Background: The rising demand for secure and efficient non-drug interventions during labor has resulted in a revived interest in conventional methods such as hydrotherapy. Cold hip bath therapy, originating from naturopathic medicine, is becoming acknowledged as a safe approach to alleviating labor pain. Objective: This review seeks to explore the evidence supporting cold hip bath therapy as a non-drug method for alleviating labor pain, focusing on its physiological mechanisms, clinical results, safety, and incorporation into standard obstetric practices. Methods: A thorough examination of articles released from 2000 to 2024 was carried out through databases including PubMed, CINAHL, Scopus, and the Cochrane Library. Keywords incorporated "cold hip bath," "labor pain," "hydrotherapy," and "non-drug pain relief." Both randomized controlled trials (RCTs) and observational research were considered. Findings indicate that cold hip bath therapy significantly alleviates pain levels during the active stage of labor by influencing autonomic nervous system functioning and enhancing endorphin secretion. Its processes encompass parasympathetic activation, modulation of vascular tone, and neuroendocrine reactions. Research also backs its positive safety record and economic efficiency. The therapy's low equipment needs and straightforward administration allow it to be accessible even in resource-poor environments Conclusion: Cold hip bath therapy offers a hopeful, evidence-based addition to the management of pain during labor. Additional large-scale clinical trials are necessary to confirm its efficacy and support its incorporation into standardized maternity care guidelines.
Litti et al. (Wed,) studied this question.