Psychosocial predictors of labor pain

Reading, Anthony E.; Cox, David N.

doi:10.1016/0304-3959(85)90031-4

Cited by 68 publications

(40 citation statements)

References 13 publications

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“…Future studies should therefore examine this association more comprehensively. Additionally, these characteristics may have also influenced our results regarding parity, which did not indicate any significant association between nulliparity and pain, as was reported in prior studies (10,32,33). However, this finding is consistent with another study that also failed to identify an association between nulliparity and labour pain (34).…”

Section: Discussionsupporting

confidence: 88%

“…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%

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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: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

The Role of Maternal Attachment in the Experience of Labor Pain

Costa-Martins

Pereira

Martins

et al. 2014

Psychosomatic Medicine

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“…This highlights the difficulty in extrapolating from laboratory studies or indeed studies of dental pain where both duration and intensity patterns are so dissimilar from the labour process. Studies of pain in labour indicate that the intensity of discomfort experienced is extremely high and comparable with most painful conditions known (Niven & Gijsbers, 1984;Reading & Cox, 1985).…”

mentioning

confidence: 95%

Expectations, experiences and satisfaction with labour

Slade

MacPherson

Hume³

et al. 1993

British J Clinic Psychol

158

116

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Emotional, medical and control aspects of labour were explored in 81 primiparous women. Expectations were assessed antenatally and compared with postnatal reports of experiences. Expectations of positive emotions were significantly greater than experience while negative emotional expectations were paralleled by experience. There was a major discrepancy between expectations and experiences of the occurrence of interventions, with the proportion of women expecting interventions being greatly exceeded by those actually undergoing such experiences. In addition, expectations concerning personal control together with the use and efficacy of breathing and relaxation exercises in labour were elevated in relation to experience. Positive emotional expectations were strong predictors of positive emotional experiences and unrelated to negative emotional expectations. Expectations in general were positively related to experience but the strength of the association was weak. Personal satisfaction (i.e. satisfaction with self) in labour was strongly associated with the ability to control panic and other aspects of personal control. The ability to control panic was mainly influenced by the use of exercises. Attenders and non-attenders at antenatal preparation classes showed no significant differences in their experiences or personal satisfaction levels. Possible explanations for this absence of impact are discussed together with issues concerning the relevance of psychological theory to midwifery practice and the need for greater integration.

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“…Pain during childbirth affects the total birth experience (Séguin et al 1989, Mackey 1998, Waldenström et al 1996, Reading & Cox 1985, Waldenström 1999. Pain is associated with a negative experience (Séguin et al 1989, Waldenström 1999, Mackey 1998, and post-partum mood (Reading & Cox 1985).…”

Section: Ideas On Pregnancy and Childbirth Todaymentioning

confidence: 99%

“…Pain is associated with a negative experience (Séguin et al 1989, Waldenström 1999, Mackey 1998, and post-partum mood (Reading & Cox 1985). On the other hand, Salmon et al (1990) found that the degree of pain could not alone define or exhaust the experience of childbirth.…”

Section: Ideas On Pregnancy and Childbirth Todaymentioning

confidence: 99%

Releasing and relieving encounters: experiences of pregnancy and childbirth

Lundgren

2004

Scandinavian Caring Sciences

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The experience of childbirth is an important life event for women, which may follow them throughout life. The overall aim of this thesis has been to describe and analyse these experiences from the women's perspective as well as the encounter between the woman and the midwife, and the possibility that a birth plan might improve women's experience of childbirth. The setting has been the ABC-centre (Alternative Birth Care), antenatal clinics and Sahlgrenska University hospital in Göteborg, and Karolinska hospital in Stockholm, Sweden. The studies have used both qualitative (phenomenological and hermeneutic) and quantitative approaches. The essential structure of the experiences of pregnancy and childbirth may be conceptualised under the heading 'releasing and relieving encounters', which for the woman constitutes an encounter with herself as well as with the midwife, and includes stillness as well as change. Stillness is expressed as being in the moment; exemplified as presence and being one's body. Change is expressed as transition; to the unknown and to motherhood. In the releasing and relieving encounter, for the midwife stillness and change equals being both anchored and a companion. To be a companion is to be an available person that listens to and follows the woman through the process of childbirth. To be anchored is to be the person that in the transition process respects the limits of the woman's ability as well as her own professional limits. The 'releasing and relieving encounter' is not improved for women by a birth plan. Instead, in some aspects, the relationship between the woman and her midwife during childbirth is reported as less satisfactory if preceded by a birth plan although some experiences of fear, pain and concerns for the child might be improved.

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Psychosocial predictors of labor pain

Cited by 68 publications

References 13 publications

The Role of Maternal Attachment in the Experience of Labor Pain

The Role of Maternal Attachment in the Experience of Labor Pain

Expectations, experiences and satisfaction with labour

Releasing and relieving encounters: experiences of pregnancy and childbirth

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