الفهرس 
IntrductionOnly 14 pages are availabe for public view
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Abstract
Childbirth can be both a challenging and a significant life event. Women may have positive and negative feelings towards the birth. A negative feeling can include fear of childbirth, which involves the child’s health, pain, surgical interventions, a difficult course of labour, loss of control and isolation.
Women are afraid of risks to their own health such as pain, hemorrhage, Caesarean section and forceps/vacuum delivery as well as to that of the child such as being injured and distressed.
Many women appreciate the simplicity of nonpharmacological pain relief methods as back massage, warm compress acupressure, music therapy to sense of control they gain from actively managing their pain. Nonpharmacologic approaches to pain relief may enhance women’s satisfaction, competence, and feeling of control in labor, reducing the need for obstetric interventions.
Quasi experimental studywas to evaluate the effect of pain relief measures on women pain perception during first stage of labor through:Assessment of pain perception among laboring women, implement of pain relief measures for laboring women, evaluation effect of pain relief measures on women pain perception.The study was conducted at Al Ahrar hospital in Zagazig city, Sharkia governorate, Egypt.A Purposive sample was consisted of onehundred and twentylaboring women divided into groups a study group 80 parturient women (40 parturient women used massage method and 40 parturient women used warm compresses method) and control group 40women.The studied sample wasselected according to inclusion criteria; Age 18-35 years old, different parity at first stage of labor, full term gestation (36-40 wks.) without complication, and doesn’t use any method to relief pain except study method.
Three tools were used for data collection; (1) the first tool wasstructured interviewing sheet encompassed three major parts: to assess personalcharacteristics, obstetric history, present pregnancy and labor history.(2) The second tool wasPartograph to assess labor progress and for early detection of abnormalities during labor (3) the third tool was Visual analogue scale (The most commonly used tool for measuring pain intensity VAS) throughout the study.
In addition to Illustrated booklet (Booklet was given to each parturient women .The booklet used simple Arabic language and different illustrated pictures in order to facilitate the parturient women understanding). The pilot study was carried on 10% (20laboring women) of the total samplebefore starting the data collection. These womenwere excluded from thestudy sample.
The main findings of this study revealed the following:
-There was statistically significant difference between the three groups
regarding personal characteristics (P= 0.001).
- There was highly significant difference between three groups (P=0.00)
regardinghistory of last pregnancy and labor
-There was highly significant difference between three groups regarding .