Efficacy of Music Therapy on Immediate Postpartum Episiotomy Pain: A randomized controlled trial

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Published: Sep 30, 2018
DOI: https://doi.org/10.14456/tjog.2018.19
Keywords:
episiotomy pain music therapy singleton pregnancy

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Ravita Chaichanalap
Department of Obstetrics and Gynaecology, Faculty of Medicine, Srinakharinwirot university, Nakornnayok, Thailand
Wipada Laosooksathit
Department of Obstetrics and Gynaecology, Faculty of Medicine, Srinakharinwirot university, Nakornnayok, Thailand
Kittipong Kongsomboon
Department of Preventive and Social Medicine, Faculty of Medicine, Srinakharinwirot university, Nakornnayok, Thailand
Tharangrut Hanprasertpong
Department of Obstetrics and Gynaecology, Faculty of Medicine, Srinakharinwirot University, Nakornnayok, Thailand

Abstract

Objectives: To evaluate the effectiveness of music therapy in alleviating immediate postpartum episiotomy wound pain. 


Material and Methods:  A randomized controlled trial was conducted to evaluate the efficacy of music therapy in alleviating immediate pain from an episiotomy wound. Uncomplicated singleton vaginal delivery women with the second degree or less episiotomy wound at Delivery and Postpartum Inpatient Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University, Thailand were enrolled into the study. Visual analog scale (VAS) scoring was used for comparing pain levels.


Results: One hundred postpartum women were enrolled in our study. Baseline characteristics such as age, degree of episiotomy wound tear were similar between both groups. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of the 2nd hour after finish of episiotomy wound repairing process [24.0 millimeters (8.3-41.5) and 36.5 millimeters (20.0-53.3), p < 0.001]. The median pain VAS score was statistically significantly lower in the music group than in the control group at the end of 6th hour after finish of episiotomy wound repairing process [12.0 millimeters (3.0-21.0) and 22.0 millimeters (15.0-38.0), p < 0.001]


Conclusion: Music therapy is effective for reducing the perceived immediate postpartum pain of an episiotomy wound.


Keywords: episiotomy pain, music therapy, singleton pregnancy

Article Details

How to Cite
(1)
Chaichanalap, R.; Laosooksathit, W.; Kongsomboon, K.; Hanprasertpong, T. Efficacy of Music Therapy on Immediate Postpartum Episiotomy Pain: A Randomized Controlled Trial. Thai J Obstet Gynaecol 2018, 26, 158-165.
Issue
VOL. 26, NO. 3: (July - September 2018)
Section
Original Article

References

1. Carroli G, Mignini L. Episiotomy for vaginal birth. Cochrane Database Syst Rev 2009,1: CD000081.
2. Chayachinda C, Titapant V, Ungkanungdecha A. Dyspareunia and sexual dysfunction after vaginal delivery in Thai primiparous women with episiotomy. J Sex Med 2015;12:1275-82.
3. Peter EA, Janssen PA, Grange CS, Douglas MJ. Ibuprofen versus acetaminophen with codeine for the relief of perineal pain after childbirth: a randomized controlled trial. CMAJ 2001;165:1203-9.
4. Kargar R, Aghazageh-Nainie A, Khoddami-Vishteh HR. Comparison of the effects of lidocaine prilocaine cream (EMLA) and lidocaine injection on reduction of perineal pain during perineum repair in normal delivery. Family Reprod Health 2016;10:21-6.
5. Graversen M, Sommer T. Perioperative music may reduce pain and fatique in patients undergoing laparoscopic cholecystectomy. Acta Anaesthesiol Scand 2013;57:1010-6.
6. Ozer N, Karaman Ozlu Z, Arslan S, Gunes N. Effect of music on postoperative pain and physiologic parameters of patients after open heart surgery. Pain Mang Nurs 2013;14:20-8.
7. Good M, Anderson GC, Stanton-Hicks M. Relaxation and music therapy reduce pain after gynecologic surgery. Pain Manag Nurs 2002;3:61-70.
8. Phumdoung S, Good M. Music reduces sensation and distress of labor pain. Pain Manag Nurs 2003;4:54-61.
9. Allred KF, Byers JF, Sole ML. The effect of music on postoperative pain and anxiety. Pain Manag Nurs 2010;11:15-25.
10. Steen M, Cooper K, Marchant P, Griffiths-Jones M, Walker J. A randomized controlled trial to compare the effectiveness of icepacks and epifoam with cooling maternity gel pads at alleviating postnatal perineal trauma. Midwifery 2000;16:48-55.
11. De Silva AP, Niriella MA, Nandamuni Y, et al. Effect of audio and visual distraction on patients undergoing colonoscopy: a randomized controlled study. Endosc Int Open 2016;4:1211-4.
12. Najafi Ghezeljeh T, Mohades Ardebili F, Rafii F. The effects of massage and music on pain, anxiety and relaxation in burn patients: randomized controlled trial. Burns 2017;43:1034-43
13. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS pain), McGill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63:240-52.
14. James DK, Spancer CJ, Stepsis BW. Fetal learning: a prospective randomized controlled study. Ultrasound Obstet Gynecol 2002;20:431-8.
15. Partanen E, Kujala T, Tervaniemi M, Huotilainen M. Prenatal music exposure induces long-term neural effects. PLoS One 2013;30:e78946.
16. Qiu J, Jiang YF, Li F, Tong QH, Rong H, Cheng R. Effect of combined music and touch intervention on pain response and β-endorphin and cortisol concentrations in late preterm infants. BMC Pediatr 2017;17:38.
17. Guetin S, Ginies P, Siou DK, Picot MC, Pommie C, Guldner E, et al, The effects of music intervention in the management of chronic pain: a single-blind, randomized, controlled trial. Clin J Pain2012;28:329-37.