scholarly journals Effect of back massage on relieving pain during labour: a systemic review

Author(s):  
Suman Choudhary ◽  
Prasuna Jelly ◽  
Prakash Mahala ◽  
Amali Mery

Managing labour pain is a challenging concern for nurses who involved in care of mothers during labour and child birth. Massage is a primordial method that has been generally employed during labour, however, relatively little study has been assumed examining the effects of massage on women during labour. The study insistent pain allied with labour may negatively impact mother further transforming to foetus, frequently varying the childbirth course. The techniques of health care humanisation mention that women in labour should have the chance to relieve their pain with pharmacological and non-pharmacological methods. The systemic review examines literature on effectiveness of back massage to relieve labour pain from 2013 to 2019. The electronic database reviewed for the systemic review included PubMed, Medline, nursing health journal, Google scholar etc by including relevant key words. Ten studies were included in the systemic review. The available literature on non-pharmacological method provides evidence as a back massage is effective to reduce labour pain. The aim of the present review is to examine the effect of back massage as a method to relieve labour pain and give comfort to mother. The experience of labour pain is different in women and it is affected by several psychological and physiological factors and its intensity may vary significantly. During labour majority of women need pain relief. Strategies of pain management include pharmacological and non-pharmacological intervention. Evidence suggests that non pharmacological methods are helpful to reduce labour pain. We identified 10 reviews out of 110 for inclusion within this review. All studies on back massages show that it is effective to relieve pain during labour.

2013 ◽  
Vol 8 (5) ◽  
pp. 204
Author(s):  
Wiwin Renny Rahmawati ◽  
Siti Arifah ◽  
Anita Widiastuti

Rasa nyeri persalinan yang tinggi dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida. Nyeri yang tidak bisa diadaptasi oleh ibu yang akan melahirkan dapat meningkatkan perasaan cemas pada ibu, rasa cemas tersebut dapat menyebabkan terjadinya persalinan yang lama, sehingga kekuatan ibu akan habis saat persalinan yang berakibat terhadap kejadian perdarahan serta kala II lama. Tujuan penelitian ini untuk mengetahui pengaruh pijat terhadap pengurangan rasa nyeri persalinan fase aktif, lama kala II, dan perdarahan persalinan pada primigravida di Puskesmas Magelang Selatan. Penelitian ini merupakan penelitian desain kuasi eksperimental bentuk perbandingan kelompok statistik, yaitu memberikan perlakuan atau intervensi, kemudian dilakukan pengukuran atau observasi. Hasil pengukuran pada kelompok perlakuan dibandingkan dengan kontrol. Skala rasio digunakan. Subjek penelitian sebanyak 40 orang. Analisis data dengan uji Mann Whitney didapatkan hasil ada pengaruh pijat punggung terhadap adaptasi rasa nyeri persalinan fase aktif, lama persalinan kala II dan perdarahan persalinan pada primigravida dengan nilai p= 0,001.Severe labour pain can cause anxiety especially in primigravida. Many mothers who experience labour have not got action yet to minimize labour pain, If labour pain cannot be decreased, it will cause mother anxiety, that anxiety result in long labour, so energy will decrease that can cause labour bleeding. Therefore it is needed to take action to minimize labour pain. One of that action was back massage that could stimulate endorphine, so the pain will decrease. The objectives of this study was to know the influence of massage towards the decrease of labour pain in active fase, lenght of stage II, and labour bleeding in primigravida at Publich Health Center Magelang Selatan. Quasi-experimental design was applied with static group comparation. The design gave intervention, then measurement and observation was conducted. The intervention group result was compared to control. Ratio scale was used. Subject of this research was 40 person. After analizing data by man Whitney test, here are the influence of back massage toward the decrease of pain labour in active fase, lenght of labour kala II and labour bleeding in primigravida with p value= 0.001.


2016 ◽  
Vol 73 (2) ◽  
Author(s):  
I.A. Brownlee ◽  
A. Aseeri ◽  
C. Ward ◽  
J.P. Pearson

The airways are poorly protected from potentially damaging agents contained within gastric contents. While digestive factors are obvious damaging agents, gastric aspiration may also deliver microbial agents, cytokines or food antigens to airway tissues. Direct damage or the triggering of the inflammatory cascade by gastric aspiration is believed to drive airways disease onset and/or progression. Evidence exists from experimental models demonstrating direct instillation of damaging factors to a range of airways epithelia causes damage and/or an inflammatory response. Clinical longitudinal studies have also noted an association between the presence of biomarkers of reflux in airways samples and disease progression. A shared pathophysiology of many chronic airways diseases is a more negative intrathoracic pressure. Such changes would drive an increased abdominothoracic pressure gradient. These changes in respiratory mechanics mean that chronic lung disease patients may be predisposed to reflux and subsequent aspiration. Therefore, it appears that gastric aspiration and airways disease progression may be linked not solely as cause and effect, but seemingly within a vicious cycle. A range of physiological factors govern both occurrence of gastric reflux into the pharynx/larynx and could also increase the susceptibility of certain individuals to disease progression. A range of long-term surgical and pharmacological intervention studies are necessary to test the benefit of such therapies in reducing disease progression or driving symptom improvement. Such studies may be hampered by the reliability of available therapies in halting gastric aspiration and the difficulty in the clinical or biochemical assessment of gastric aspiration.


