Labor pain is an organic response which is important to make a correct assessment. Human evolution brought some modifications to the human body and as a consequence, labor pain is a major concern for women and simultaneously a professional matter for midwives. The aim of this study is to describe the perception of labor pain by the parturient and its evaluation by midwives of these episodes. A quantitative cross-sectional descriptive design was used. Non-parametric methods were applied because the sample obtained was not normal. The study was based on two convenience samples, totaling 164 parturients and 18 nurses. The visual analogue scale (VAS) was applied. Data were collected from 575 pain episodes. The age and parity of the parturient are not associated statistically with the intensity of labor pain at the time of hospital admission, as well as the presence of a companion. The level of pain mentioned by the parturients is significantly higher than indicated by the evaluation of the midwives. Midwives with between 6-10 and 11-15 years in practice assess pain at lower levels than nurses with 1-5 or 16-20 years in practice. Conclusions: The midwives underestimate labor pain. It is important to develop greater accuracy in assessing labor pain. Midwives can provide the stronger support if they do a correct evaluation of parturient’s pain.
Published in | American Journal of Nursing Science (Volume 6, Issue 2) |
DOI | 10.11648/j.ajns.20170602.12 |
Page(s) | 80-86 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Nursing, Midwife, Pain, Labor Pain
[1] | T. Klomp, A. de Jonge, E. K. Hutton, S. Hers, and A. L. Lagro-Janssen, "Perceptions of labour pain management of Dutch primary care midwives: a focus group study," (in eng), BMC Pregnancy Childbirth, vol. 16, p. 6, Jan 2016. |
[2] | K. R. Rosenberg and W. R. Trevathan, "Evolutionary obstetrics," (in eng), Evol Med Public Health, vol. 2014, no. 1, p. 148, 2014. |
[3] | L. T. Gruss and D. Schmitt, "The evolution of the human pelvis: changing adaptations to bipedalism, obstetrics and thermoregulation," (in eng), Philos Trans R Soc Lond B Biol Sci, vol. 370, no. 1663, p. 20140063, Mar 2015. |
[4] | R. Sreekanth and B. P. Thomas, "Human Evolution: The Real Cause for Birth Palsy," (in eng), West Indian Med J, vol. 64, no. 4, pp. 424-8, Sep 2015. |
[5] | R. Sanders and K. Lamb, "An exploration of the benefits and drawbacks of intrapartum pain management strategies," British Journal of Midwifery, vol. 22, no. 9, pp. 642-649, 2014. |
[6] | S. Hoshmandi, M. Dolatian, M. Kamalifard, and M. Ghoojazadeh, "Comparison of labor pain and factors affecting the pain perception among primiparous and multiparous women referring to women's private and state hospitals in Tabriz in 2010," Medical Journal of Tabriz University of Medical Sciences and Health Services, vol. 34, no. 3, p. 25, 2012. |
[7] | W. Christiaens, M. Verhaeghe, and P. Bracke, "Pain acceptance and personal control in pain relief in two maternity care models: a cross-national comparison of Belgium and the Netherlands," (in eng), BMC Health Serv Res, vol. 10, p. 268, 2010. |
[8] | S. Labor and S. Maguire, "The Pain of Labour," Reviews in Pain, vol. 2, no. 2, pp. 15-19, 2008. |
[9] | M. J. Renfrew et al., "Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care," (in eng), Lancet, vol. 384, no. 9948, pp. 1129-45, Sep 2014. |
[10] | A. Baker, S. A. Ferguson, G. D. Roach, and D. Dawson, "Perceptions of labour pain by mothers and their attending midwives," (in eng), J Adv Nurs, vol. 35, no. 2, pp. 171-9, Jul 2001. |
[11] | A. C. Williams, J. Morris, K. Stevens, S. Gessler, M. Cella, and J. Baxter, "What influences midwives in estimating labour pain?," (in eng), Eur J Pain, vol. 17, no. 1, pp. 86-93, Jan 2013. |
[12] | L. Mårtensson and I. Bergh, "Effect Of Treatment For Labor Pain: Verbal Reports Versus Visual Analogue Scale Scores - A Prospective Randomized Study," International Journal of Nursing and Midwifery, vol. 3, no. 4, pp. 43-47, 2011. |
[13] | OE and APEO, Documento de consenso “Pelo direito ao parto normal. Uma visão partilhada”. Lisboa: Ordem dos Enfermeiros, 2012. |
[14] | OE, Dor. Guia orientador de Boa Prática. Lisboa: Ordem dos Enfermeiros, 2008. |
[15] | L. Almeida and T. Freire, Metodologia da Investigação em Psicologia e Educação. Lisboa: Psiquilíbrios, 2007. |
