scholarly journals TECHNIQUES OF PAIN REDUCTION IN THE NORMAL LABOR PROCESS : SYSTEMATIC REVIEW

2017 ◽  
Author(s):  
Wan Anita

Pain during labor is a physiological condition commonly experienced by most maternity mothers. Laborpain is a subjective experience caused by uterine muscle ischemia, withdrawal and traction of uterineligaments, ovarian traction, fallopian tubes and lower uterine distension, pelvic floor muscles andperineum. The pain in labor arises from psychic responses and physical reflexes. The purpose of thisSystematic review is to look at effective methods for reducing pain in the labor process so that it can beused as an alternative method of reducing pain in patients who will give birth. This review systematicreview of the published artike through google scholar site with 17 journals reviewed. In an effort toreduce labor pain there are various methods that can be used in providing midwifery care in the processof childbirth. Based on this systematic review it can be concluded that many methods of pain reductionthat can be used in reducing labor pain are counter pressure and abdominal lifting, hypnobirthing,religious and murottal music, classical music and local music, relaxation, compress, warm gingerdrink, acupressur , TENS, account and aromatherapy.

2017 ◽  
Vol 2 (3) ◽  
pp. 362
Author(s):  
Wan Anita

<p><em>Pain during labor is a physiological condition commonly experienced by most maternity mothers. Labor pain is a subjective experience caused by uterine muscle ischemia, withdrawal and traction of uterine ligaments, ovarian traction, fallopian tubes and lower uterine distension, pelvic floor muscles and perineum. The pain in labor arises from psychic responses and physical reflexes. The purpose of this Systematic review is to look at effective methods for reducing pain in the labor process so that it can be used as an alternative method of reducing pain in patients who will give birth. This review systematic review of the published artike through google scholar site with 17 journals reviewed. In an effort to reduce labor pain there are various methods that can be used in providing midwifery care in the process of childbirth. Based on this systematic review it can be concluded that many methods of pain reduction that can be used in reducing labor pain are counter pressure and abdominal lifting, hypnobirthing, religious and murottal music, classical music and local music, relaxation, compress, warm ginger drink, acupressur , TENS, account and aromatherapy.</em><em></em></p>


Author(s):  
Junaida Rahmi ◽  
Riris Andriati ◽  
Siti Novy Romlah ◽  
Fitri Nur Anisa ◽  
Diah Ayu Septiana

ABSTRACT Labor pain is a natural thing that will serve every woman before the birth process, labor pain can occur due to strong contractions that function as a decrease in the baby's head and body. Labor pain causes a sense of discomfort and anxiety which is presented to the mother in labor. Overcoming labor pain can be done with pharmacological methods, namely analgesic and non-pharmacological, namely the Endorphin Technique. Research Objectives To find out ‘The Effect of Endorphin Techniques on Labor Pain in the First Stage’. This type of  search uses the literature study method by collecting the data obtained (n=955), analyzing, structured evaluation, and classification so as to get a reference to the literature study. The results of the study found the Endorphin Technique (n = 5) journal journals. The Endorphin Technique are very effective in reducing labor pain and helping to accelerate the lowering of the baby's head in laboring mothers so as to provide comfort to the mother before labor It is hoped that health workers apply in midwifery care and provide health education to mothers who give birth that the Endorphin Technique methods that can reduce pain during the labor process. ABSTRAK Nyeri persalinan merupakan hal wajar yang akan dialami oleh setiap wanita menjelang proses persalinan, nyeri persalinan bisa terjadi karena adanya kontraksi kuat yang berfungsi sebagai penurunan kepala dan badan bayi. Nyeri persalinan menimbulkan rasa ketidaknyamanan serta rasa cemas yang dialami pada ibu bersalin. Mengatasi nyeri persalinan dapat dilakukan dengan metode farmakologi yaitu analgesic dan non farmakologi yaitu Teknik Endorphin. Tujuan Penelitian Mengetahui ‘Penerapan Teknik Endorphin Terhadap Nyeri Persalinan Kala I’. Jenis penelitian yang menggunakan metode study literatur review dengan mengumpulkan data yang diperoleh (n=955), telaah, evaluasi terstruktur, dan pengklasifikasian sehingga mendapatkan kesimpulan mengenai studi literatur. Hasil penelitian ditemukan Teknik Endorphin (n=5) jurnal. Teknik Endorphin sangat efektif dalam mengurangi rasa nyeri persalinan dan membantu mempercepat penurunan kepala bayi pada ibu bersalin sehingga memberikan rasa nyaman kepada ibu bersalin menjelang proses persalinan. Diharapkan untuk tenaga kesehatan menerapkan dalam asuhan kebidanan serta memberi pendidikan kesehatan pada ibu bersalin bahwa  Teknik Endorphin merupakan metode yang dapat mengurangi rasa nyeri pada saat proses persalinan.


Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3413-3427
Author(s):  
Dorine Lenoir ◽  
Ward Willaert ◽  
Iris Coppieters ◽  
Anneleen Malfliet ◽  
Kelly Ickmans ◽  
...  

Abstract Background With its high temporal resolution, electroencephalography (EEG), a technique that records electrical activity of cortical neuronal cells, is a potentially suitable technique to investigate human somatosensory processing. By using EEG, the processing of (nociceptive) stimuli can be investigated, along with the functionality of the nociceptive pathway. Therefore, it can be applied in chronic pain patients to objectify whether changes have occurred in nociceptive processing. Typically, so-called event-related potential (ERP) recordings are used, where EEG signals are recorded in response to specific stimuli and characterized by latency and amplitude. Objective To summarize whether differences in somatosensory processing occur between chronic pain patients and healthy controls, measured with ERPs, and determine whether this response is related to the subjective pain intensity. Design Systematic review. Setting and Methods PubMed, Web of Science, and Embase were consulted, and 18 case–control studies were finally included. Subjects The chronic pain patients suffered from tension-type headache, back pain, migraine, fibromyalgia, carpal tunnel syndrome, prostatitis, or complex regional pain syndrome. Results Chronic neuropathic pain patients showed increased latencies of the N2 and P2 components, along with a decreased amplitude of the N2-P2 complex, which was also obtained in FM patients with small fiber dysfunction. The latter also showed a decreased amplitude of the N2-P3 and N1-P1 complex. For the other chronic pain patients, the latencies and the amplitudes of the ERP components did not seem to differ from healthy controls. One paper indicated that the N2-P3 peak-to-peak amplitude correlates with the subjective experience of the stimulus. Conclusions Differences in ERPs with healthy controls can mostly be found in chronic pain populations that suffer from neuropathic pain or where fiber dysfunction is present. In chronic pain populations with other etiological mechanisms, limited differences were found or agreed upon across studies.


2019 ◽  
Vol 33 (8) ◽  
pp. 878-899 ◽  
Author(s):  
Annmarie Hosie ◽  
Najma Siddiqi ◽  
Imogen Featherstone ◽  
Miriam Johnson ◽  
Peter G Lawlor ◽  
...  

Background: Delirium is common, distressing, serious and under-researched in specialist palliative care settings. Objectives: To examine whether people requiring palliative care were included in non-pharmacological delirium intervention studies in inpatient settings, how they were characterised and what their outcomes were. Design: Systematic review (PROSPERO 2017 CRD42017062178). Data sources: Systematic search in March 2017 for non-pharmacological delirium intervention studies in adult inpatients. Database search terms were ‘delirium’, ‘hospitalisation’, ‘inpatient’, ‘palliative care’, ‘hospice’, ‘critical care’ and ‘geriatrics’. Scottish Intercollegiate Guidelines Network methodological checklists guided risk of bias assessment. Results: The 29 included studies were conducted between 1994 and 2015 in diverse settings in 15 countries (9136 participants, mean age = 76.5 years ( SD = 8.1), 56% women). Most studies tested multicomponent interventions ( n = 26) to prevent delirium ( n = 19). Three-quarters of the 29 included studies ( n = 22) excluded various groups of people requiring palliative care; however, inclusion criteria, participant diagnoses, illness severity and mortality indicated their presence in almost all studies ( n = 26). Of these, 21 studies did not characterise participants requiring palliative care or report their specific outcomes (72%), four reported outcomes for older people with frailty, dementia, cancer and comorbidities, and one was explicitly focused on people receiving palliative care. Study heterogeneity and limitations precluded definitive determination of intervention effectiveness and only allowed interpretations of feasibility for people requiring palliative care. Acceptability outcomes (intervention adverse events and patients’ subjective experience) were rarely reported overall. Conclusion: Non-pharmacological delirium interventions have frequently excluded and under-characterised people requiring palliative care and infrequently reported their outcomes.


2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Mahbubeh Tabatabaeichehr ◽  
Hamed Mortazavi

BACKGROUND: Aromatherapy as an alternative and complementary medicine is a well-known method for reducing the symptoms of various physiological processes such as labor experience. The aim of this study was to systematically review the currently available evidences evaluating the use of aromatherapy for management of labor pain and anxiety.METHODS: In a systematic review, 5 databases (PubMed, SCOPUS, Web of Science, Google Scholar and Scientific Information Database [SID]) were searched, from database inception up to December 2019. Keywords used included (aromatherapy OR "“essential oil” OR "aroma*") AND (pain OR anxiety) AND (labor OR delivery). Using the Cochrane Collaboration's 'Risk of bias' method; the risk of bias in the included studies was evaluated.RESULTS: A total of 33 studies were verified to meet our inclusion criteria. Most of the included studies were conducted in Iran. Aromatherapy was applied using inhalation, massage, footbath, birthing pool, acupressure, and compress. The most popularly used essential oil in the studies was lavender (13 studies), either as a single essential oil or in a combination with other essential oils. Most of included studies confirmed the positive effect of aromatherapy in reducing labor pain and anxiety.CONCLUSION: The evidences from this study suggest that aromatherapy, as a complementary and alternative modality, can help in relieving maternal anxiety and pain during labor. 