2020 ◽  
Vol 30 ◽  
pp. 209-212
Author(s):  
Rosmiarti ◽  
Riska Marlin ◽  
Murbiah
Keyword(s):  

2021 ◽  
Author(s):  
◽  
Lorna Massov

<p><b>Birth is a normal physiological process, and many women want a natural birth. However, there is worldwide concern over the increasing use of epidural analgesia and other pharmacological pain relief methods for women in labour. This tendency renders birth non-physiological by increasing the use of obstetric interventions with associated risks. Women use a range of non-pharmacological pain relief methods to reduce labour pain intensity, to help manage labour pain and to induce relaxation. The purpose of this study was to explore the experiences of women using virtual reality (VR) as a non-pharmacological method of pain relief in labour and to determine whether there was an effect on labour pain intensity. Virtual reality has been shown to be an effective distraction technique in other acute pain settings and also reduces anxiety.</b></p> <p>This study used a pragmatic mixed method approach with a sequential exploratory design, combining in-depth antenatal and postnatal interviews with an intervention study in labour in a cross-over within-subjects trial. Thematic analysis was used to analyse the qualitative data.</p> <p>Twenty-six pregnant women were recruited to the study. Fourteen participants reported their pain and had their heart rate and blood pressure measured during active labour while using and not using VR. There were significantly lower reported pain scores (6.14 compared to 7.61, p =<.001) and maternal heart rate (79.86 beats per minute compared to 85.57, p = .033) and mean arterial pressure (88.78 mmHg compared to 92.61 mmHg, p = .022) were lower when using VR during active labour. These differences were all statistically significant. Findings from qualitative postnatal interviews indicated a positive response to the use of VR in labour. Several themes were identified in the data. The first theme, Impact of VR on Labour, described the impact of VR on labour in terms of distraction, relaxation, enjoyment and a positive birth experience. The second theme, Managing the Pain, describes how VR was used by the women to manage their labour pain using breathing techniques and gaining a sense of control. In the third theme, The Challenges and Surprises of Using VR in Labour, women’s narratives recounted the various challenges of using the VR technology. Despite these challenges, ninety-four percent of women reported that they would use VR in labour again and would recommend it to a pregnant friend.</p> <p>This study provides a unique and original contribution to the field of VR in labour and birth. It is consistent with other recent findings of reduced pain with the use of VR, and links decreased pain scales to heart rate and blood pressure, the physiological markers of pain. It also identifies VR as an acceptable and positive experience in the management of labour pain. Results from this study have the potential to inform design for future labour specific VR environments and expand its application in the field of biomedical technology.</p>


2017 ◽  
Vol 1 (2) ◽  
pp. 79-84
Author(s):  
Yayang Kharistik Almasith ◽  
Fresthy Astrika Yunita ◽  
Agus Eka Nurma Yunita

Menstrual pain can reduce activities. A preliminary study showed that 80% of the students of STIKES Aisyiyah Surakarta experienced the menstrual pain. A non-pharmacological intervention to reduce the menstrual pain can be done through the execution of warm compress and back massage. The aim of this study was to investigate the difference of pain reduction between warm compress and back massage on menstrual pain among the students of STIKES Aisyiyah Surakarta. This was a quasy experimental research with the non-randomized control group pretest posttest design. Thirdty students STIKES Aisyiah became the research subject. The result of Paired T Test showed that the mean of warm compress= 2.400, with the p-value= 0.000 was greater than that of back massage= 1.267 with the p-value= 0.002.This indicated that there was a difference between the two methods as the warm compress was more effective than back massage on reducing menstrual pain. In time to come, midwifes should conduct counseling on menstrual pain with natural and safe warm compress.


2015 ◽  
Vol 33 (6) ◽  
pp. 445-450 ◽  
Author(s):  
Aslihan Abbasoglu ◽  
Mehmet Tugrul Cabioglu ◽  
Ali Ulas Tugcu ◽  
Ece Yapakci ◽  
Mustafa Agah Tekindal ◽  
...  

