INTRODUCTION: Birth is undisputedly one of the most painful experiences many women endure in their lives. This study aimed to compare the effects of mechanical and warm mechanical massage application in reducing labor pain and enhancing childbirth satisfaction in primipara women. METHODS: A randomized-controlled trial was conducted on 210 primipara women. Subjects were randomly divided into three groups (each group comprised 70 women) to receive either a mechanical massage, warm mechanical massage, or routine care (control). The intervention was applied twice on the lumbosacral section (relating to the back part of the pelvis between the hips) and pain level was assessed by using the visual analogue scale (VAS) before the intervention, immediately, half an hour and at 1 hour after intervention. The labor satisfaction level was assessed by using the childbirth experience questionnaire (CEQ) at 30 minutes postpartum. RESULTS: Comparing the intervention groups, there were no significant differences in terms of VAS scores in admission to hospital and immediately after the first intervention, but there were significant differences in terms of VAS scores at half an hour and an hour after the first intervention, and immediately, half an hour and 1 hour after the second intervention, and at 30th min postpartum. The pain level and mean duration of labor for each intervention group were found to be lower than the control group, and childbirth satisfaction score points were higher than the control group. CONCLUSIONS: Mechanical massage in the lumbosacral can be used as a reliable and effective method to reduce pain and increase childbirth satisfaction.

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