Authors (including presenting author) :
Shiu WY(1), Chan KY(1), Li YK(1), Leung SK(1), Wan OM(1)
Affiliation :
Department of Obstetrics & Gynaecology, United Christian Hospital(1)
Introduction :
Natural childbirth is often regarded as the ideal approach for mothers and infants, yet many women experience overwhelming pain during labour. While pharmacological methods can be effective, they may pose risks through side effects for both mothers and infants. This concern has raised interest in non-pharmacological pain relief strategies. Over five years, our department has implemented various techniques, including breathing methods, music therapy, heat application, birth balls, massage, transcutaneous electrical nerve stimulation (TENS), virtual reality (VR), aromatherapy, and promoting mobility during labor.
Objectives :
This study explores women’s experiences and perceptions of non-pharmacological pain relief methods during childbirth over a five-year period, focusing on usage rates and perceived effectiveness.
Methodology :
Using a Continuous Quality Improvement (CQI) framework, we applied the PDCA (Plan-Do-Check-Act) cycle to enhance non-pharmacological pain relief practices. This included developing guidelines, organizing staff training and prenatal education workshops, introducing new techniques, continuously monitoring outcomes and refining strategies based on feedback. Data was collected from the OBSCIS system and systematic feedback from women regarding their use of various methods—including music, warm pads, birth balls and mobilization, massage, aromatherapy, TENS, and hypnoVR—from 2020 to 2024.
Result & Outcome :
Result: Analysis revealed significant trends over five years. The usage of non-pharmacological pain relief methods increased markedly, with music therapy rising from 38% to 80% and warm pad usage from 59% to 70%. The introduction of aromatherapy, hypnoVR, and updated TENS guidelines since 2023 yielded favorable maternal responses. Aromatherapy significantly enhanced calmness, reduced anxiety, and improved sleep quality (p<0.05). The hypnoVR program alleviated anxiety during early labour, with high satisfaction reported. Partner massage improved maternal calmness and increased partner involvement, while women in upright positions reported significantly lower pain levels (p<0.05) and shorter duration of the first stage of labour (p<0.05). Conclusion: This five-year experience underscores the growing acceptance and perceived effectiveness of non-pharmacological pain relief methods in improving childbirth experiences. Women reported increased satisfaction and reduced anxiety when using these approaches. Continuous promotion of these methods, grounded in the PDCA cycle of the CQI framework, can significantly enhance maternal and infant health outcomes, reinforcing the importance of a supportive, family-centered approach to childbirth.
