Effectiveness of Sacral Massage on Labor Pain and Satisfaction Among Antenatal Mothers in Active Phase of Labor


  • Neha Patyal Maharishi Markandeshwar College of Nursing, MMU-Solan (H.P), India
  • Santosh Kumari Maharishi Markandeshwar College of Nursing, MMU-Solan (H.P), India
  • Divya Verma Maharishi Markandeshwar College of Nursing, MMU-Solan (H.P), India
  • Harshita Yadav Maharishi Markandeshwar College of Nursing, MMU-Solan (H.P), India
  • Jasbir Kaur Maharishi Markandeshwar College of Nursing, MMU-Solan (H.P), India
  • Harpreet Kaur Maharishi Markandeshwar College of Nursing, MMU-Solan (H.P), India




Effectiveness, Sacral Massage, Antenatal Mother, Active Phase of Labor


Background: Massage is a powerful old technique & non pharmacological pain control during 1st stage. Satisfaction of mothers during birth is rather important in terms of women's health and positive family relations. Objective of the study is to assess the effectiveness of Sacral Massage on labour pain and satisfaction among antenatal mothers.

Methodology: A quantitative research approach and true experimental research design was adopted; 60 antenatal mothers were selected by simple random sampling. Sacral massage was administered for 3 cycles each for 30 minutes at 5-10cm using superficial massage, deep friction & effleurage during active phase of labor and routine care was given to the control group. After intervention post test was conducted.

Results: Study showed before Sacral massage the computed ‘t’ value (-0.36) was found to be statistically non-significant at 0.05 level of significance and after Sacral massage it was (-24.7) was statistically significant at <0.01 level of significance, there were significant difference in mean post test score of labor pain in both groups. Majority (86.6%) mothers were moderately satisfied, followed (13.3%) were highly satisfied with Sacral massage.

Conclusion: Sacral massage was found effective to reduced pain and increase satisfaction.


Beigi NM, Broumandfar K, Bahadoran P, Abedi HA. Women's experience of pain during childbirth. Iranian Journal of Nursing & Midwifery Research. 2010; 15(2):77-82. [cited 2024 Feb 18]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093177/

Jagdish G S, Abirami P. Effectiveness of circular hip massage on first stage labour pain among primi gravida mothers. International Journal of Pharmacy and Biological Sciences. 2016; 6(2): 17-22. [cited 2024 Feb 18]. Available from: https://ijpbs.com/ijpbsadmin/upload/ijpbs_575720c007774

Beigi NM, Broumandfar K, Bahadoran P, Abedi HA. Women's experience of pain during childbirth. Iran J Nurs Midwifery Res. 2010; 15(2):77-82. [cited 2024 Feb 17]. Available from: https://pubmed.ncbi.nlm.nih.gov/21589784/

Akköz Çevik S, Karaduman S. The effect of sacral massage on labor pain and anxiety: A randomized controlled trial. Jpn J Nurs Sci. 2020 Jan; 17(1):e12272. Doi: https://doi.org/10.1111/jjns.12272 PMid:31298494 [cited 2024 Feb 17].

Tournaire M, Theau-Yonneau A. Complementary and alternative approaches to pain relief during labor. Evid Based Complement Alternat Med. 2007 Dec; 4(4):409-17. Doi: https://doi.org/10.1093/ecam/nem012 PMid:18227907 PMCid:PMC2176140 [cited 2024 Feb 17]

Ranjbaran M, Khorsandi M, Matourypour P, Shamsi M. Effect of Massage Therapy on Labor Pain Reduction in Primiparous Women: A Systematic Review and Meta-analysis of Randomized Controlled Clinical Trials in Iran. Iranian Journal of Nursing & Midwifery Research. 2017 Jul-Aug; 22(4):257-261. Doi: https://doi.org/10.4103/ijnmr.IJNMR_109_16 PMid:28904535 PMCid:PMC5590352 [cited 2024 Feb 20]

Bolbol-Haghighi N, Masoumi SZ, Kazemi F. Effect of Massage Therapy on Duration of Labour: A Randomized Controlled Trial. Journal of Clinical & Diagnostic Research. 2016 April; 10(4):12-5. Doi: https://doi.org/10.7860/JCDR/2016/17447.7688 PMid:27190898 PMCid:PMC4866196 [cited 2024 Feb 20]

American SPA Staff, Massage and Endorphins | American Spa [Internet]. 2004 April. [cited 2024 Feb 17]. Available from: https://www.americanspa.com/business/massage-and-endorphins.

