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Sound therapy and Audio-analgesia for labor pain

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andrea magee

on 17 July 2013

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Transcript of Sound therapy and Audio-analgesia for labor pain

Sounds and feels like....
Auditory stimulation used to decrease a mother's perception of pain during labor.
* white noise *

* music *

* environmental sounds *

* promotes relaxation and positive emotions *

* can be used throughout pregnancy, during labor, and postpartum *

* distracts from pain *

* creates a steady breathing rhythm *

[1]
Is it Evidence Based?
Yes!
* Audio-analgesia reduces pain for women in the early stages of labor. [2]

* Listening to music during a
c-section may improve maternal pulse rates and self-reported birth satisfaction. [3]
* The most appropriate music for anxiety reduction has a middle-low pitch, low volume, a simple, steady melody, and 60-80 beats per minute, approximating the human heart. [2]

* Soothing music may lower heart rate and blood pressure levels. [4]

* Music can be used to promote relaxation in the early stages of labor and as a stimulant to promote movement during the later stages. [5]

* Certain music causes the endogenous release of endorphins. [6]
What we know...
Spread the word...
* Advise patients to prepare music
selections in advance of the due date.

* Suggest parents listen to the selected music often throughout the pregnancy, while relaxed, to develop a conditioned response.

* Remind parents to bring headphones and speakers to the hospital or birth center, if they are not provided.

* Encourage laboring women to moan on a low a pitch during contractions to promote relaxation.
[5]

* www.birthbeats.org
Audio-analgesia
Not just for mom...
In educating expectant mothers about music therapy, nurses should encourage mothers to [SELECT ALL THAT APPLY]:
A. Pick music that is fast-paced to speed up labor and the onset of contractions.

B. Listen to the music often before labor to practice relaxing.

C. Prepare music even if they are planning to have a c-section.

D. Only choose songs with lyrics, as they are more distracting.
Correct Answers:
B & C

Why?
REFERENCES
[1] Davidson, M., London, M., & Ladewig, P. (2012). Olds' Maternal-Newborn Nursing & Woman's Health Across the Lifespan
(9th ed.). New York, NY: Pearson.

[2] Liu, Y., Chang, M., & Chen, C. (2010). Effects of music therapy on labour pain and anxiety in Taiwanese first-time mothers. Journal of Clinical Nursing 19(7-8), 1065-1072. doi: 10.1111/j.1365-2702.009.03028.x

[3] Laopaiboon, M., Lumbiganon, P., Martis, R., Vatanasapt, P., & Somjaivong, B. (2009). Music During caesarean section under regional anesthesia for improving maternal and infant outcomes. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No.: CD006914. DOI: 10.1002/14651858.CD006914.pub2

[4] Taghinejad, H., Delpisheh, A., & Suhrabi, Z. (2010). Comparison between massage and music therapies to relieve the severity of labor pain. Women's Health, 6(3), 377-381. doi: 10.2217/whe.10.15

[5] Zwelling, E., Johnson, K., & Allen, J. (2006). How to implement complementary therapies for laboring women. The American Journal of Maternal Child Nurinsg, 31(6), 364-370.

[6] Dunbar, R. I., Baron, R., Frangou, A., Pearce, E., van Leeuwen, E. J., Stow, J., … & van Vugt, M. (2012). Social laughter is correlated with an elevated pain threshold. Proceedings of the Royal Society: Biological Sciences, 279(1731), 1161-1167.
doi: 10.1098/rspb.2011.1373
Brought to you by the AAMC Raab-ers
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