scholarly journals The Effect of Positive Mental Imagery on Labor Pain Tolerance in Primiparous Women Referred to Atieh Teaching-Medical Center of Hamadan, Iran, 2018

2019 ◽  
Author(s):  
Caroline Yavari ◽  
Seyedeh Zahra Masoumi ◽  
Farideh Kazemi ◽  
Mansoureh Refaei ◽  
Abolghasem Yaghoobi
Keyword(s):  
Mental Imagery ◽  
Medical Center ◽  
Intervention Group ◽  
Pain Scale ◽  
Pain Tolerance ◽  
Labor Pain ◽  
Control Group ◽  
Behavioral Pain Scale ◽  
The Mean ◽  
Primiparous Women

Abstract Background: Childbirth is an important experience in the woman's life; and its quality has short- and long-term effects on them. The present study aimed to determine the effect of positive mental imagery on the labor pain tolerance in primiparous women referred to Atieh teaching-medical center in Hamadan.Method: The present clinical trial study was conducted on 90 primiparous mothers referred to Atieh Hospital of Hamadan in interventional (n= 45) and control (n= 45) groups. Data collection tools included demographic information forms, Behavioral pain scale, Visual analogue scale (VAS), and the birth registration checklist that were responded by both groups through interviews and observation during labor. The intervention group participated in 4 weekly counseling sessions in groups of 5 to 7 participants, but the control group received only routine care. Finally, the obtained data from above questionnaires was analyzed using SPSS 21 and analysis of covariance (ANCOVA), Independent t-test and chi-square test and the significance level of tests was considered to be at the level of 5%.Results: The research results indicated that the mean age of control and intervention groups was 25.98±4.82 and 25.32± 4.85 respectively. The mean scores of Visual analogue scale (VAS) and the Behavioral Pain Scale significantly decreased compared to the control group (P <0.001). The mean scores of behavioral changes in the intervention group were 1.77 ± 0.68, 2.39± 0.54 and 3.09±0.60 in 4-5 cm, 6-7 cm and 8-10 cm dilatations respectively. That was statistically significant decrease compared to the control group (P=0.005). Conclusion: Positive mental imagery counseling reduced the visual analogue intensity and behavioral pain intensity in primiparous women. It seems that continuing education and counseling during pregnancy and empowering mothers to control themselves and learn mental imagery techniques and practice during pregnancy and childbirth can help mothers to more relax and alleviate the labor pain intensity.Trial registration: Trial Registration Clinical Trial Registry: IRCT20120215009014N242.Registered on 2017-09-10. https://en.irct.ir/trial/9621Sampling start date:2018-10-23

The Effect of Positive Mental Imagery on Labor Pain Tolerance in Primiparous Women Referred to Atieh Hospital of Hamadan, Iran, 2018: A Randomized controlled clinical trial study

2020 ◽  
Vol 16 ◽  
Author(s):  
Caroline Yavari ◽  
Seyedeh Zahra Masoumi ◽  
Farideh Kazemi ◽  
Mansoureh Refaei ◽  
Abolghasem Yaghoobi
Keyword(s):  
Mental Imagery ◽  
Analogue Scale ◽  
Intervention Group ◽  
Pain Scale ◽  
Pain Tolerance ◽  
Labor Pain ◽  
Control Group ◽  
Behavioral Pain Scale ◽  
The Mean ◽  
Primiparous Women

Background:: Childbirth is an important experience in the woman's life; and its quality has short- and long-term effects on them. Objective:: The present study aimed to determine the effect of positive mental imagery on the labor pain tolerance in primiparous women referred to Atieh teaching-medical center in Hamadan. Methods:: The present clinical trial study (IRCT20120215009014N242) was conducted on 90 primiparous mothers referred to Atieh Hospital of Hamadan in interventional (n= 45) and control (n= 45) groups. Data collection tools included demographic information forms, Behavioral pain scale, Visual analogue scale (VAS), and the birth registration checklist that were responded by both groups through interviews and observation during labor. The intervention group participated in 4 weekly counseling sessions in groups of 5 to 7 participants, but the control group received only routine care. Finally, the obtained data from above questionnaires was analyzed using SPSS 21 and analysis of covariance (ANCOVA), Independent t-test and chi-square test and the significance level of tests was considered to be at the level of 5%. Results:: The research results indicated that the mean age of control and intervention groups was 25.98±4.82 and 25.32± 4.85 respectively. The mean scores of Visual analogue scale (VAS) and the Behavioral Pain Scale significantly decreased compared to the control group (P <0.001). The mean scores of behavioral changes in the intervention group were 1.77 ± 0.68, 2.39± 0.54 and 3.09±0.60 in 4-5 cm, 6-7 cm and 8-10 cm dilatations respectively. That was statistically significant decrease compared to the control group (P=0.005). Conclusion:: Positive mental imagery counseling reduced the visual analogue intensity and behavioral pain intensity in primiparous women. It seems that continuing education and counseling during pregnancy and empowering mothers to control themselves and learn mental imagery techniques and practice during pregnancy and childbirth can help mothers to more relax and alleviate the labor painintensity.

