Factors associated with more intense labor pain

Fridh, Gerd; Kopare, Telle; Gaston‐Johansson, Fannie; Norvell, Kristine Turner

doi:10.1002/nur.4770110207

Cited by 44 publications

(25 citation statements)

References 20 publications

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“…As mentioned, multiple sociodemographic and physical factors can influence the intensity of labour pain (7,8,10,32), and research focusing on the psychological component should also take these factors into consideration. Along with attachment dimensions, older age was significantly associated with greater labour pain; however, this result was not consistent with prior literature (32).…”

Section: Discussionmentioning

confidence: 99%

“…Other obstetric factors that have been shown to be associated with pain include foetal presentation (35), dystocia (36), higher foetal weight (32), and the artificial induction of labour (37). A history of dysmenorrhoea and menstrual back pain has also been documented as a gynaecological predictor for obstetric pain (8,32).…”

Section: Introductionmentioning

confidence: 99%

“…As a result, psychological factors are of considerable importance. Psychological research in the context of labour pain has primarily focused on factors such as fear and anxiety, which have been correlated with increased pain and reduced tolerance to pain (8)(9)(10)(11). Recently, theoretical (12)(13)(14) and empirical evidence (15)(16)(17)(18)(19)(20)(21)(22)(23) has highlighted the potential of attachment theory in providing valuable insights regarding individual differences in pain response and adaptation.…”

Section: Introductionmentioning

confidence: 99%

“…There is evidence to suggest an inverse association of labour pain intensity with maternal age (8,32). Furthermore, while some findings have shown that, on average, nulliparous women report greater pain than parous women during labour (32,33), others have not found such an association (34).…”

Section: Introductionmentioning

confidence: 99%

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The Role of Maternal Attachment in the Experience of Labor Pain

Costa-Martins

Pereira

Martins

et al. 2014

Psychosomatic Medicine

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Objective: To examine the influence of attachment dimensions and sociodemographic and physical predictors in the experience of labour pain. Methods: Eighty-one pregnant women were assessed during their third trimester of pregnancy and during labour. The perceived intensity of pain in the early stages of labour (3 cm of cervical dilatation) and before the administration of patient-controlled epidural analgesia (PCEA) was measured using a visual analogue scale (VAS). Pain was also assessed based on the consumption of anaesthetics. Attachment was assessed using the Adult Attachment Scale -Revised (AAS-R). Results: Attachment anxiety and avoidance were positively and significantly correlated with labour pain and anaesthetic consumption. In the multivariate models, attachment anxiety was a significant predictor of higher pain at 3 cm of cervical dilatation (β = 0.36, p = .042) and before the administration of PCEA (β = 0.51, p = .002). Older age (β = 0.31, p = .005), a shorter duration of labour (β = -0.41, p = .001) and attachment avoidance (β = 0.41, p = .004) were significant predictors of higher anaesthetic consumption. Conclusions: The study findings suggest that perceived labour pain and anaesthetic consumption are strongly associated with attachment, rather than demographic and physical factors. These data support the importance of understanding the experience of labour pain within an attachment theoretical framework.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Role of Maternal Attachment in the Experience of Labor Pain

Costa-Martins

Pereira

Martins

et al. 2014

Psychosomatic Medicine

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“…Today, women's certainty that they can use psychoprophylactic pain coping strategies and their belief that these strategies will help them cope with labour pain remains unclear. Women's beliefs regarding their labour pain coping skills and the actual pain they experience may be related (Fridh et al, 1988;Lowe, 1987Lowe, , 1989. Understanding the factors that predict pain levels experienced in labour can inform childbirth preparation training.…”

Section: Introductionmentioning

confidence: 98%

A prospective study of self-efficacy expectancies and labour pain

Larsen¹,

O'Hara²,

Brewer³

et al. 2001

J. Reproductive Inf. Psychol.

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Thirty-seven nulliparous women recruited from Lamaze classes rated their selfefficacy to use the pain coping strategies taught in these classes as well as the importance and anticipated outcome of using these strategies. Prior to labour, these ratings were obtained for each phase Ð early, active, and transitionalÐ of the first stage of labour. During labour, women completed three pain inventories, one for each phase, with the help of their labour partner. Prelabour ratings indicated that women's certainty of their ability to use coping strategies decreased as they anticipated each successive phase of the first stage of labour. Self-efficacy expectancies for the early and active phases of the first stage of labour predicted approximately 20% of the variance in pain levels for these phases, respectively. However, self-efficacy expectancies did not predict levels of transitional labour pain. After accounting for self-efficacy expectancies, importance and outcome ratings did not explain additional variance in pain levels for any phase of the first stage of labour. While higher self-efficacy ratings predicted lower levels of pain in early and active labour, it is unclear why women's beliefs in their ability to use coping strategies did not explain variance in transitional pain levels.

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Labor pain management practices and associated factors in Ethiopia: A systematic review and meta‐analysis

Azeze,

Asgedom,

Efa

et al. 2023

Intl J Gynecology & Obste

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BackgroundThe pain that women experience during labor and childbirth is the central feature of parturition in humans. Despite improvement in the development of standards for pain assessment and treatment, labor pain is mostly ignored especially in low‐ and middle‐income countries resulting in unmeasured suffering from childbirth for mothers.ObjectivesWe aimed to provide a comprehensive estimation of the pooled magnitude and associated factors of labor pain management practices in Ethiopian public health facilities.Search StrategyA systematic review and meta‐analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐analysis statement. Electronic databases including Google Scholar, Web of Science, Excerpta Medica Database (EMBASE), PubMed/MEDLINE, and Scopus were searched from database inception to June 30, 2023.Selection CriteriaThe inclusion criteria were established prior to article review and follows the population, intervention, comparison and outcome criterions.Data Collection and AnalysisWe evaluated publication bias by means of funnel plots and Egger's test. Heterogeneity between studies was assessed using I2 statistics. For each associated factors in meta‐regressions, the pooled odds ratio (OR) and its 95% confidence interval (CI) were extracted. A P value of 0.05 was used to determine the significance of the small study effect.Main ResultsOur search terms yielded 17 studies with 5735 participants. The pooled prevalence of labor pain management practices in Ethiopia was 45.73% (95% CI: 39.13, 52.32; I2 = 96.4). Having adequate knowledge regarding labor pain management (OR: 3.74; 95% CI: 2.74, 5.11; I2 = 53.8%), a favorable attitude toward labor pain management (OR: 2.90; 95% CI: 2.03, 4.14; I2 = 63.8%), availability of labor analgesics (OR: 3.23; 95% CI: 2.18, 4.79; I2 = 46.2%), and clinical experience of 10 or more years (OR: 3.45; 95% CI: 2.06, 5.78; I2 = 19.0%) were factors that were statistically associated with the use of labor pain management practices.ConclusionWe concluded that the routine practices of labor pain management by obstetric health providers in Ethiopia are still low. Therefore, it remains important to call for holistic and inclusive interventions targeting maternity health providers and hospital officials to update their long‐standing practices.RegistrationRegistered in PROSPERO under protocol number CRD42023429140.

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Factors associated with more intense labor pain

Cited by 44 publications

References 20 publications

The Role of Maternal Attachment in the Experience of Labor Pain

The Role of Maternal Attachment in the Experience of Labor Pain

A prospective study of self-efficacy expectancies and labour pain

Labor pain management practices and associated factors in Ethiopia: A systematic review and meta‐analysis

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