Women's preferences and received pain relief in childbirth – A prospective longitudinal study in a northern region of Sweden

Lindholm, Annika; Hildingsson, Ingegerd

doi:10.1016/j.srhc.2014.10.001

Cited by 45 publications

(50 citation statements)

References 27 publications

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“…Seventy-seven percent of women giving birth in Australia use pharmacological intervention for pain relief during labour, including regional analgesics (33%) and systemic opioids (20%) [4]. While epidural analgesics are recognised to be effective in managing pain, paradoxically they are not associated with more positive labour experiences in women [5, 6] and can contribute to reducing the rates of normal birth [4, 7–9]. Some women are so fearful of labour pain that they elect a caesarean section in order to avoid labour and vaginal birth altogether [10], and the fear itself can lead women who do labour to experience the pain as more intense and to report a more negative experience [11].…”

Section: Introductionmentioning

confidence: 99%

The meaning of labour pain: how the social environment and other contextual factors shape women’s experiences

Whitburn

Jones

Davey

et al. 2017

BMC Pregnancy Childbirth

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BackgroundThe majority of women experience pain during labour and childbirth, however not all women experience it in the same way. In order to develop a more complete understanding of labour pain, this study aimed to examine women’s experiences within the perspective of modern pain science. A more complete understanding of this phenomenon can then guide the development of interventions to enhance women’s experiences and potentially reduce their need for pharmacological intervention.MethodsA qualitative study was conducted using phenomenology as the theoretical framework. Data were collected from 21 nulliparous women, birthing at one of two large maternity services, through face-to-face interviews and written questionnaires. Data were analysed using an Interpretative Phenomenological Analysis approach.ResultsThe data from this study suggest that a determining factor of a woman’s experience of pain during labour is the meaning she ascribes to it. When women interpret the pain as productive and purposeful, it is associated with positive cognitions and emotions, and they are more likely to feel they can cope. Alternatively, when women interpret the pain as threatening, it is associated with negative cognitions and emotions and they tend to feel they need help from external methods of pain control. The social environment seems particularly important in shaping a woman’s pain experience by influencing her interpretation of the context of the pain, and in doing so can change its meaning. The context and social environment are dynamic and can also change throughout labour.ConclusionA determining factor in a woman’s experience of pain during labour is its perceived meaning which can then influence how the woman responds to the pain. The meaning of the pain is shaped by the social environment and other contextual factors within which it is experienced. Focussed promotion of labour pain as a productive and purposeful pain and efforts to empower women to utilise their inner capacity to cope, as well as careful attention to women’s cognitions and the social environment around them may improve women’s experiences of labour pain and decrease their need for pain interventions.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1343-3) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

The meaning of labour pain: how the social environment and other contextual factors shape women’s experiences

Whitburn

Jones

Davey

et al. 2017

BMC Pregnancy Childbirth

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“…In recent years there has been a change in attitude towards labour analgesia. More women are accessing epidural analgesia, whereas, intrapartum opioids such as pethidine are less frequently used (Lindholm & Hildingsson, 2015). Studies that have examined women's preferences for pain relief during the antenatal period identified women rated pethidine the least preferred pharmacological option due to the potential adverse effects (Henry & Nand, 2004: Madden et al, 2013.…”

Section: Introductionmentioning

confidence: 99%

“…Despite these adverse effects, there are few alternative parenterally administered opioids used for labour pain, with choice limited to what is held at the different hospitals (Lindholm & Hildingsson, 2015). Several recent studies have suggested fentanyl administered by the intranasal (IN) and the subcutaneous (SC) routes is effective for intrapartum analgesia (Fleet et al, 2015;Kerr et al, 2015;Kokki et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Taking the alternative route: Women's experience of intranasal fentanyl, subcutaneous fentanyl or intramuscular pethidine for labour analgesia

