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Am J Perinatol 2019; 36(13): 1351-1356
DOI: 10.1055/s-0038-1676974
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

C. Luke Dixon
1   Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas
,
Luis Monsivais
1   Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas
,
Petra Chamseddine
1   Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas
,
Gayle Olson
1   Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas
,
Luis D. Pacheco
1   Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas
,
George R. Saade
1   Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas
,
Maged M. Costantine
1   Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas
› Author Affiliations Funding Departmental funding was provided for financial support. No outside sources of support were provided. ClinicalTrials.gov Identifier: NCT03024411. Registration site URL: https://clinicaltrials.gov/ct2/show/NCT03024411.
Further Information

Publication History

26 June 2018

16 November 2018

Publication Date:
04 January 2019 (online)

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Abstract

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.

Keywords

induction of labor - labor analgesia - music - pain - distraction - pain management
 

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