Effect of music therapy on pain during first stage of labour among Primi parturient mothers in Kasturba Gandhi hospital for women and children, Chennai

Abstract

Pain in childbirth is a universal experience and considered as a normal occurrence. Understanding the cause and characteristics of pain in the labour room will help the nurse to provide care for the women in labour process. Non-pharmacological management of labour includes mental stimulation, thermal stimulation, and cutaneous stimulation (Campman & Durham, 2010). The objectives of this study were to: (1) To assess the level of pain among Primi parturient mother during the first stage of labour in the intervention group and control group, (2) To assess the effectiveness of music therapy during the first stage of labour in terms of pain reduction in the intervention group compared to control group. Method: The study was conducted among 30primi parturient mothers in Kasturba Gandhi Hospital for Women and Children, Chennai District, Tamil Nadu. Primi parturient mothers were assessed by using tools like Socio-demographic proforma, Clinical variables, Maternal physiological parameters – vital signs, FHR, and Labour pain was assessed by Numerical pain rating scale. The result of the present study found that there is no significant mean difference in pre-test concerning pain level of intervention and control group (p>0.05). whereas in post-test 1 the mean pain level in the intervention group was 6.53 which is less than the control group 7.06 (mean difference 0.53). In post-test 2 the mean pain level in the intervention group was 6.60 which is less than the control group 8.86 (mean difference 2.26). This finding revealed that music therapy was effective in the reduction of pain at P< 0.05. To conclude a music therapy was effective in reducing pain during the first stage of labour among Primi parturient mothers. Thus, it can implement as non-pharmacological therapy to reduce labour pain.