الفهرس 
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Abstract
Nonpharmacological pain relief measures these methods are popular because they emphasize the individual personality, and the interaction between mind, body and environment, these methods reduce pain, increase maternal satisfaction, and improve other obstetric outcomes.The Aim of the Studies evaluate the effect of pain relief measures on women pain perception during first stage of labor.Subjects and Methods, a quasi-experimental design was conducted in labor room of Al-Ahrar teaching Hospital. A Purposive sample was consisted of one hundred and twenty laboring women divided into two groups; study group 80 parturient women (40 parturient women used massage method and 40 parturient women used warm compresses method) and control group 40womenadmitted to labor rooms without obstetrical or medical complications. Data collected by using interview questionnaire,visual analogue scale, Partograph. Results highly significant differences between three groups in relation to level of pain after first 30 minute during intervention, after second 30 minute during intervention, after third 30 minute during intervention, and after fourth 30 minute during intervention In addition, the rate of pain is lower in second group who used Lumbosacral Massage than first group who used Warm Compresses. Meanwhile, the rate of pain is higher in third group who didn’t use any methods.Conclusion lumbosacral massage and warm compress is a safe and effective intervention to reduce first stage labor pain. Recommendation Providing laboring women with simple instructions pamphlet or brochure about non pharmacological pain relief method dissemination among laboring women for assurance and enhancement their knowledge,Emphasize on the importance of using lumbosacral massage and warm compress as anon pharmacological method for reducing labor pain, Studying the effectiveness of lumbosacral massage and warm compress on first stage labor pain for high risk women.