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.
REFERENCES
- Lowdermilk,Perry, Maternity nursing 7th edition,Missouri:mosby publishers,2004;page no.338
- Myles,Text book for midwives,7th edition, Elsever publishers. 2014; page no.349
- http://www.allaboutepidural.com/main-content/nature-of-labor-pain-why-it-hurts-and-what-to-expect
- Phumdong,S,&Good,M. Music reduces sensation and distress of labour pain. Pain management nursing 2003;4;(2):54-61. Abstract from:PMID: 12836149(pub med index for MEDLINE
- Leodoro J. Labrague, Rheajane A. Rosales, Gilbey L. Rosales, Gerald B. Fie, Effects of soothing music on labor pain among Filipino mothers, Peer-reviewed and Open Access Journal for the Clinical Nursing Specialists. 2013;1(1): l.
- Anjaly K.S, Sulochana kumar, Dr.Sreedevi, Effect of music therapy on pain and anxiety among primigravid women during first stage of labour, The official journal of Trained Nurses Association of India,kerala, 2015;5(1):16-22.
- Nayak, Sharada Rastogi, Om Kumari Kathuria , Effectiveness of music therapy on anxiety level, and pain perception in primipara mothers during first stage of labor in selected hospitals of Odisha, IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 2014;3(2):07-14.