No. 355-Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management

Bonapace, Julie; Gagné, Gilles; Chaillet, Nils; Gagnon, Raymonde F.; Hébert, Emmanuelle; Buckley, Sarah J.

doi:10.1016/j.jogc.2017.08.003

Cited by 48 publications

(69 citation statements)

References 112 publications

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“…The international literature is clear about the advantages of ambience during labour [1,46]. Creation of a conducive environment for the expectant mother can effectively reduce painful sensations during labour [47]. On this premise, it is important for maternity care providers to respect the individuality of each client and be prepared to modify the delivery environment to suit diverse clients [33].…”

Section: Discussionmentioning

confidence: 99%

Nurses and midwives’ experiences of using non-pharmacological interventions for labour pain management: a qualitative study in Ghana

Boateng

Kumi

Diji

2019

BMC Pregnancy Childbirth

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Background: Non-pharmacological interventions hold promise in reducing labour pain, with minimal or no harm to the mother, foetus and the progress of labour and are simple and cost-effective. Yet their use has not been adequately explored in clinical settings, especially in sub-Saharan Africa. Methods: This was a descriptive phenomenological study. Fifteen (15) nurses and midwives working in labour wards of two hospitals in Ghana were interviewed. Data analysis was guided by the principles of coding by Bailey and the constant comparative approach to generate themes. Ethics approval was obtained from the 37 Military Teaching Hospital Institutional Review Board in Ghana. Results: Three major themes were identified that described the experiences of nurses and midwives regarding their use of non-pharmacological interventions in managing labour pain. These were familiarity with nonpharmacological interventions, perceived benefits of non-pharmacological interventions, and barriers to the use of non-pharmacological interventions in the management of labour pain. Conclusions: While some non-pharmacological pain management interventions were known and used by the nurses and midwives, they were not familiar with a good number of these interventions. Nurses and midwives perceived these interventions to be beneficial yet a number of barriers prevented easy utilisation.

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Section: Discussionmentioning

confidence: 99%

Nurses and midwives’ experiences of using non-pharmacological interventions for labour pain management: a qualitative study in Ghana

Boateng

Kumi

Diji

2019

BMC Pregnancy Childbirth

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“…In addition, most athletes who experience pain prefer to avoid using systemic medicine, because they worry about doping violations and side effects . Thus, they prefer to use complementary and alternative treatments including our pyramidal thorn (PT) patch, as described below . Although complementary and alternative treatments have long been considered to be very effective and their use is also recommended by the World Health Organization, they sometimes lack credibility for both clinicians and subjects …”

Section: Introductionmentioning

confidence: 99%

“…2 Thus, they prefer to use complementary and alternative treatments including our pyramidal thorn (PT) patch, as described below. 1,3 Although complementary and alternative treatments have long been considered to be very effective and their use is also recommended by the World Health Abbreviations: ANOVA, analysis of variance; DH, dorsal horn; DNIC, diffuse noxious inhibitory control; DRG, dorsal root ganglion; FP, flat patch; ISI, interstimulus interval; Oxt, oxytocin; PT, pyramidal thorn; RA, rapidly adapting; SA, slow adapting; TCES, transcutaneous electric stimulation; VAS, visual analog scale.…”

Section: Introductionmentioning

confidence: 99%

Adhesive pyramidal thorn patches provide pain relief to athletes

Saito

Shima

Yen

et al. 2019

The Kaohsiung J of Med Scie

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Pain in athletes is ideally treated without systemic medicine. Therefore, complementary and alternative medicine, including patch treatments, is often used. The physiologic mechanisms of pain relief produced by patch treatment, however, are not well elucidated. In the present study, we introduce a pyramidal thorn (PT) patch that we developed, demonstrate the effects of this PT patch for the treatment of various types of pain in 300 subjects, and suggest a physiologic mechanism for the pain relief effects. One treatment with the PT patch effectively relieved pain in almost half the subjects evaluated. Except for pain generated deeply under the skin, such as low‐back pain, pain was eliminated within four treatments with the PT patch in almost all of the subjects. Interestingly, the pain‐sensing region moved along the nerve fibers after each trial. Further, patches without PT also provided some pain relief. We considered that this effect was due to hair deflection on the skin; that is, adhesion of the PT patch activates Merkel cells directly as well as Merkel cell‐neurite complexes around the hair follicles by deflecting the hair follicles, whereas adhesion of a patch without PT only activates the Merkel cell‐neurite complexes. In any case, patch adhesion stimulates Aβ fibers to alleviate pain. Finally, we found that the pain threshold is increased by electric stimulation, suggesting that the gentle adhesion of a PT patch would be more effective. To our knowledge, this is the first study to demonstrate physiologically the validity of an adherent patch for pain relief.