Sharma SK. Nursing Research & statistics. 2nd edition. New Delhi: Elsevier; 2014;p-282

Wong-Baker Faces Pain Scale: https://www.sciencedirect.com/topics/medicine-and-dentistry/faces-pain-scale

Pawale MP, Salunkhe JA. Effectiveness of back massage on pain relief during first stage of labor in primi mothers admitted at a Tertiary care center. J Family Med Prim Care. 2020 Dec 31;9 (12):5933-5938. Doi: https://doi.org/10.4103/jfmpc.jfmpc_1189_20 PMid:33681022 PMCid:PMC7928123 [cited 2024 Feb 17

Janssen P, Shroff F, Jaspar P. Massage therapy and labor outcomes: a randomized controlled trial. Int J Ther Massage Bodywork. 2012;5(4):15-20. Doi: https://doi.org/10.3822/ijtmb.v5i4.164 PMid:23429706 PMCid:PMC3528187 [cited 2024 Feb 17]

Devi Mamta Akoijam, Sharma Shalu, Sharma Deepak. Effectiveness of Back Massage in First stage labour pain among pregnant women. European Journal of Translational and Clinical Medicine. 2020 January 7(11):6644-6652. [cited 2024 Feb 17]. Available from: https://www.researchgate.net/publication/351049679.

Sethi Deepika, Barnabas Seema. A pre-experimental study to evaluate the effectiveness of back massage among pregnant women in first stage of labour pains admitted in labour room of a selected hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017 Jan;6(1):76-83. Doi: https://doi.org/10.18203/2320-1770.ijrcog20164636 [cited 2024 Feb 19]

Purwandari Atik, Tuju O Sjenny et. al. Effleurage Massage by Husband on the Level of Pain in Maternal When the 1 Phase is Active. Journal of Positive School Psychology. 2022, Vol. 6, No. 5, 5527 – 5540. [cited 2024 Feb 19]. Available from: https://journalppw.com/index.php/jpsp/article/view/7684

Rosmiarti, Marlin Riska, Murbiah. Reduction of labour pain with back massage. Enferm Clin. 2020;30(S5):209---212. Doi: https://doi.org/10.1016/j.enfcli.2019.11.056 [cited 2024 Feb 19]

Iskandar Siraj Rawah et. al. The Effectiveness of Lower Back Massage on Reducing Labor Pain for Primiparous at Maternity and Children’s Hospital. Nursing & Primary Care. 2018 May; 2(3): 1-4. Doi: https://doi.org/10.33425/2639-9474.1066 [cited 2024 Feb 19]

Shahbazzadegan Samira, Nikjou Roya. The most appropriate cervical dilatation for massage to reduce labor pain and anxiety: a randomized clinical trial. BMC Women’s Health, 2022; 22:282. Doi: https://doi.org/10.1186/s12905-022-01864-1 PMid:35799221 PMCid:PMC9264534 [cited 2024 Feb 19]

Gönenç, I. M., & Terzioǧlu, F. Effects of Massage and Acupressure on Relieving Labor Pain, Reducing Labor Time, and Increasing Delivery Satisfaction. The Journal of Nursing Research : JNR, 2020 Feb 28(1). Doi: https://doi.org/10.1097/jnr.0000000000000344 PMid:31524645 [cited 2024 Feb 17]

Maghalian Mahsa, Kamalifard Mahin, Hasanzadeh Robab, Mirghafourvand Mojgan. The effect of massage on childbirth satisfaction: A systematic review and meta-analysis. Advances in Integrative Medicine. 2022September; 9(3) 151 – 158. Doi: https://doi.org/10.1016/j.aimed.2022.05.002 [cited 2024 Feb 19]

Sundaram M, Bhuvaneswari G, Anand Chandrika. A Study to Assess the Level of Satisfaction of Birthing Ball Technique and Sacral Massage on Maternal and Fetal Outcome among Primi Parturition Mothers. Journal of Nursing. 2023 November;70(11):1 -13 [cited 2024 Feb 19]. Available from: https://www.researchgate.net/publication/375861476_A_Study_to_Assess_the_Level_ofSatisfaction_of_Birthing_Ball_Technique_and_Sacral_Massage_on_Maternal_and_Fetal_Outcome_among_Primi_Parturition_Mothers

Mwakawanga DL, Mselle LT, Chikwala VZ, Sirili N. Use of non-pharmacological methods in managing labour pain: experiences of nurse-midwives in two selected district hospitals in eastern Tanzania. BMC Pregnancy and Childbirth. 2022 Dec; 22(1):1-9. Doi: https://doi.org/10.21203/rs.3.rs-579379/v1 [cited 2024 Feb 19]

Chaillet N, Belaid L, Crochetière C, Roy L, Gagné GP, Moutquin JM, et al. Nonpharmacologic approaches for pain management during labor compared with usual care: A meta-analysis. Birth. 2014; 41: 122–37. Doi: https://doi.org/10.1111/birt.12103 PMid:24761801 [cited 2024 Feb 19]




How to Cite

Patyal N, Kumari S, Verma D, Yadav H, Kaur J, Kaur H. Effectiveness of Sacral Massage on Labor Pain and Satisfaction Among Antenatal Mothers in Active Phase of Labor. Natl J Community Med [Internet]. 2024 Apr. 1 [cited 2024 Apr. 22];15(04):299-306. Available from: https://njcmindia.com/index.php/file/article/view/3670



Original Research Articles