Complementary and Alternative Approaches to Pain Relief during Labor

Tournaire, Michel; Theau-Yonneau, Anne

doi:10.1093/ecam/nem012

Cited by 154 publications

(114 citation statements)

References 44 publications

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“…The findings of the study revealed some interesting facts that music therapy was effective in reducing the anxiety level, pain perception and total duration of labour in primipara primipara mothers during the first stage of labour. This has been supported by some other studies by Tournaire M.,et al (2010) ) that the mothers receiving music therapy group had had significantly less sensation of pain and anxiety and music is an important adjunct in pain and stress management during labor and birth process [3][4][5][6][7].…”

Section: Discussionsupporting

confidence: 56%

Effectiveness of music therapy on anxiety level, and pain perception in primipara mothers during first stage of labor in selected hospitals of Odisha

Nayak¹,

Rastogi²,

Kathuria³

2014

IOSRJNHS

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Section: Discussionsupporting

confidence: 56%

Effectiveness of music therapy on anxiety level, and pain perception in primipara mothers during first stage of labor in selected hospitals of Odisha

Nayak¹,

Rastogi²,

Kathuria³

2014

IOSRJNHS

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“…Several complementary or alternative methods have also been reported to reduce pain during labour and delivery. 1 Cochrane reviews have demonstrated the value of continuous support and non-pharmacological approaches to managing pain in labour. [2][3][4] A recent survey of certified nurse-midwives suggested that the use of complementary and alternative medicine (CAM) by pregnant women is common.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for pain relief in labour: a systematic review and meta‐analysis

Cho

Lee

Ernst

2010

BJOG

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Background Acupuncture is frequently used for pain relief in labour, but the evidence is not clear.Objectives To critically evaluate the evidence for or against acupuncture for labour pain management.Search strategy Nineteen electronic databases, including English, Korean, Japanese, and Chinese databases, were systematically searched.Selection criteria All randomised controlled trials (RCTs) involving women receiving acupuncture alone, or as an adjunct to conventional analgesia, for pain relief in labour were considered.Data collection and analysis Pain intensity on a 100-mm visual analogue scale (VAS; 0, no pain; 100, worst pain) and use of other analgesic methods were used as primary outcomes, and for statistical pooling. Maternal/fetal outcomes were secondary outcomes, and adverse events were also recorded. Risk of bias was assessed regarding randomisation, allocation concealment, blinding, incomplete outcome data, selective outcome reporting, and other biases.Main results Ten RCTs involving 2038 women were included. VAS for pain intensity data were available in seven studies; the meta-analysis shows that acupuncture was not superior to minimal acupuncture at 1 hour (pooled mean difference )8.02; 95% CI )21.88, 5.84; I 2 = 94%) and at 2 hours ()10.15; 95% CI )23.18, 2.87; I 2 = 92%). Patients reported significantly reduced pain by 4 and 6% during electroacupuncture (EA) treatment at 15 ()4.09; 95% CI )8.05, )0.12) and 30 minutes ()5.94; 95% CI )9.83, )2.06), compared with placebo EA, but the effect was not maintained afterwards. Compared with no intervention, acupuncture reduced pain by only 11% for the first 30 minutes ()10.56; 95% CI )16.08, )5.03). In trials where acupuncture was compared with conventional analgesia, women receiving acupuncture required less meperidine (pooled risk ratio 0.20; 95% CI 0.12, 0.33) and other analgesic methods (0.75; 95% CI 0.66, 0.85). No acupuncture-related adverse events were reported. Most trials did not blind participants, care providers and/or evaluators.Author's conclusions The evidence from RCTs does not support the use of acupuncture for controlling labour pain. The primary studies are diverse and often flawed. Further research seems warranted.