The Effect of Reflexology on Labor Pain and Length Among Primiparous Women: A Randomized Controlled Trial

2018 ◽  
Vol 7 ◽  
Author(s):  
Azita Kamjoo
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Singleton Pregnancy ◽  
Group Data ◽  
Significant Difference ◽  
Labor Length ◽  
Primiparous Women

Background: Pain control is considered as the key issue in modern midwifery. Along with medical painkillers, reflexology is viewed as a non-medical and noninvasive method. Hence, we aimed to investigate the effect of reflexology on the intensity of pain and length of labor. Materials and Methods: In this clinical trial, participants included 240 Iranian primiparous women with term and singleton pregnancy. Having a 3-4 cm cervical dilatation once they visited the hospital. Through a convenient sampling method, they were selected and then randomly divided into two groups. In the intervention group, reflexology was performed, and the intensity of pain during the active phase of labor along with the length of labor in the active phase was measured by visual analog scale (VAS) and compared with the control group. Data were analyzed using descriptive statistics, t-test, and Mann-Whitney U-test. Result: Data analysis showed a statistically significant difference between the intensity of pain in the 5-7 and 8-10 cm dilatation in the two groups (P=0.01). Moreover, the labor length in the active phase was found to be significantly shorter in the intervention group (P<0.001). Conclusion: It appears that reflexology can lead to a reduction in the pain and length of labor. Therefore, through instructing this technique, a goal of midwifery, which is reducing labor pain and its length can be achieved. Keywords: Reflexology, Labor Pain, Labor Length, Primiparous Women

scholarly journals OP0159 EFFICACY OF COMPREHENSIVE TECHNOLOGY-ASSISTED HOME-BASED EXERCISE IN ANKYLOSING SPONDYLITIS: A RANDOMIZED, CONTROLLED TRIAL

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 100.3-100
Author(s):  
Y. Wang ◽  
X. Liu ◽  
Y. Shi ◽  
X. Ji ◽  
W. Wang ◽  
...  
Keyword(s):  
Exercise Intervention ◽  
Medical Center ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Program ◽  
Group Differences ◽  
Control Group ◽  
Home Based ◽  
The Mean

Background:Clinical practice guidelines recommend that exercise is an essential component in the self-management of Ankylosing Spondylitis (AS). Attending supervised interventions requiring periodic medical center visits can be burdensome and patients may decline participation, whereas, effective home-based exercise interventions that do not need regular medical center visits are likely to be more accessible and acceptable for patients with AS. Recently, increasing evidences have been accumulated that the wearable devices could facilitate patients with inflammatory arthritis by giving exercise instructions and improving self-efficacy. Therefore, patients with AS may benefit from an effective technology-assisted home-based exercise intervention.Objectives:To investigate the efficacy of a comprehensive technology-assisted home-based exercise intervention on disease activity in patients with AS.Methods:This study was a 16-week assessor-blinded, randomized, waiting-list controlled trial (ChiCTR1900024244). Patients with AS were randomly allocated to the home-based exercise intervention group and the waiting-list control group. A 16-week comprehensive exercise program consisting of a moderate intensity (64%-76% HRmax) aerobic training for 30min on 5 days/week and a functional training for 60min on 3 days/week was given to patients in the intervention group immediately after randomization, with 1.5h training sessions for two consecutive days by a study physical therapist at baseline and Week 8. The aerobic exercise intensity was controlled by a Mio FUSE Wristband with a smartphone application. The functional training consisted of the posture training, range of motion exercises, strength training, stability training and stretching exercises. Patients in control group received standard care during the 16-week follow-up and started to receive the exercise program at Week 16. The primary outcome was ASDAS at Week 16. The secondary outcomes were BASDAI, BASFI, BASMI, ASAS HI, peak oxygen uptake, body composition and muscle endurance tests. The mean difference between groups in change from baseline was analyzed with the analysis of covariance.Results:A total of 54 patients with AS were enrolled (26 in intervention group and 28 in control group) and 46 (85.2%) patients completed the 16-week follow-up. The mean difference of ASDAS between groups in change from baseline to 16-week follow-up was −0.2 (95% CI, −0.4 to 0.003, P = 0.032), and the mean change from baseline was -0.4 (95% CI, -0.5 to -0.2) in the intervention group vs -0.1 (95% CI, -0.3 to 0.01) in the control group, respectively. Significant between-group differences were found between groups for BASDAI (−0.5 [95% CI, −0.9 to −0.2], P = 0.004), BASMI (−0.7 [95% CI, −1.1 to −0.4], P <0.001), BASFI (−0.3 [95% CI, −0.6 to 0.01], P=0.035), peak oxygen uptake (2.7 [95% CI, 0.02 to 5.3] ml/kg/min, P=0.048) and extensor endurance test (17.8 [95% CI, 0.5 to 35.2]s, P=0.044) at Week 16. Between-group differences were detected in ASAS HI (−0.9 [95% CI, −1.7 to −0.1], P=0.030), body fat percentage (−1.0 [95% CI, −2.0 to −0.01] %, P=0.048) and visceral adipose tissue (−4.9 [95% CI, −8.5 to −1.4] cm2, P=0.008) at Week 8, but not at Week 16. No significant between-group differences were detected in the total lean mass, time up and go test and the flexor endurance test during the follow-up.Conclusion:Comprehensive technology-assisted home-based exercise has been shown to have beneficial effects on disease activity, physical function, spinal mobility, aerobic capacity, and body composition as well as in improving fatigue and morning stiffness of patients with AS.References:[1]van der Heijde D, Ramiro S, Landewé R, et al. Ann Rheum Dis 2017;76:978–991.Disclosure of Interests:None declared

