Relaxation techniques for pain management in labour.

@article{Smith2018RelaxationTF,
  title={Relaxation techniques for pain management in labour.},
  author={Caroline A. Smith and Kate M Levett and Carmel T Collins and Mike Armour and Hannah G. Dahlen and Machiko Suganuma},
  journal={The Cochrane database of systematic reviews},
  year={2018},
  volume={3},
  pages={
          CD009514
        }
}
BACKGROUND Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute to the popularity of complementary methods of pain management. This review examined currently available evidence on the use of relaxation therapies for pain management in labour. This is an update of a review first published in 2011. OBJECTIVES To examine the effects of mind-body relaxation techniques for pain management in labour on maternal and neonatal well… Expand

Paper Mentions

Interventional Clinical Trial
This is a randomized control study with 42 laboring women allocated to virtual reality intervention and control groups. The objective of this study, to evaluate the effectiveness… Expand
ConditionsLabor Pain
InterventionDevice
Acupuncture or acupressure for pain management during labour.
TLDR
This review examined evidence about the use of acupuncture and acupressure for pain management in labour and found that acupuncture probably has little to no effect on assisted vaginal birth or caesarean section, and probably reduces theUse of pharmacological analgesia. Expand
Complementary and alternative therapies for post-caesarean pain.
TLDR
The certainty of evidence was downgraded due to small numbers of women participating in the trials and to risk of bias related to lack of blinding and inadequate reporting of randomisation processes, and it is very uncertain if acupuncture or acupressure (versus no treatment) orupuncture or ac upressure plus analgesia (versu analgesia) has any effect on pain because the quality of evidence is very low. Expand
The effectiveness and safety of complementary health approaches to managing postpartum pain: A systematic review and meta-analysis
TLDR
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Epidural versus non-epidural or no analgesia for pain management in labour.
TLDR
There was a substantial decrease in the need for additional pain relief in women receiving epidural analgesia compared with opioid analgesia, and a higher proportion were satisfied with their pain relief, reporting it to be "excellent or very good" (average risk ratio (RR) 1.47). Expand
Complementary therapies for labour and birth study: a randomised controlled trial of antenatal integrative medicine for pain management in labour
TLDR
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Controlled Breathing With or Without Lavender Aromatherapy for Labor Pain at the First Stage: A Randomized Clinical Trial
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TLDR
A qualitative evidence synthesis of women’s views and experiences of pharmacological (epidural, opioid analgesia) and non-pharmacological (relaxation, massage techniques) pain relief options is undertaken to understand what affects women's decisions and choices and to inform guidelines, policy, and practice. Expand
NON-PHARMACOLOGICAL TECHNIQUES IN LABOR PAIN MANAGEMENT
TLDR
Nonpharmacological methods affect the cognitive, emotional, behavioral, and sociocultural dimensions of the pain and lead the woman to perceive the pain at the lowest level by providing relaxation. Expand
Are there differences in pain intensity between two consecutive vaginal childbirths? A retrospective cohort study.
BACKGROUND Pain assessment is crucial for in-labour pain management. Even though women's self-rated pain intensity is the standard for pain relief or analgesic administration, multiparas appear toExpand
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TLDR
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Relaxation techniques for pain management in labour.
TLDR
Relaxation and yoga may have a role with reducing pain, increasing satisfaction with pain relief and reducing the rate of assisted vaginal delivery and there is a need for further research. Expand
Aromatherapy for pain management in labour.
TLDR
There is a lack of studies evaluating the role of aromatherapy for pain management in labour, and further research is needed before recommendations can be made for clinical practice. Expand
Complementary and alternative therapies for pain management in labour.
TLDR
Acupuncture and hypnosis may be beneficial for the management of pain during labour and the outcome measures were maternal satisfaction, use of pharmacological pain relief and maternal and neonatal adverse outcomes. Expand
Hypnosis for pain management during labour and childbirth.
TLDR
In this updated review, hypnosis interventions are compared with all control groups (main comparison) and also with specific control conditions: standard care, supportive counselling, and relaxation training (two RCTs), which showed evidence of considerable statistical heterogeneity. Expand
Acupuncture or acupressure for pain management in labour.
TLDR
Acupuncture and acupressure may have a role with reducing pain, increasing satisfaction with pain management and reduced use of pharmacological management in labour, however, there is a need for further research. Expand
Pain management for women in labour: an overview of systematic reviews.
TLDR
Evidence suggests that epidural, combined spinal epidural (CSE) and inhaled analgesia effectively manage pain in labour, but may give rise to adverse effects. Expand
Biofeedback for pain management during labour.
TLDR
There is insufficient evidence that biofeedback is effective for the management of pain during labour, and randomised controlled trials of any form of prenatal classes which included bio feedback, in any modality, in women with low-risk pregnancies showed that this approach is unproven. Expand
Inhaled analgesia for pain management in labour.
TLDR
The effects of all modalities of inhaled analgesia on the mother and the newborn for mothers who planned to have a vaginal delivery were examined and substantial heterogeneity was found in the analyses of pain intensity and in the analysis of pain relief. Expand
Local anaesthetic nerve block for pain management in labour.
TLDR
Local anaesthetic nerve blocks are more effective than placebo, opioid and non-opioid analgesia for pain management in labour based on RCTs of unclear quality and limited numbers. Expand
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TLDR
Findings indicated that parenteral opioids provided some pain relief and moderate satisfaction with analgesia in labour, although up to two-thirds of women who received opioids reported moderate or severe pain and/or poor or moderate pain relief one or two hours after administration. Expand
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