Effectiveness of back massage on pain relief during first stage of labor in primi mothers admitted at a Tertiary care center

Pawale, Manasi P; Salunkhe, Jyoti A.

doi:10.4103/jfmpc.jfmpc_1189_20

Cited by 15 publications

(7 citation statements)

References 14 publications

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“…Conversely, 2 trials reported that the pain intensity during the second and third stages of labor showed reduction in pain scores in favor of massage (SMD: 0.98; 95%CI: - 2.23–0.26, 124 women; and SMD:1.03; 95%CI: - 2.17–0.11, 122 women). Pawale et al 19 found that back massage was effective in reducing pain during the first stage of labor in primiparous women in comparison with those who received routine care. Therefore, the choice of best care depends on specific characteristics of the women.…”

Section: Discussionmentioning

confidence: 99%

Nonpharmacological Methods to Reduce Pain During Active Labor in A Real-life Setting

Silva

Rodrigues

Zoldan

et al. 2023

Rev Bras Ginecol Obstet

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Objective To evaluate the association between pain intensity in the active phase of the first stage of labor with the use or not of nonpharmacological methods for pain relief in a real-life scenario. Methods This was an observational cross-sectional study. The variables analyzed were obtained by a questionnaire with the mothers (up to 48 hours postpartum) to investigate the intensity of pain during labor using the visual analog scale (VAS). The nonpharmacological pain relief methods routinely used in obstetric practice were evaluated by consulting medical records. The patients were separated into two groups: Group I – patients who did not use nonpharmacological methods for pain relief and Group II –patients who used these methods. Results A total of 439 women who underwent vaginal delivery were included; 386 (87.9%) used at least 1 nonpharmacological method and 53 (12.1%) did not. The women who did not use nonpharmacological methods had significantly lower gestational age (37.2 versus 39.6 weeks, p < 0.001) and shorter duration of labor (24 versus 114 min, p < 0.001) than those who used the methods. There was no statistically significant difference in the pain scale score using the VAS between the group that used nonpharmacological methods and the group that did not (median 10 [minimum 2–maximum 10] versus 10 [minimum 6–maximum 10] p = 0.334). Conclusion In a real-life setting, there was no difference in labor pain intensity between the patients who used nonpharmacological methods and those who did not use them during the active phase of labor.

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Section: Discussionmentioning

confidence: 99%

Nonpharmacological Methods to Reduce Pain During Active Labor in A Real-life Setting

Silva

Rodrigues

Zoldan

et al. 2023

Rev Bras Ginecol Obstet

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“…Pawale et al [30]; 2020 Silva Gallo et al [31]; 2013 Eskandari F et al [32]; 2022 Pressure on precise anatomical locations conducted by two reviewers who worked independently. This selection process adhered to specific criteria for inclusion and exclusion.…”

Section:  mentioning

confidence: 99%

Non-Pharmacological Pain Management in Labor: A Systematic Review

Nori,

Kassim,

Helmi

et al. 2023

JCM

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Childbirth is a remarkable, life-changing process and is frequently regarded as an excruciating, physically and emotionally demanding experience that women endure. Labor pain management poses a significant challenge for obstetricians and expectant mothers. Although pharmacological pain management is the gold standard, it still imposes risks on the mother and baby. Recently, non-pharmacological pain management (NPPM) has emerged as a safe, effective option. Six databases were searched for articles published up to 2023 using specific related keywords and defined inclusion and exclusion criteria. The extraction and gathering of data was made so as to be categorized into physical, psychological, and complementary NPPM techniques. In light of the enormous development and diversity of NPPM techniques, the present review aims to examine contemporary NPPM knowledge and application, discussing efficacy, advantages, limitations, and potential adverse effects, with a specific focus on women’s individual requirements, to strengthen obstetricians’ knowledge in guiding decision-making for women in childbirth.

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“…The implementation of the NRS showed similar variability to that of the VAS. Most interesting was the variability that occurred in the 9 studies 3,18,29,37,40,73,83,86,110 that included additional verbal descriptors beneath the tool, in relation to the terms used as well as the numerical values denoted to each (Fig. 3).…”

Section: Numerical Rating Scalementioning

confidence: 99%

“…For example, 1 study 37 used the descriptor "severe" for a rating of 10 out of 10, whereas another 18 used that same descriptor for any rating above 5 out of 10. Seven 3,29,37,73,83,86,110 of the 9 studies used the descriptor "nil" for a rating of zero out of 10, whereas 2 studies 18,40 denoted a rating of zero as either "mild" or "low" pain, thereby removing the possibility for the user to indicate no pain.…”

Section: Numerical Rating Scalementioning

confidence: 99%

Tools for assessing labour pain: a comprehensive review of research literature

Jones

Whitburn

2023

Pain

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The experience of pain associated with labour is complex and challenging to assess. A range of pain measurement tools are reported in the literature. This review aimed to identify current tools used in research to assess labour pain across the past decade and to evaluate their implementation and adequacy when used in the context of labour pain. A literature search was conducted in databases MEDLINE and Cumulative Index of Nursing and Allied Health Literature, using search terms relating to labour, pain, and measurement. A total of 363 articles were selected for inclusion. Most studies (89.9%) assessed pain as a unidimensional experience, with the most common tool being the Visual Analogue Scale, followed by the Numerical Rating Scale. Where studies assessed pain as a multidimensional experience, the most common measurement tool was the McGill Pain Questionnaire. Only 4 studies that used multidimensional tools selected a tool that was capable of capturing positive affective states. Numerous variations in the implementation of scales were noted. This included 35 variations found in the wording of the upper and lower anchors of the Visual Analogue Scale, some assessment tools not allowing an option for “no pain,” and instances where only sections of validated tools were used. It is clear that development of a standardised pain assessment strategy, which evaluates the multidimensions of labour pain efficiently and effectively and allows for both positive and negative experiences of pain to be reported, is needed.

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Effectiveness of back massage on pain relief during first stage of labor in primi mothers admitted at a Tertiary care center

Cited by 15 publications

References 14 publications

Nonpharmacological Methods to Reduce Pain During Active Labor in A Real-life Setting

Nonpharmacological Methods to Reduce Pain During Active Labor in A Real-life Setting

Non-Pharmacological Pain Management in Labor: A Systematic Review

Tools for assessing labour pain: a comprehensive review of research literature

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