Listen To Music Therapy Methods Study Of The Effect Of Maternity Labor And Delivery Pain Intervention

Background:The pain of childbirth has been one of the most intense in the vast majority of women's lives. Long and intense pain not only brings about a very large maternal physical and mental suffering, but also may endanger the life of both mother and fetus. The pain during childbirth is affected mainly by maternal physiological changes, and it is also under the influence of other spiritual, psychological and social factors. Along with the improvement of people's living, medical technology development and medical care conditions, demand of painless delivery has become urgent.Purposes:To investigate the impact of music therapeutic methods in pain relief during childbirth, shorten the delivery process, and evaluate intervention process to explore an appropriate music intervention model for mothers during childbirth.Methods:Thirty-seven cases of primipara at Beijing Mary Women and Children Hospital have been randomly divided into experimental (22 cases) and control (15 cases) groups in the Lamaze training courses. In the experimental group, all subjects received a pre-training course provided by the investigator every week during the 34th through the 38th weeks prior to delivery. The investigator plays the pre-selected music during the first stage of labor and the second stage of labor,the third stage of labor. The subjects in the control group do not receive any intervention. The investigator measures and evaluates the extent of maternal pain for both experimental and control groups during the first stage of labor incubation period, the first active phase of labor, and the second stage of labor. The investigator records labor time of childbirth first stage, second stage, third stage and the total labor hours for evaluation. The assessment tools include VRS-5 verbal rating scores.Results:Completed data collection from all of the 37 subjects, including 22 from the experimental group and 15 from the control group. The subjective pain during the first stage of labor latency is significantly less for the experimental group than that for control group (X2= 14.24, P<0.01); The subjective pain during the first stage of labor active period is also significantly less for the experimental group than that for the control group (X2=23.226, P<0.01); The subjective pain during the second stage of labor is significantly less for the experimental group than that for the control group (X2=16.379, P<0.01).The labor time of first stage for the experimental group (5.6 hours) is significantly different from that for the control group (9.5 hours, P<0.01); The labor time for second and third stage have no significant difference between the experimental group and the control group (P>0.05). Conparing to those in the control group, the subjects in the experimental group receiving music therapy experienced significantly less subjective pain in different labor stages and labor time of the first stage and the overall deliver period are significantly shortened.Conclusion:listening Music therapy is an easy, economic, safe and effective analgesia method, and is worth promoting into the hospital obstetric vigorously.