Background Healthy term newborns commonly undergo painful procedures during routine follow-up visits. Non-pharmacological strategies have currently become more important than pharmacological analgesic agents in neonatal pain management. Acupuncture is a new non-pharmacological method for preventing pain in newborns. Objective We aimed to investigate the effect of laser acupuncture (LA) at the Yintang point before heel lancing as a non-pharmacological intervention for procedural pain management in infants. Methods Forty-two term newborns, who were undergoing heel lancing between postnatal days 3 to 8 as part of routine neonatal screening, were randomly assigned to the LA group or the oral sucrose group. In the LA group, 2 min before the heel lancing, 0.3 J of energy was applied to the Yintang point using a Laser PREMIO-30 unit for 30 s. In the sucrose group, each infant received 0.5 mL of 24% sucrose orally via syringe 2 min before the heel lancing. Each baby's behaviour was scored using the Neonatal Infant Pain Scale (NIPS), assessed blinded to group. Results There were no significant differences between the LA and oral sucrose groups with respect to means for gestational week of age at birth, birth weight, actual weight, or Apgar score. Mean procedure time was significantly shorter in the LA group; however, mean crying time was longer and NIPS score was lower compared to the oral sucrose group. Conclusions Our results indicate that 0.3 J of LA at the Yintang point before heel lancing is less effective than oral sucrose for reducing the discomfort of this procedure. Trial Registration Number KA14/09.


Author(s):  
Edison de Mello

Although an impressive and increasing amount of research has shown how particular foods affect brain chemistry and can lead to food addictions, the idea of food addiction as an actual disease is still controversial. The alarming growth in the obesity epidemic in the United States, however, is quickly eating away at this controversy. Research now shows that genetics, the nucleus accumbens, the gut bacteria (microbiota), and other physiological factors have a vast effect on obesity, cravings, binge eating, and food addiction. Speculation that the food industry has utilized the effects of the high glycemic index foods, such as refined starches, sugars, and fat have on the brain to engineer foods for taste, not nutrition and to get people “hooked” is also discussed. Integrative treatment approaches to food addiction that can synergically help with food addiction recovery are presented. These include biochemical restoration, IV nutrient therapy, meditation practices, pharmacological intervention, and more.


2021 ◽  
Author(s):  
◽  
Lorna Massov

<p><b>Birth is a normal physiological process, and many women want a natural birth. However, there is worldwide concern over the increasing use of epidural analgesia and other pharmacological pain relief methods for women in labour. This tendency renders birth non-physiological by increasing the use of obstetric interventions with associated risks. Women use a range of non-pharmacological pain relief methods to reduce labour pain intensity, to help manage labour pain and to induce relaxation. The purpose of this study was to explore the experiences of women using virtual reality (VR) as a non-pharmacological method of pain relief in labour and to determine whether there was an effect on labour pain intensity. Virtual reality has been shown to be an effective distraction technique in other acute pain settings and also reduces anxiety.</b></p> <p>This study used a pragmatic mixed method approach with a sequential exploratory design, combining in-depth antenatal and postnatal interviews with an intervention study in labour in a cross-over within-subjects trial. Thematic analysis was used to analyse the qualitative data.</p> <p>Twenty-six pregnant women were recruited to the study. Fourteen participants reported their pain and had their heart rate and blood pressure measured during active labour while using and not using VR. There were significantly lower reported pain scores (6.14 compared to 7.61, p =<.001) and maternal heart rate (79.86 beats per minute compared to 85.57, p = .033) and mean arterial pressure (88.78 mmHg compared to 92.61 mmHg, p = .022) were lower when using VR during active labour. These differences were all statistically significant. Findings from qualitative postnatal interviews indicated a positive response to the use of VR in labour. Several themes were identified in the data. The first theme, Impact of VR on Labour, described the impact of VR on labour in terms of distraction, relaxation, enjoyment and a positive birth experience. The second theme, Managing the Pain, describes how VR was used by the women to manage their labour pain using breathing techniques and gaining a sense of control. In the third theme, The Challenges and Surprises of Using VR in Labour, women’s narratives recounted the various challenges of using the VR technology. Despite these challenges, ninety-four percent of women reported that they would use VR in labour again and would recommend it to a pregnant friend.</p> <p>This study provides a unique and original contribution to the field of VR in labour and birth. It is consistent with other recent findings of reduced pain with the use of VR, and links decreased pain scales to heart rate and blood pressure, the physiological markers of pain. It also identifies VR as an acceptable and positive experience in the management of labour pain. Results from this study have the potential to inform design for future labour specific VR environments and expand its application in the field of biomedical technology.</p>


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