Relationship between behavioral indices of pain during labor pain with pain intensity and duration of delivery
Background: Certain behaviors can be adopted by women to cope with labor pain according to their individual characteristics, which are currently called behavioral indicators during labor pain, and include facial expressions, verbal expressions, tone of voice, body movements, degree of relaxation,...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Electronic Physician
2018-01-01
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| Series: | Electronic Physician |
| Subjects: | |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854000/ |
| Summary: | Background: Certain behaviors can be adopted by women to cope with labor pain according to their individual
characteristics, which are currently called behavioral indicators during labor pain, and include facial expressions,
verbal expressions, tone of voice, body movements, degree of relaxation, and respiratory system functioning
during delivery. Moreover, severity of pain and duration of labor can vary due to several factors including
individual characteristics.
Objective: The purpose of the present study was to determine the relationship between behavioral indicators
during labor pain, severity of pain, and delivery duration.
Methods: In this cross-sectional study, 120 low risk pregnant women who referred to Omolbanin (AS) Hospital
in the city of Mashhad (Iran) for delivery in 2014, were selected via convenience sampling method, which was
then followed by completion of demographic information forms. From cervical dilatation of 3-5 centimeters until
delivery, the Labor Pain Coping Behavior Observation Form (comprised of 6 sub-groups of facial expressions,
verbal expressions, tone of voice, body movements, degree of relaxation, and respiratory function and severity
and duration of pain) was completed during uterine contractions and every half an hour. Using the Inventory of
Labor Information; vital signs, frequency of contractions, and duration of the first and second stages of labor
were measured. Furthermore, the content validity of the questionnaire was determined and its reliability was
confirmed by Cronbach’s alpha method. Then, the data were analyzed using the SPSS version 16, through
Pearson Product-Moment Correlation and Spearman’s Rank-Order Correlation, Kruskal-Wallis test, and
ANOVA.
Results: According to the results, 16.2% of the individuals had undesirable behavioral indicators during labor
pain, 50% of them were endowed with acceptable behaviors, and 33.8% of these women had desirable behaviors.
The findings also revealed that the duration of the active phase of the first stage of labor (p˂0.001 and r=-0.453),
the duration of the second stage of labor (p˂0.012 and r=-0.146), and the severity of pain (p˂0.001 and r=-0.450)
were significantly and inversely correlated with behavioral indicators during labor pain; i.e. an increase in the
mean score of behavioral indicators during labor pain could lead to a decline in the duration of stages of labor and
severity of pain.
Conclusion: It was concluded that behaviors demonstrated by women in labor had effects on their pains in the
course of delivery, and there was also a relationship between the duration of stages of labor and its severity of
pain. Therefore, it was recommended to turn attention to behaviors by women in labor in order to achieve a
desirable clinical management |
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| ISSN: | 2008-5842 2008-5842 |