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Complementary health therapies significantly reduce labor pain in women during labor (d = -1.16)Massage, Yoga, Music May Ease Labor Pain

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Key Takeaway
Consider incorporating complementary health therapies to reduce labor pain, noting that no single therapy was most effective.

This meta-analysis synthesized evidence from 3774 women in labor to evaluate the impact of complementary health therapies, such as massage, acupressure, yoga, music, electrical nerve stimulation, and virtual reality. The analysis found that these interventions significantly reduced labor pain with an effect size of d = -1.16. No single therapy was identified as the most effective among those reviewed.

The authors noted that the evidence is subject to limitations including heterogeneity and potential publication bias. These factors may influence the precision of the reported effect size. The study did not report specific data on adverse events or tolerability for the interventions.

Clinically, these findings suggest that nonpharmacological approaches may support individualized and culturally responsive labor pain management. These therapies may promote integrative maternity care globally. However, clinicians should consider the heterogeneity of the included studies when applying these results to specific patient populations.

A new review looked at whether complementary therapies can help with labor pain. The review included 3,774 women in labor. It combined results from many studies on therapies such as massage, acupressure, yoga, music, electrical nerve stimulation, and virtual reality. Overall, these therapies were linked to a significant reduction in labor pain, with a large effect size (d = -1.16). However, the review did not identify any single therapy as the most effective. The authors note that the studies varied widely (heterogeneity) and that publication bias may have influenced the results. Safety information was not reported, so it is unclear whether any therapy caused side effects. Because this is a meta-analysis of existing studies, it cannot prove that these therapies directly cause pain relief. Still, the findings suggest that nonpharmacological approaches may support individualized, culturally responsive labor pain management and promote integrative maternity care globally. Women interested in these options should talk with their healthcare provider about what might be right for them.

What this means for you:
Complementary therapies may help ease labor pain, but no single therapy stood out as best.

Common questions

What complementary therapies were studied for labor pain?

The review looked at massage, acupressure, yoga, music, electrical nerve stimulation, and virtual reality. These are non-drug approaches that some women use during labor. The review combined results from many studies and found that, overall, these therapies were linked to a significant reduction in labor pain.

How much did these therapies reduce labor pain?

The review reported a large effect size (d = -1.16) for pain reduction. This means the therapies, as a group, were associated with a meaningful decrease in labor pain. However, the review did not identify any single therapy as the most effective, so it is not clear which one works best.

Are these complementary therapies safe during labor?

The review did not report on safety, side effects, or adverse events. So it is not possible to say from this analysis whether any of these therapies are safe or unsafe. Women should talk with their healthcare provider about the safety of any therapy they are considering during labor.

What are the limitations of this review?

The authors note that the studies included in the review varied widely (heterogeneity) and that publication bias may have influenced the results. Also, no single therapy was found to be most effective. These factors mean the findings should be interpreted with caution and do not prove that the therapies directly cause pain relief.

Study Details

Study typeMeta analysis
Sample sizen = 3,774
EvidenceLevel 1
View Original Abstract ↓
Labor pain can profoundly affect a woman's childbirth and postpartum experience. This systematic review and meta-analysis examined the effectiveness of complementary health therapies for reducing labor pain. Twenty-nine randomized controlled trials (N = 3774) between 2020 and 2023 were analyzed. Interventions included massage, acupressure, yoga, music, electrical nerve stimulation, and virtual reality. Massage and acupressure were the most frequently used. These therapies significantly reduced labor pain ( d = -1.16), but no single therapy was identified as the most effective. Nonpharmacological approaches may support individualized, culturally responsive labor pain management and promote integrative maternity care globally. Findings should account for heterogeneity and potential publication bias.
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