Effect of Dance Labor on the Management of Active Phase Labor Pain & Clients’ Satisfaction: A Randomized Controlled Trial Study

Abstract

Background:There are a wide variety of non- pharmacologic pain relief techniques for labor which include pelvic movement, upright position, back massage and partner support during the first stage of labor. The effectiveness of dance labor- which is a combination of these techniques- has not been evaluated.Aim:This study aimed to evaluate the effectiveness of dance labor in pain reduction and woman’s satisfaction during the first stage of labor.Methods:60 primiparous women aged 18-35 years old were randomly assigned to dance labor and control groups. In the dance labor group, women were instructed to do standing upright with pelvic tilt and rock their hips back and forth or around in a circle while their partner massaged their back and sacrum for a minimum of 30 minutes. In the control group, the participants received usual care during physiologic labor. Pain and satisfaction scores were measured by Visual Analogue Scale. Data were analyzed by using the t. test and Chi-square.Findings:Mean pain score in the dance labor group was significantly lower than the control group (P < 0.05). The mean satisfaction score in the dance labor group was significantly higher than in the control group (P < 0.05).Conclusion:Dance labor which is a complementary treatment with low risk can reduce the intensity of pain and increase mothers, satisfaction with care during the active phase of labor.

Effect of upright and ambulant positions versus lying down during the active first stage of labor on birth outcomes among nulliparous women: randomized controlled clinical trial

“…It affects the characteristics and efficiency of uterine contractions, duration of labor, fetal/neonatal well-being, and women comfort. 8 The recumbent position is the most common position for women during the first stage of labor at health facilities in both developed and developing countries. Although medical staff say that recumbent position is an appropriate position for delivery, there is no scientific confirmation on its advantages to mothers or newborns.…”

Effect of pelvic rocking exercise using sitting position on birth ball during the first stage of labor on its progress

“…Indeed Sitting upright on birth ball and practicing pelvic rocking exercise in first stage of labor helps the abdomen be a hammock, and encourages the baby to settle into an anterior position. (6) As well as encourages rotation of a posterior baby, encouraging to incorporate movement while resting by leaning forward, pelvic rocking, swaying, doing hip circles and figure eights, and gently bouncing to help increase the pelvic outlet as much as 30%, which also permit baby's decent, eventually get the baby's head on the cervix. Moreover, pelvic rock can reduce tension in the lower back, italso helps relieve back discomfort and pain , In this context, faster the progress of labor, with less usage of medical interventions and higher mother's comfort.…”

“…Women also have displayed higher satisfaction levels and greater probability of spontaneous deliveryrather than CS. (6,7,8) Effect of pelvic rocking exercise using sitting position on birth ball during the first stage of labor on.... Significance of the study Most of the women are giving birth in health-care facilities in lying down position on the bed which is rooted as convenience methods by health care providers, which is not based on scientific research.…”

Dancing During Labor: Are Women Down to Boogie?

“…To our knowledge, only one unregistered randomized trial conducted in Iran identified that mean pain and patient satisfaction scores were significantly better in the dance labor group when compared to the control group. 13 In this study, the dance labor group was required to stay upright for at least 30 minutes, rest their arms on their partner's shoulders, tilt their pelvis, and move their hips in a circle or rock them back and forth. 13 These movements may help to facilitate progression of labor, decrease pain, and improve fetal oxygenation.…”

“…13 In this study, the dance labor group was required to stay upright for at least 30 minutes, rest their arms on their partner's shoulders, tilt their pelvis, and move their hips in a circle or rock them back and forth. 13 These movements may help to facilitate progression of labor, decrease pain, and improve fetal oxygenation. 14 Given social media trends and the lack of current evidence, we conducted a feasibility study with two main objectives.…”