in the delivery ward of the selected educational center of Shiraz University of Medical Sciences (Shoushtari Hospital) in Iran. Mothers\u2019 anxiety scores before (beginning of the active stage of labor) and after intervention (the end of the first stage of labor) were measured using Spielberger's questionnaire. Then, infants\u2019 cord blood samples for arterial blood gas and hematologic analyses were sent to the hospital's laboratory. After all, the data with SPSS version 16 and using Pearson's correlation coefficient, one-way ANOVA, were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The mean of anxiety score in the control group was 21.1% and in the supportive group and the acupressure group, respectively, decreased by 37.5% and 34.8%, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The mean of PO\n                      <jats:sub>2<\/jats:sub>\n                      was also reported in the maternal supportive, acupressure, and control groups, 40.4 \u00b1 8.8, 27.4 \u00b1 2.8, and 18.1 \u00b1 3.7, respectively. Additionally, a significant correlation was found between mothers\u2019 anxiety scores after the intervention and the mean of PO\n                      <jats:sub>2<\/jats:sub>\n                      (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>The supportive care and acupressure at BL32 acupoint reduced mothers\u2019 anxiety and consequently improved fetal oxygenation. Therefore, these methods are recommended to be used during labor for improving birth outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_685_20","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T09:08:36Z","timestamp":1708506516000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Assessment of educational intervention and Acupressure during labor on the mother's anxiety level and arterial oxygen pressure of the umbilical cord of infants (PO2). A randomized controlled clinical Trial"],"prefix":"10.4103","volume":"11","author":[{"given":"Zahra","family":"Masoudi","sequence":"first","affiliation":[{"name":"Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Kasraeian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marzieh","family":"Akbarzadeh","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Maternal-Fetal Medicine Research Center, School of Nursing and Midwifery, Shiraz University of Medical Science, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"R1-20260529","doi-asserted-by":"crossref","first-page":"e293","DOI":"10.1016\/j.midw.2011.02.004","article-title":"Effects of birth ball exercise on pain and self-efficacy during childbirth: A randomised controlled trial in Taiwan","volume":"27","author":"Gau","year":"2011","journal-title":"Midwifery"},{"key":"R2-20260529","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1016\/j.ajog.2004.04.026","article-title":"Umbilical cord pH and base excess values in relation to adverse outcome events for infants delivering at term","volume":"191","author":"Victory","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"R3-20260529","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1016\/j.ajog.2004.06.070","article-title":"Placental corticotropin-releasing hormone (CRH), spontaneous preterm birth, and fetal growth restriction: A prospective investigation","volume":"191","author":"Wadhwa","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"R4-20260529","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.bpobgyn.2009.11.003","article-title":"The effects of maternal labour analgesia on the fetus","volume":"24","author":"Reynolds","year":"2010","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"R5-20260529","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/S1028-4559(09)60005-X","article-title":"Fetal acidosis from obstetric interventions during the first vaginal delivery","volume":"47","author":"Su","year":"2008","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R6-20260529","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S0020-7292(97)02890-7","article-title":"Umbilical artery blood gases in healthy term newborn infants","volume":"57","author":"Dudenhausen","year":"1997","journal-title":"Int J Gynaecol Obstet"},{"key":"R7-20260529","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1097\/00006250-200611000-00058","article-title":"ACOG Committee Opinion No.348, November 2006: Umbilical cord blood gas and acid-base analysis","volume":"108","year":"2006","journal-title":"Obstet Gynecol"},{"key":"R8-20260529","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.earlhumdev.2010.11.011","article-title":"Fetal response to abbreviated relaxation techniques. 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