scholarly journals The effect of distraction techniques on pain and stress during labor: a randomized controlled clinical trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Paria Amiri ◽  
Mojgan Mirghafourvand ◽  
Khalil Esmaeilpour ◽  
Mahin Kamalifard ◽  
Reyhaneh Ivanbagha
Keyword(s):  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Fear Of Childbirth ◽  
Control Groups ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Abstract Background Pain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes). Methods A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA. Results The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: − 0.8 to − 6.0; P = 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P < 0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to − 6.0; P = − 2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P = 0.504), second stage of delivery (P = 0.928), total length of delivery (P = 0.520), Apgar score (P = 1.000) and frequency of oxytocin consumption (P = 0.622). Conclusion According to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion. Trial registration IRCT2017042910324N39; Name of registry: Iranian Registry of Clinical Trials; Registered 11 September 2017. URL of registry: https://fa.irct.ir/user/trial/10814/view. Date of enrolment of the first participant to the trial: September 2017.

scholarly journals The Effect of Distraction Techniques on Pain and Stress during Labor: A Randomized Controlled Clinical Trial

2019 ◽  
Author(s):  
Paria Amiri ◽  
Mojgan Mirghafourvand ◽  
Khalil Esmaeilpour ◽  
Mahin Kamalifard ◽  
Reyhaneh Ivanbagha
Keyword(s):  
Intervention Group ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Fear Of Childbirth ◽  
Control Groups ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Abstract Background: Pain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes). Methods: A randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA . Results: The mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: -0.8 to -6.0; P= 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P<0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to -6.0; P= -2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P= 0.504), second stage of delivery (P= 0.928), total length of delivery (P= 0.520), Apgar score (P= 1.000) and frequency of oxytocin consumption (P= 0.622). Conclusion: According to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion .

scholarly journals THE TRADITIONAL MUSIC SAPE' THERAPY ON POST OPERATING PAIN SCALE REDUCTION AT SANTO VINCENTIUS HOSPITAL SINGKAWANG CITY

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Egidius Umbu Ndeta
Keyword(s):  
Postoperative Pain ◽  
Music Therapy ◽  
Intervention Group ◽  
Traditional Music ◽  
Musical Instrument ◽  
Pain Scale ◽  
Control Group ◽  
Surgical Trauma ◽  
Paired Sample ◽  
The Mean