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“…Doğum sırasında sırta, karına, kalçaya, bacağa, sakruma veya perineye elle uygulanan basıncın uterus kontraksiyonlarının neden olduğu ağrıyı azaltabildiği belirtilmektedir [28]. Doğum eyleminde ağrısı olan gebelere hemşirenin sağlayacağı psikolojik destekle birlikte terapötik dokunmanın gebenin anksiyetesini ve dolayısıyla da ağrı algısını azalttığı çalışmalarla bildirilmiştir.…”

Section: Doğumda Terapötik Dokunmaunclassified

A Supporting Nursing Practice: Therapeutic Touching on Labor

Erenoğlu¹,

Başer²

2017

Spatula DD

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ÖZETGünümüzde doğum sürecindeki hemşirelik bakımının odağı, anne ve bebek için güvenli bir doğumu sağlamakla birlikte aynı zamanda olumlu ve memnun edici bir doğum yapma deneyimini de oluşturmaktır. Doğum sürecindeki fiziksel bakımla beraber doğru iletişim teknikleriyle verilen hemşirelik bakımı, kadınlara olumlu doğum deneyimi sağlarken, diğer yandan da postpartum dönemde olumlu başa çıkma çabalarını artırarak annelik rolünü benimsemesine ve olası komplikasyonları önlemeye katkıda bulunacaktır. Yaşanılan olumsuz bir doğum eylemi deneyimi sonrasında; postpartum depresyon, posttarvmatik stres bozukluğu ve cinsel disfonksiyon görülebilmekte, istenmeyen gebelikler küretajla sonlandırılabilmektedir. Bununla birlikte sonraki doğumlar sezaryen ile yapılabilmekte, anne-bebek bağlanmasında sorunlar yaşanabilmekte, emzirme problemlerin oluşmakta ve yenidoğan ihmal edilebilmektedir. Dolayısıyla bu süreçte hemşirelik bakımının odağı, sadece anne ve bebek açısından güvenli bir doğum ortamı oluşturmak değil aynı zamanda memnun edici ve olumlu bir doğum deneyiminin yaşanmasına da olanak sağlamak olmalıdır. Doğum eyleminde yapılması gereken önemli hemşirelik girişimleri arasında nefes alıp verme/gevşemeyi sağlama, yardım etme, doğru ıkınma konusunda destek olma, eylem sırasında en uygun pozisyonu verme, mahremiyete özen gösterme, psikolojik destek olma, stresörleri azaltma, terapötik tensel temas yer almaktadır. Hemşirelerin doğum sürecindeki kadına en yakın ve ilişki kurabilecek konumda olması, hemşire tarafından verilen sürekli desteğin ve uygulamaların önemini daha da artmaktadır. Bu derleme makalede doğum sırasındaki terapötik dokunmanın yararları üzerinde durulmaktadır. A supporting nursing practice: therapeutic touching on labor ABSTRACT Today, the focus of nursing care in childbirth is to provide a safe birth for the mother and the baby while at the same time creating a positive and satisfying birth experience. Nursing care provided by correct communication techniques along with the physical care during the birth period will provide a positive birth experience for women while increasing the efforts to cope positively in the postpartum period and will contribute to the adoption of maternal role and prevention of possible complications. A negative labor experience in a woman's life may lead to postpartum depression, post-traumatic stress disorder, curettage in unintended pregnancies, caesarean section in later labors, sexual dysfunction, deficient mother-infant binding, problems in breastfeeding and baby neglect. Focus of nursing care given to woman who is in a labor process is directed at not only providing a safe labor for both mother and the baby but also constituting a positive and satisfying labor experience. Important nursing practics include breathing during labor, relaxation, giving help, support on pushing properly, giving the most proper position, paying attention to privacy, assisting psychologically, decreasing stressors and sensual contact. The importance of constant support and implementations given and prov...

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Complementary and Alternative Approaches to Pain Relief during Labor

Cited by 154 publications

References 44 publications

Effectiveness of music therapy on anxiety level, and pain perception in primipara mothers during first stage of labor in selected hospitals of Odisha

Effectiveness of music therapy on anxiety level, and pain perception in primipara mothers during first stage of labor in selected hospitals of Odisha

Acupuncture for pain relief in labour: a systematic review and meta‐analysis

A Supporting Nursing Practice: Therapeutic Touching on Labor

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