2017

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“…Th ere are many factors that aff ect the perception of labor pain, for example prenatal training, culture, weakness and sleep problems may all aff ect the meaning of pain for individuals. [5][6][7] Labor pain is exacerbated by ignorance, fear, anxiety and lack of support. 4,6,7,9 If women in labor do not know and understand what they are going through, then they are likely to experience fear and anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…Data were collected using an original questionnaire prepared using previous literature 5,15,17 Women's pain and feelings related to labor (fear, panic, anxiety, self-confidence, fear of losing their infant, fear of dying, severity of labor pain and weakness) were measured using the VAS. VAS was used separately to assess each feeling.…”

Section: Data Collection and Measuresmentioning

confidence: 99%

Kadınların Doğum Ağrısına Yönelik Algı Ve Duyguları: Primiparlar; Korku, Panik, Kaygı Yaşıyor Ve Destek İstiyorlar

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2019

Sakarya Medical Journal

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Objective Labor pain is a subjective experience that is affected not only by physiological factors but also by psychosocial, cultural and envorimental factors. The aim of this study is to assess and determine the perceptions and feelings of women towards labor pain. ( Sakarya Med J 2019, 9(2):302-309 ) Materials and MethodsThis study was designed cross-sectional. The population consisted of 300 women who came to Women Labor and Child Hospital for labor and had vaginal delivery. Only women who had normal labor were included. "Survey form" and Visual Analog Scale were used to collect the data. It were used the descriptive statistics, independent samples t-test and ANOVA in the evaluation of data.Results It was determined that 37.3% of women found to be difficult and terrifying in this study. 72.6% of the women stated that they received support during childbirth and they received this support mostly from midwives. Primiparas women had significantly higher fear (p<0.001), panic (p<0.001), anxiety (p<.001), need for support and fear of losing infant (p<0.05) than multiparas Conclusion Women perceive intolerable labor pain, use different methods to cope and re more likely to receive support require the development of initiatives directed at them Keywords Woman; labor pain; perception; feeling ÖzAmaç Doğum ağrısı fizyolojik, psikolojik ve çevresel faktörlerin etkileşimini içeren sübjektif bir deneyimdir. Bu çalışmanın amacı doğum yapan kadınların doğum ağrısına yönelik algı ve duygularını değerlendirmek, etkileyen faktörleri belirlemektir. ( Sakarya Tıp Dergisi 2019, 9(2):302-309 ). Gereç ve YöntemlerBu araştırma kesitsel olarak tasarlanmıştır. Araştırma kapsamına Kadın Doğum ve Çocuk Hastanesine başvuran ve vajinal doğum yapan 300 kadın alınmıştır. Verilerin toplanmasında "Anket formu" ve Visual Analog Skala kullanıldı. Verilerin analizinde tanımlayıcı istatistikler, ANOVA, bağımsız gruplarda t testi kullanılmıştır. Bulgular Bu araştırmada kadınların %37.3'ü doğum ağrısını zor ve korkutucu olduğunu belirtmiştir.. Kadınların % 72,6'sı doğum sırasında destek aldığını ve bu desteği çoğunlukla ebelerden aldığını belirtmiştir. Primipar ve multipar kadınlar arasında korku (p<0.001), panik(p<0.001), aksiyte (p<0.001), destek gereksinimi (p<0.001) ve bebeğini kaybetme korkusu (p<0.05) istatistiksel olarak anlamlı bulunmuştur Sonuç Kadınların doğum ağrısını dayanılmaz algılamaları ve baş etmek için farklı yöntemler kullanmaları, daha çok ebelerden destek almaları buna yönelik girişimlerin geliştirilmesine işaret etmektedir.

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Women's preferences and received pain relief in childbirth – A prospective longitudinal study in a northern region of Sweden

Cited by 45 publications

References 27 publications

The meaning of labour pain: how the social environment and other contextual factors shape women’s experiences

The meaning of labour pain: how the social environment and other contextual factors shape women’s experiences

Taking the alternative route: Women's experience of intranasal fentanyl, subcutaneous fentanyl or intramuscular pethidine for labour analgesia

Kadınların Doğum Ağrısına Yönelik Algı Ve Duyguları: Primiparlar; Korku, Panik, Kaygı Yaşıyor Ve Destek İstiyorlar

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