Background : The severity of postoperative pain depends on the individual's physiological and psychological assumptions, the established tolerance for pain, the location of the incision, the nature of the procedure, the depth of surgical trauma and the type of anesthetic agent and how the agent is administered. Apart from pharmacological action, pain can also be treated with music. Music is an expression of one's soul and one's communication language. Music can sometimes make people cry, laugh, even music can heal sick people. Sape 'or also known as sampe is a musical instrument or instrument originating from the Dayak Kenyah and Kayan tribes. This traditional musical instrument is starting to become worldwide and favored by the international community, the sound of the sape 'is soft and easy to animate.Research Purposes : The effect of traditional music SAPE' therapy on postoperative pain reduction at Santo Vincentius Hospital  Singkawang city.Research Methods : Experimental research with pre and post test control group design. The sample selection used consecutive sampling method. The number of samples was 14 respondents after laparotomy surgery (7 samples from the intervention group and 7 samples from the control group). Data analyzed by using Paired Sample t Test.Result : Respondents were female, namely as many as 85.7%, aged 26-35 years, namely as many as 50.3% and had no experience of surgery, namely as many as 35.7%. The mean score for the pre intervention group was 7.29, while the average for the post intervention group was 5.29. The average of the music therapy intervention group with sape 'was 2,000, while the mean for the control group was 0.429. The average difference between the two groups was 1,571. The  statistic results of Paired Sample t Test with  p 2-tailed was significant of 0.002.Conclusion : There is an effect of traditional sape music therapy on reducing the pain scale of post surgery at RSU Santo Vincentius Singkawang.

scholarly journals PENGARUH TERAPI AKUPRESUR PADA TANGAN TERHADAP NYERI PERSALINAN KALA I FASE AKTIF DI PMB RATRI RESTUNI S.ST SAMARINDA

2019 ◽  
Vol 7 (1) ◽  
pp. 1-11
Author(s):  
Ririn Ariyanti ◽  
Aulia
Keyword(s):  
Intervention Group ◽  
Resistance Mechanism ◽  
Sampling Technique ◽  
Active Phase ◽  
Pain Scale ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Before And After ◽  
Average Pain

Pain is a natural process in labor. The response of pain is different between one and another it is influenced by factors depended in body’s resistance mechanism since labor process. The factors are age, gender, pain’s mean, attention, previous experience, coping style, family’s support, afraid, worried, personality, fatigue, culture and social. Acupressure is one of the best non-pharmacology techniques in easiest management of labor pain, cheapest, and can be done by all of people because needs only two hands in therapy implementation. The objective of this research is to identify the influence af acupressure therapy on hands to labor pain of active phase in period I. This research was queasy experiment with non-equivalent pretest-posttest design. The population of this research was inpartu woman at PMB. Ratri Restuni, S.ST Samarinda. The sampling technique used non random sampling technique; it was the sampling quota of 15 people in intervention group and 15 people in control group. Data collection was obtained by doing interview and giving acupressure. The research finding shows that there is significant differences between pain scale before and after intervention in intervention group with t-value = 11,117 and p-value 0,05, in average pain scale of intervention group before and after intervention is 68.7, it decreases to 4.37, control group is 6.80 and there is no decreasing; the average period of this is 13 minutes and then increasing again. Acupressure therapy has to be applied in giving inpartu care in period I of active phase to decrease labor pain. For next researchers, they are expected to do more research by taking other variables that can influence labor pain; which are coping, family support, and personality.

scholarly journals The Effects of Transcutaneous Electrical Nerve Stimulation on Post-Episiotomy Pain Severity in Primiparous Women: A Randomized, Controlled, Placebo Clinical Trial

2019 ◽  
Vol 8 ◽  
pp. 1404
Author(s):  
Seyedeh Soma Zakariaee ◽  
Roonak Shahoei ◽  
Leila Hashemi Nosab ◽  
Ghobad Moradi ◽  
Mina Farshbaf
Keyword(s):  
Clinical Trial ◽  
Pain Relief ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Intervention Group ◽  
Pain Severity ◽  
Control Group ◽  
Electrical Nerve Stimulation ◽  
Significant Difference ◽  
The Mean ◽  
Primiparous Women

