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Tytuł pozycji:

The Effect of Distraction during Labor Induction on Timing of Analgesia Request: A Randomized Clinical Trial.

Tytuł:
The Effect of Distraction during Labor Induction on Timing of Analgesia Request: A Randomized Clinical Trial.
Autorzy:
Dixon CL; Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Monsivais L; Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Chamseddine P; Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Olson G; Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Pacheco LD; Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Saade GR; Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Costantine MM; Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Źródło:
American journal of perinatology [Am J Perinatol] 2019 Nov; Vol. 36 (13), pp. 1351-1356. Date of Electronic Publication: 2019 Jan 04.
Typ publikacji:
Journal Article; Randomized Controlled Trial
Język:
English
Imprint Name(s):
Original Publication: New York, NY : Thieme-Stratton, 1983-
MeSH Terms:
Analgesia, Obstetrical*
Music*
Video Games*
Labor, Induced/*adverse effects
Pain/*prevention & control
Adult ; Analgesia, Epidural ; Analgesics, Opioid/therapeutic use ; Female ; Humans ; Kaplan-Meier Estimate ; Pain/drug therapy ; Pain/etiology ; Pain Measurement ; Patient Satisfaction ; Pregnancy ; Statistics, Nonparametric ; Time Factors ; Young Adult
Molecular Sequence:
ClinicalTrials.gov NCT03024411
Substance Nomenclature:
0 (Analgesics, Opioid)
Entry Date(s):
Date Created: 20190105 Date Completed: 20200818 Latest Revision: 20200818
Update Code:
20240105
DOI:
10.1055/s-0038-1676974
PMID:
30609428
Czasopismo naukowe
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  < 0.05).
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.
Competing Interests: None declared.
(Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.)

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