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


American Journal of Perinatology




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?

Music and Health Institute Terms

Analgesic Intake; Childbirth; Gender Disparities; Hospital Setting; Labor Pain; Medication Use; Music Listening; Music Medicine; Music as Distraction; Music in Combination with Other Techniques; Pain; Pain Management and Control; Pain Score or Rating; Patient Satisfaction; Pregnancy; Recorded Music Listening; Self-Report Measures; Visual Analog Scale (VAS)

Indexed Terms

Analgesia, Epidural; Analgesia, Obstetrical; Opioid Analgesics; Kaplan-Meier Estimate; Labor, Induced; Pain; Pain Measurement; Patient Satisfaction; Pregnancy; Statistics, Nonparametric; Time Factors; Video Games

Study Type

Quantitative Methods; Randomized Controlled Trial

Document Type