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“…Bu ağrı için gebenin hazırlanma zamanı vardır. Dolayısıyla gebelerin ağrıyla baş etme ve ağrıyı yönetme yetisini geliştirmek için doğuma hazırlık eğitimi verilmelidir (Kömürcü, 2013;Gaskin, 2015;Gonzalez, Trehan & Kamel, 2016;Bonapace et al, 2018). Doğum ağrısı, doğumun evrelerine göre farklılık göstermektedir.…”

Section: Doğum Ağrısıunclassified

“…Doğum ağrısının yönetimi için farmakolojik olmayan yöntemler hakkında gebeye bilgi vererek gebe karar verme sürecine dahil edilmelidir. Kadının dahil edilmediği bir süreç kadını bağımlı kılmakta ve sağlık personelini zorlamaktadır (Simkin & Bolding, 2004 tarih aralığında İngilizce "labor pain", "management of labor pain", non-pharmacological methods in management of labor pain" ve "midwife and labor pain" anahtar kelimeleri ile Türkçe "doğum ağrısı", "doğum ağrısının yönetimi", "doğum ağrısının yönetiminde farmakolojik olmayan yöntemler" ve "ebe ve doğum ağrısı" anahtar kelimeleri ile Google Akademik, Science Direct, Wiley Online Library, (Simkin & Bolding, 2004;Fogarty, 2008;Hutton et al, 2009;Derry et al, 2012;Hajiamini et al, 2012;Mollamahmutoğlu ve ark., 2012;Mortazavi et al, 2012;Allameh et al, 2015;Dong et al, 2015;Bolbol-Haghighi et al, 2016;Lakhan et al, 2016;Bonapace et al, 2018;Ranjbaran et al, 2017;Ghiasi et al, 2019;Suarez et al, 2019) Science Direct (Taavoni et al, 2016;Shahoei et al, 2017;Ünalmış 2017;Ali & Hamdia 2018) Cochrane Library (Lawrence et al, 2013;Madden et al, 2016) Researchgate (Askari et al, 2016;Regis et al, (Karami et al, 2007;Hashemi et al, 2012;Barbieri et al, 2013;Ghani, 2014;İpek, 2014;Vaziri et al, 2014;Ganji et al, 2015;Rastegarzade et al, (Fogarty, 2008;Hutton et al, 2009;Derry et al, 2012;Mamuk, 2017) Araştırma…”

Section: Doğum Ağrısının Yönetilmesiunclassified

Doğum Ağrısının Yönetiminde Farmakolojik Olmayan Ebelik Uygulamaları

Kaçar

2020

Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi

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Doğum, her kadın için özel bir süreçtir. Doğumun fizyolojisinden kaynaklanan ağrı, gebenin doğum sürecini doğrudan etkilemektedir. Doğum ağrısı yönetilebilen bir ağrıdır ve bu ağrının yönetimi; iyi bir ebelik bakımı ile sağlanabilir. Bu yüzden ebeler, ağrı yönetiminde farmakolojik olmayan yöntemleri intrapartum bakıma dahil ederek, doğum ağrısının yönetiminde aktif rol almalıdır. Ebeler, gebenin karar verme sürecine katılmasını sağlayarak; ağrıyla baş etmek için kullanılacak farmakolojik olmayan yöntemleri, kendi otonomisiyle uygulamalıdır. Bu amaçla; ebeler ağrının yönetiminde farmakolojik olmayan yaklaşımları takip etmeli; kanıta dayalı yöntemleri, gebeye özgü bireyselleştirilmiş ebelik bakımıyla uygulamalıdır. Bu derlemenin amacı; doğum ağrısının yönetiminde kullanılabilecek farmakolojik olmayan yöntemlerin detaylı incelenmesi ve bu yöntemler ile ilgili yapılan çalışmaların sonuçlarının belirlenmesi ile ebelik mesleği başta olmak üzere tüm sağlık profesyonellerine katkı sağlamaktır.

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No. 355-Physiologic Basis of Pain in Labour and Delivery: An Evidence-Based Approach to its Management

Cited by 48 publications

References 112 publications

Nurses and midwives’ experiences of using non-pharmacological interventions for labour pain management: a qualitative study in Ghana

Nurses and midwives’ experiences of using non-pharmacological interventions for labour pain management: a qualitative study in Ghana

Adhesive pyramidal thorn patches provide pain relief to athletes

Doğum Ağrısının Yönetiminde Farmakolojik Olmayan Ebelik Uygulamaları

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