2017 ◽  
Vol 63 (2) ◽  
pp. 129-144 ◽  
Author(s):  
Carlos Aguilera-Serrano ◽  
Jose Guzman-Parra ◽  
Juan A Garcia-Sanchez ◽  
Berta Moreno-Küstner ◽  
Fermin Mayoral-Cleries

Objective: This systematic review presents evidence regarding factors that may influence the patient’s subjective experience of an episode of mechanical restraint, seclusion, or forced administration of medication. Method: Two authors searched CINAHL, PubMed, SCOPUS, Web of Science, and Psych-Info, considering published studies between 1 January 1992 and 1 February 2016. Based on the inclusion criteria and methodological quality, 34 studies were selected, reporting a total sample of 1,869 participants. Results: The results showed that the provision of information, contact and interaction with staff, and adequate communication with professionals are factors that influence the subjective experience of these measures. Humane treatment, respect, and staff support are also associated with a better experience, and debriefing is an important procedure/technique to reduce the emotional impact of these measures. Likewise, the quality of the working and physical environment and some individual and treatment variables were related to the experience of these measures. There are different results in relation to the most frequently associated experiences and, despite some data that indicate positive experiences, the evidence shows such experiences to be predominantly negative and frequently with adverse consequences. It seems that patients find forced medication and seclusion to be more tolerable than mechanical restraint and combined measures. Conclusions: It appears that the role of the staff and the environmental conditions, which are potentially modifiable, affect the subjective experience of these measures. There was considerable heterogeneity among studies in terms of coercive measures experienced by participants and study designs.


2020 ◽  
Vol 11 (1) ◽  
pp. 107-113
Author(s):  
Elpinaria Elpinaria Girsang

Husband's companion is encouragement or motivation, to provide assistance and support to the mother during labor, the husband is the first and foremost person in giving encouragement to the wife before the other party gives encouragement, support and attention of a husband to a pregnant wife that will have an impact reduction of pain during labor in Ciomas Health Center, Bogor Regency. The factors that influence the reduction in labor pain include presenting (Husband), positioning, touch and massase, massage, artificial heat, immersion in water, breathing and music. This aims to identify Reduction of Pain in Husband's Companion in Ciomas Health Center, Bogor Regency in 2018. The purpose of this study was to find out the relationship between husband's companion and the reduction of pain in labor in Ciomas Puskesmas, Bogor Regency in 2018. This type of research is an analytical survey with a cross sectional approach. The method of sampling in this study uses total sampling technique with a sample of 30 respondents, Status data for reducing the patient's pain is obtained by observing The results of bivariate analysis using the chi-square test The proportion of respondents with the results of pain reduction when accompanied in labor more moderate pain than severe pain and very severe pain (53.3% 36.7% and 10.0% with ρ = 0.004; ρ <0.05), So Ho was rejected with Ha accepted which means there is a relationship between husband's companion and a reduction in pain Based on the conclusions of the research results, there is a suggestion for the husband's husband to always accompany him during the labor process so that he can reduce the pain in the labor process 


2016 ◽  
Vol 28 (7) ◽  
pp. 1067-1077 ◽  
Author(s):  
Sandra A Zwijsen ◽  
Eva van der Ploeg ◽  
Cees M.P.M. Hertogh

ABSTRACTBackground:There is growing awareness that the subjective experience of people with dementia is important for understanding behavior and improving quality of life. This paper reviews and reflects on the currently available theories on subjective experience in dementia and it explores the possibility of a knowledge gap on the influence of neurological deficits on experience in late stage dementia.Methods:A literature review on current commonly used theories on experience in dementia was supplemented with a systematic review in PubMed and Psychinfo. For the systematic review, the terms used were Perception and Dementia and Behavior; and Awareness and Dementia and Long term care.Results:Current models emphasize the psychosocial factors that influence subjective experience, but the consequences of neurological deficits are not elaborated upon. The systematic literature search on the neuropsychological functioning in dementia resulted in 631 papers, of which 94 were selected for review. The current knowledge is limited to the early stages of Alzheimer's disease. Next to memory impairments, perception of the direct environment, interpretation of the environment, and inhibition of own responses to the environment seem to be altered in people with dementia.Conclusions:Without knowledge on how perception, interpretation and the ability for response control are altered, the behavior of people with dementia can easily be misinterpreted. Research into neuropsychological functioning of people in more severe stages and different forms of dementia is needed to be able to develop a model that is truly biopsychosocial. The proposed model can be used in such research as a starting point for developing tests and theories.


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