Level of anxiety, intensity of labour pain and duration of first stage of labour in the primigravida mothers

Abstract

Background: Labour is the most exciting and most painful situation for the women. A woman may feel happy and sad at one time. Happy feeling are due to the delivery of baby and sadness due to pain and prolong labour process. The purpose of this study was to assess the level of anxiety, intensity of labour pain and duration of first stage of labour in the primigravida mothers. Objective: to assess the level of anxiety, intensity of labour pain and duration of first stage of labour in the primigravida mothers. Methodology: Study was conducted in CLR, Nehru Hospital PGIMER Chandigarh, from 18th July to 8th September. Thirty nine primigravida mothers were selected by total enumeration sampling technique. The mother were introduced to the investigator and explained about the research project. The primigravida mothers was assessed for the level of anxiety and routine care was given. First assessment of labour pain was done at 3-4 cm. dilatation of cervix, second assessment done after 2 hours of first observation and third assessment was done after 2 hours of second observation in the subjects. Duration of active phase of first stage of labour was assessed by partograph from 3-4 cm. to full dilatation of cervix.Results: Average anxiety level should be in the range of 20-40 score of STAI Scale but Study result showed that there is high level of anxiety, in the range of 40-80. Intensity of labour pain measured by Numeric Pain Raiting scale (mild;1-3, moderate;4-6, and severe;7-10) intensity of labour pain was in the study subject mostly moderate (61.5%) to severe (33.3%) type of pain during first observation. and average duration of active phase of first stage of labour is 6 hours in primigravida mothers, study results showed 51.3% mothers had duration of 3-6 hours and 43.6% mothers had > 6 hours of duration of active phase of first stage of labour. Conclusion:Study concluded that high level of anxiety of primigravida mothers may increase the intensity of pain and also may increased the duration of labour. So nurses and other health personnel should give psychological support and explained the labour process to the primigravida mothers either before onset of labour or during antenatal.

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