IJIMS.2016.145

Type of Article: Original Research

Volume 3; Issue 11: November 2016

Page No.: 444-448

DOI: 10.16965/ijims.2016.145

Effect of Music therapy on Labor Pain among Women in Active Labor Admitted in Tertiary Care Hospital Kochi

Tintu Xavier *1, Lekha Viswanath 2.

*1 2nd year MSc nursing , Obstetrics & Gynaecological Nursing , Amrita College of Nursing, Amrita Viswa Vidyapeetham , Kochi-41.

2 Associate Professor , Obstetrics & Gynaecological Nursing , Amrita College of Nursing, Amrita College of Nursing, Amrita Viswa Vidyapeetham  Kochi- 41.

CORRESPONDING AUTHOR ADDRESS: Ms. Tintu Xavier,  2nd year MSc nursing , Obstetrics & Gynaecological Nursing, Amrita College of Nursing, Amrita Viswa Vidyapeetham, Kochi-41, Kerala, India.  E-Mail:  tintujoseph@ymail.com

ABSTRACT

Introduction: The pain associated with birth of baby is perceived severe, unpleasant and traumatizing by the women. It is an individualized phenomenon with both sensory and emotional elements. Labour pain arises from distension of the lower uterine segment and cervical dilatation.  Anxiety and pain are closely interrelated with each other. Providing comfort to the women in labour is still a challenge for the nurse midwives. The present study intends to assess the effect of music therapy on labour pain and anxiety among women in first stage of labour in a tertiary care hospital kochi, India.

Materials and Methods: Quasi-experimental pretest post test control group design was used for the study. The sample consists of 40 women in active stage of labour, with cervical dilatation of 4-7cm. First 20 women were allotted to control group and next 20 to experimental group in order to avoid contamination. Background information was collected using semi structured interview and record review. Visual analogue scale was used to measure pain and anxiety. After the pretest measurement of pain and anxiety the women in the experimental group were then given music therapy for 30 minutes using headset. The posttest was done at the 30th and 60th minute after the pretest.

Results: The mean post test pain score of the experimental group (7.9) was

Significantly lower than the posttest score of the control group at 30th minute (5.75+/- 0.44 vs 8.55+/- 0.51, p< 0.001) and 60th minute (7.9 +/- 0.45 vs 8.7+/- 0.47, p< 0.001). No difference was observed in uterine contraction between the groups. The mean anxiety score of the experimental group was lower than the control group (p<0.001)

Conclusion: The result of the present study concludes that music therapy in effective in reducing the pain and anxiety of women in labour without affecting the uterine contractions. So music can be used as a non pharmacological pain management measure for providing comfort during labour.

Key words: Music Therapy, Labour Pain and anxiety, Non-pharmacologic pain management.

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