The Effect of Distraction during Labor Induction on Timing of Analgesia Request: A Randomized Clinical Trial
| Autor: | Gayle Olson, Maged M. Costantine, Petra Chamseddine, Luis Monsivais, C. Luke Dixon, George R. Saade, Luis D. Pacheco |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Visual analogue scale medicine.medical_treatment Pain Kaplan-Meier Estimate Statistics Nonparametric law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Patient satisfaction Randomized controlled trial Pregnancy law Distraction medicine Humans Labor Induced Pain Measurement 030219 obstetrics & reproductive medicine Foley business.industry Obstetrics and Gynecology medicine.disease Analgesia Epidural Analgesics Opioid Video Games Patient Satisfaction Labor induction Pediatrics Perinatology and Child Health Physical therapy Analgesia Obstetrical Gestation Female business Music |
| Zdroj: | American Journal of Perinatology. 36:1351-1356 |
| ISSN: | 1098-8785 0735-1631 |
| Popis: | Objective To assess whether distraction using music and/or video games influences timing of analgesia request and improves pain outcomes in women undergoing labor induction. Study Design A total of 219 pregnant women with singleton gestation undergoing labor induction with a Foley bulb (FB) at term were randomized to distraction with music and video games via iPod (n = 109) or no iPod (n = 110). The primary outcome was the time from FB placement to request for pain medication. Secondary outcomes included number of patients requesting pain medication within 6 and 12 hours, type of pain medication received, pain visual analog scale scores, and patient satisfaction. Mann–Whitney's, chi-square, Kaplan–Meier's curves, and Pearson's product moment correlation were used for statistical analysis (significance: p Results Baseline characteristics were similar between the two groups. There was no difference in the time from FB placement until pain medication request between the groups. There were no significant differences in secondary outcomes. Increased per cent time of iPod use correlated with a longer time until pain medication request (R 2 = 0.22, p = 0.03). Conclusion We were not able to show that distraction using music and video games delays timing of analgesia request or improve pain outcomes in pregnant women undergoing mechanical labor induction at term. |
| Databáze: | OpenAIRE |
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