Background: Episiotomy or cutting the perineum is the most common operation in obstetrics. Perineal pain is the main complication of episiotomy that affects the quality of life and mental health of the mother. Reducing the pain and side effects of the chemical drugs prescribed for pain relief has attracted the attention of both physicians and scientists. This study was conducted to determine the effects of transcutaneous electrical nerve stimulation (TENS), as an alternative method, on post-episiotomy pain severity. Materials and Methods: This randomized clinical trial was performed on 120 primiparous women who had referred to Sanandaj Besat Hospital in 2018. The patients were divided randomly into three groups, including the intervention group (TENS-On), the placebo group (TENS-Off), and the control group. TENS electrodes were placed near the episiotomy site in genitofemoral and pudendal nerves. The pain was measured after episiotomy in lying, sitting, and activity positions. The pain severity was measured using a pain measurement instrument (numeral rating score) at four-time points, i.e., before the intervention as well as 30, 60, and 120 minutes after the TENS intervention. For data analysis, Pearson correlation, student’s t-test, Kruskal-Wallis test, ANOVA test, and Mann-Whitney U tests were used. Results: Intragroup evaluation results for placebo and control groups demonstrated no significant difference in the pain score (P>0.05). A significant difference was observed between the mean pain severity of the intervention group and that of the group with walking activities (P=0.04). In terms of the intergroup evaluation, there was a significant difference observed between the mean pain severity of the lying position and that of the control group (P=0.008). Regarding the sitting position, no significant difference was observed between its mean pain severity and that of the other two groups (P=0.04). Conclusion: TENS is an effective and safe method for post-episiotomy pain relief and a routine method used in the obstetrics and gynecology ward. [GMJ.2019;8:e1404]

scholarly journals Difference Effect of The Combination of Lavender Aromatherapy and Effluerage with Breathing Relaxation on Pain Intensity During Labor among Primiparas

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Murtiningsih M ◽  
Shintya Tri Andani
Keyword(s):  
Pain Intensity ◽  
Intervention Group ◽  
Pain Scale ◽  
T Test ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Pharmacological Method ◽  
Difference Effect

 Although labor pain is a physiological process but it was feel severe and longer for primiparas.  Because of a cervical effacement earlier than dilation, and no experience of labor can affect women feel anxiety and fear of labor process, it cause increasing of pain. The non-pharmacological method was cheaper, simple, effective, and no side effect can help women to control of labor pain by herself or another person. The combination of lavender aromatherapy and effleurage can increase of relaxation of uterus contraction and between of it, so labor pain decreasing. The aim of this study was to determine difference effect of the combination of lavender aromatherapy and effleurage with breathing relaxation on pain intensity during labor among primiparas. This study used pre-experiment design with Pretest – Post-test  Control Group design. The consecutive sample of 32 laboring women divided to two groups of the intervention and control group. The pain scale measured by NRS questionnaire. The results showed that mean of pain scale before being given intervention is 7.25. It was the same of two groups. The average of pain scale decreasing to 5.25 in the intervention group and to 6.25 in the control group. The result of t-test dependent obtained p-value = 0.000, so meaning that two of interventions was able to decrease of the labor pain. The result of  t-test independent obtained p-value 0.004, so meaning that there was significantly difference of pain scale during labor of the intervention group to compare with control group. Suggested to health care who provide services at labor room to give a combination of lavender aromatherapy and effleurage as a non-pharmacology therapy alternative besides breathing relaxation to decrease of pain labor in primiparas.Keywords:  Aromatherapy, Labor, Massage, Pain, Relaxation

A Novel Distraction Technique for Pain Management during Local Anesthesia Administration in Pediatric Patients

2013 ◽  
Vol 38 (1) ◽  
pp. 45-47 ◽  
Author(s):  
PS Kamath
Keyword(s):  
Local Anesthesia ◽  
Pediatric Patients ◽  
Control Method ◽  
Dental Treatment ◽  
Intervention Group ◽  
Pain Scale ◽  
Control Group ◽  
P Value ◽  
Post Operative Pain ◽  
The Mean

Aim: The aim of this study was to assess the effect of an active and novel distraction technique WITAUL (Writing In The Air Using Leg) on the pain behavior observed and reported by children receiving local anesthesia injections prior to dental treatment. Study design: The study was conducted on 160 children (80 in control and 80 in intervention group) between the ages of 4 - 10 years. During the administration of anesthesia the children in the control group were made to relax by means of deep breathing and those in the intervention group were taught to use the WITAUL distraction technique. the behavior of the children aged 4 - 5 years was noted using the Modified Toddler-Preschooler Post operative Pain Scale (TPPPS) and that of children aged above 6 years was measured using the FACES Pain Scale-Revised (FPS-R). Results: The use of WITAUL was found to be statistically significant (p value &lt; 0.0001) compared to the control method in serving as a distraction and hence in managing pain during local anesthesia administration. The mean Modified TPPPS scores (4 - 5 year olds) for the WITAL group was 2.46 ±1.752 and that of the control was 5.64±2.328. The mean FPS-R scores (6 - 10 year olds) for the WITAUL group was 3±1.748 and that of the control group was 6.26±1.858. Conclusion: The WITAUL technique therefore appears to be a simple and effective method of distraction during local anesthesia administration in pediatric patients.

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