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Evidence summaries

Relaxation Techniques for Pain Management in Labour

Relaxation and yoga might possibly reduce pain, increase satisfaction with pain relief during labour compared with usual care, however the evidence is limited. Level of evidence: "D"

Comment: The quality of evidence is downgraded by several shortcomings in study quality, and by imprecise results (limited study size for each comparison and wide confidence intervals).

Summary

A Cochrane review [Abstract] 1 included 15 studies with a total of 1731 subjects. Relaxation was associated with a reduction in pain intensity during the latent phase (mean difference (MD) -1.25, 95% CI -1.97 to -0.53; 1 trial, n=40) and inconclusively during active phase of labour (MD -1.08, 95% CI -2.57 to 0.41; 4 trials, n=271, high heterogeneity). There was a trend towards increased satisfaction with pain relief (RR 8.00, 95% CI 1.10 to 58.19; 1 trial, n=40), but not for childbirth experience. One trial evaluating mindfulness found an increase in sense of control compared with usual care (MD 31.30, 95% CI 1.61 to 60.99, n=26).

Date of latest search: 2018-05-02

    References

    • Smith CA, Levett KM, Collins CT et al. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev 2018;(3):CD009514. [PubMed]

Primary/Secondary Keywords