Music and Labor Pain
Labor pain is one of the most undesired but unavoidable experience women go through during the process of child delivery. Music therapy has been applied in many clinical incidences across the world as a remedy to the labor pains. According to the World Health Organization, many expecting women report that having their best music played when they are experiencing child labor and at birth makes the whole condition manageable. For in instance, in the Philippines, government hospitals have confirmed to receive pharmacological and non-pharmacological administration like listening to music, which helps to reduce pain during labor. The purpose of this study is to establish the effect of listening to music on the discernment of pain during the suppressed time of labor among women in hospitals.
Key words: Labor pain, Music therapy, Behavior scale rating
Labor pain is a normal experience that women go through during the time that supersedes childbirth. In as much it is an expected phase, many will confirm that it is one of the worst and unpleasant moments in the process of childbirth (Troutt, 2004). Women in labor pains go through enormous pain, which is a result of uterine contractions from the visceral pain. The labor pain comes about due to the pressure the fetus head puts on the mothers pelvic floor, vagina and the perineum. This translates to the pains being transmitted to the pudendal nerve (Baths, 2003).The labor pains in women become more intense as her labor advances especially for the ones giving birth for the first time. The labor pain in women is in two aspects, which are physiological and psychological. Physiological aspect is part of the normal receptive by the sensory nerves send out to the central nervous system. Psychological pain takes part in the woman mind whereby she becomes aware of the sensation; infer it as agonizing and responding to it.
Labor pain is unique in the sense that it is normal and anticipated. This implies that it can be prepared for and terminated with the arrival a baby (Lowe, 2002). Several methods have been applied to help relieve labor pain like pharmacologic methods, relaxation techniques, breathing measures, massages, and warm shower among many others. Pharmacological methods have been proven affective according to research but at the expense of several side effects. Music therapy as a non-pharmacological is a natural aspect that is believed to restore the situation. Music therapy draws its history from the time of Florence Nightingle where she used as an intercession to restore comfort .Music has been proven to divert the anxiety feeling which release endorphins that are natural body pain killers.
Several studies conducted have it that soothing music is effectual in combating pain experienced by women at childbirth. Additionally, listening to music has been established to provide relaxation, deliberation and a reduced phase of labor. This study was thus conducted to establish the effect of listening to music on the view of pain at during the labor period among women.
The research question developed is based upon a structured PICOT format. This will be useful in establishing evidence-based information that gives detailed explanation to the inquiry. PICOT is an acronym for population of Interest, issues of interest, comparison of interest, outcome, and time frame for the result. The PICOT for the research finding will therefore be:
- Population of expectant women both in labor and those who have given birth
- Intervention of the aspect of music
- Comparison with other methods of reducing labor pain
- Outcome of using the method
- Period which is excluded to limited literature for outcomes which are well timed.
The PICOT will be a question: In women experiencing labor pain (P), how does listening to music (I), compared to other methods (C), to help relieve the pain?
Baths, W. (2003).The nature and management of labor pain: Part I. Nonpharmacologic pain relief. Am fam Physician. 68(6),1109-1113.
Lowe, N., K. (2002).The nature of labor pain. American journal of obstetrics and gynecology.186(5), S16-S24. PMid:12011870
Troutt, K. (2004).The neuromatrix theory of pain: implications for selected non-pharmacologic methods of pain relief for labor. Journal of Midwifery & Women’s Health.49: 482-488. PMid:15544977