Massage reduced severity of pain during labour: a randomised trial

Gallo, Rubneide Barreto Silva; Santana, Lícia Santos; Ferreira, Cristine Homsi Jorge; Marcolin, Alessandra Cristina; Poli-Neto, Omero Benedicto; Duarte, Geraldo; Quintana, Silvana Maria

doi:10.1016/s1836-9553(13)70163-2

Cited by 70 publications

(46 citation statements)

References 21 publications

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“…Others massaged the sacral region to relieve them of painful contractions of labour and they taught them as well to do it themselves. Similar findings revealed that massage decreases labour pain intensity [ 26 ] and helps to lessen dependence on pain reliefs [ 27 ]. Some midwives explained and shared with the nullipara the nature and rationale of labour pain in order to prepare their minds for the pain.…”

Section: Discussionmentioning

confidence: 56%

“…The widely used non-pharmacological approaches are deep breathing exercises and positioning [ 12 ] perhaps because there is comfort and diversion of attention from the pain. Other methods such as massage decrease labour pain [ 26 ], lessen dependence on analgesics [ 27 ] and decrease anxiety especially when performed with a comforting touch [ 28 ]. Midwives can also give support through praises [ 29 ], therapeutic touch [ 30 ], as well as explaining or informing women of labour progress [ 29 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

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Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana

2017

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BackgroundDue to the debilitating effects of severe labour pains, labour pain management continues to be an important subject that requires much attention. Thus, this study sought to gain a detailed insight into the experiences of midwives on pharmacological and non-pharmacological labour pain management strategies in a resource limited clinical context.MethodsA descriptive exploratory qualitative design was adopted for this study which allowed in-depth follow-up of the midwives’ comments resulting in a full understanding of emerging findings. Face-to-face individual interviews were conducted, transcribed and data were analysed using content analysis procedures. Verbatim quotes were used to support the findings.ResultsMidwives employed different pain control measures including pharmacological and non-pharmacological methods such as psychological care, sacral massage and deep breathing exercises. Doctors prescribed analgesics most of the time while in some cases, the midwives independently administered the drugs. They assisted women who had epidural anaesthesia given by anaesthetists. The midwives did not administer adequate analgesics because of fear of side effects of analgesics. Although the midwives exhibited knowledge on drugs used for labour pain management, they did not regularly administer analgesics and non-pharmacological care provided were inadequate due to increased workload. Some of the midwives showed empathy towards women and supported the women. Most of the midwives perceived labour pain as normal and encouraged women to bear pain.ConclusionMidwives require regular education on labour pain management and they should pay attention to women in labour individually and administer the care that meets their need.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana

2017

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“…The database searches retrieved 348 nonduplicate records, of which 320 were excluded after title/abstract screening. The remaining 28 full texts were assessed for eligibility, of which 17 articles were excluded because they were commentaries, [ 20 – 24 ] conference presentations, [ 25 ] did not investigate LBP or PGP during pregnancy, [ 26 – 28 ] did not include manual therapies, [ 29 , 30 ] women were not investigated or treated antenatal, [ 31 – 33 ] or the trials were not randomized. [ 34 – 36 ] The remaining 11 full-text articles, reporting on 10 studies, were included.…”

Section: Resultsmentioning

confidence: 99%

The effectiveness of complementary manual therapies for pregnancy-related back and pelvic pain

et al. 2016

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Background:Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complementary manual therapies such as massage, spinal manipulation, chiropractic, and osteopathy to manage their symptoms.Objective:The aim of this systematically review was to critically appraise and synthesize the best available evidence regarding the effectiveness of manual therapies for managing pregnancy-related low back and pelvic pain.Methods:Seven databases were searched from their inception until April 2015 for randomized controlled trials. Studies investigating the effectiveness of massage and chiropractic and osteopathic therapies were included. The study population was pregnant women of any age and at any time during the antenatal period. Study selection, data extraction, and assessment of risk of bias were conducted by 2 reviewers independently, using the Cochrane tool. Separate meta-analyses were conducted to compare manual therapies to different control interventions.Results:Out of 348 nonduplicate records, 11 articles reporting on 10 studies on a total of 1198 pregnant women were included in this meta-analysis. The therapeutic interventions predominantly involved massage and osteopathic manipulative therapy. Meta-analyses found positive effects for manual therapy on pain intensity when compared to usual care and relaxation but not when compared to sham interventions. Acceptability did not differ between manual therapy and usual care or sham interventions.Conclusions:There is currently limited evidence to support the use of complementary manual therapies as an option for managing low back and pelvic pain during pregnancy. Considering the lack of effect compared to sham interventions, further high-quality research is needed to determine causal effects, the influence of the therapist on the perceived effectiveness of treatments, and adequate dose–response of complementary manual therapies on low back and pelvic pain outcomes during pregnancy.

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“…[ 14 – 18 ] The authors of a systematic review have reported that the hot bath therapy reduced pain in women with a cervical dilation of 8 to 9 cm and therefore reduced the need for pharmacological analgesia. [ 14 , 19 ] The authors emphasized that nonpharmacological methods are beneficial and presented few side effects and contraindications. Furthermore, nonpharmacological interventions are noninvasive and favor the active participation of the mother during labor.…”

Section: Introductionmentioning

confidence: 99%

Effect of led photobiomodulation on analgesia during labor

et al. 2018

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Background:Labor pain is one of the most intense pains experienced by women, which leads to an increase in the number of women opting to undergo a cesarean delivery. Pharmacological and nonpharmacological analgesia methods are used to control labor pain. Epidural analgesia is the most commonly used pharmacological analgesia method. However, it may have side effects on the fetus and the mother. Light-emitting diode (LED) photobiomodulation is an effective and noninvasive alternative to pharmacological methods.Objectives:To evaluate the effects of LED photobiomodulation on analgesia during labor.Methods:In total, 60 women in labor admitted to a public maternity hospital will be selected for a randomized controlled trial. The participants will be randomized into 2 groups: intervention group [analgesia with LED therapy (n = 30)] and control group [analgesia with bath therapy (n = 30)]. The perception of pain will be assessed using the visual analogue scale (VAS), with a score from 0 to 10 at baseline, that is, before the intervention. In both the groups, the procedures will last 10 minutes and will be performed at 3 time points during labor: during cervical dilation of 4 to 5 cm, 6 to 7 cm, and 8 to 9 cm. At all 3 time points, pain perception will be evaluated using VAS shortly after the intervention. In addition, the evaluation of membrane characteristics (intact or damaged), heart rate, uterine dynamics, and cardiotocography will be performed at all time points.Expected outcomes:The use of LED photobiomodulation will have an analgesic effect superior to that of the bath therapy.

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Massage reduced severity of pain during labour: a randomised trial

Abstract: Massage reduced the severity of pain in labour, despite not changing its characteristics and location.

Cited by 70 publications

References 21 publications

Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana

Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana

The effectiveness of complementary manual therapies for pregnancy-related back and pelvic pain

Effect of led photobiomodulation on analgesia during labor

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