[16] | J. L. Neal, N. K. Lowe, K. L. Ahijevych, T. E. Patrick, L. A. Cabbage, and E. J. Corwin, "Active labor" duration and dilation rates among low-risk, nulliparous women with spontaneous labor onset: a systematic review," (in eng), J Midwifery Womens Health, vol. 55, no. 4, pp. 308-18, 2010 Jul-Aug 2010. |
[17] | J. H. Woo et al., "The degree of labor pain at the time of epidural analgesia in nulliparous women influences the obstetric outcome," (in eng), Korean J Anesthesiol, vol. 68, no. 3, pp. 249-53, Jun 2015. |
[18] | T. Boryri, N. M. Noori, A. Teimouri, and F. Yaghobinia, "The perception of primiparous mothers of comfortable resources in labor pain (a qualitative study)," (in eng), Iran J Nurs Midwifery Res, vol. 21, no. 3, pp. 239-46, 2016 May-Jun 2016. |
[19] | P. Manizheh and P. Leila, "Perceived environmental stressors and pain perception during labor among primiparous and multiparous women," (in eng), J Reprod Infertil, vol. 10, no. 3, pp. 217-23, Oct 2009. |
[20] | R. Talbot, "Self-efficacy: women's experiences of pain in labour," British Journal of Midwifery, vol. 20, no. 5, pp. 317-321, 2012. |
[21] | C. S. Brixval, S. F. Axelsen, S. G. Lauemøller, S. K. Andersen, P. Due, and V. Koushede, "The effect of antenatal education in small classes on obstetric and psycho-social outcomes - a systematic review," (in eng), Syst Rev, vol. 4, p. 20, 2015. |
[22] | E. Sheiner, E. K. Sheiner, R. Hershkovitz, M. Mazor, M. Katz, and I. Shoham-Vardi, "Overestimation and underestimation of labor pain," (in eng), Eur J Obstet Gynecol Reprod Biol, vol. 91, no. 1, pp. 37-40, Jul 2000. |
APA Style
Catia Borges, Claudia José, Patricia Sancho, Maria Barros, Margarida Sim-Sim. (2017). Labor Pain: Perception of the Parturient and Midwife Evaluation. American Journal of Nursing Science, 6(2), 80-86. https://doi.org/10.11648/j.ajns.20170602.12
ACS Style
Catia Borges; Claudia José; Patricia Sancho; Maria Barros; Margarida Sim-Sim. Labor Pain: Perception of the Parturient and Midwife Evaluation. Am. J. Nurs. Sci. 2017, 6(2), 80-86. doi: 10.11648/j.ajns.20170602.12
AMA Style
Catia Borges, Claudia José, Patricia Sancho, Maria Barros, Margarida Sim-Sim. Labor Pain: Perception of the Parturient and Midwife Evaluation. Am J Nurs Sci. 2017;6(2):80-86. doi: 10.11648/j.ajns.20170602.12
@article{10.11648/j.ajns.20170602.12, author = {Catia Borges and Claudia José and Patricia Sancho and Maria Barros and Margarida Sim-Sim}, title = {Labor Pain: Perception of the Parturient and Midwife Evaluation}, journal = {American Journal of Nursing Science}, volume = {6}, number = {2}, pages = {80-86}, doi = {10.11648/j.ajns.20170602.12}, url = {https://doi.org/10.11648/j.ajns.20170602.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170602.12}, abstract = {Labor pain is an organic response which is important to make a correct assessment. Human evolution brought some modifications to the human body and as a consequence, labor pain is a major concern for women and simultaneously a professional matter for midwives. The aim of this study is to describe the perception of labor pain by the parturient and its evaluation by midwives of these episodes. A quantitative cross-sectional descriptive design was used. Non-parametric methods were applied because the sample obtained was not normal. The study was based on two convenience samples, totaling 164 parturients and 18 nurses. The visual analogue scale (VAS) was applied. Data were collected from 575 pain episodes. The age and parity of the parturient are not associated statistically with the intensity of labor pain at the time of hospital admission, as well as the presence of a companion. The level of pain mentioned by the parturients is significantly higher than indicated by the evaluation of the midwives. Midwives with between 6-10 and 11-15 years in practice assess pain at lower levels than nurses with 1-5 or 16-20 years in practice. Conclusions: The midwives underestimate labor pain. It is important to develop greater accuracy in assessing labor pain. Midwives can provide the stronger support if they do a correct evaluation of parturient’s pain.}, year = {2017} }
TY - JOUR T1 - Labor Pain: Perception of the Parturient and Midwife Evaluation AU - Catia Borges AU - Claudia José AU - Patricia Sancho AU - Maria Barros AU - Margarida Sim-Sim Y1 - 2017/02/06 PY - 2017 N1 - https://doi.org/10.11648/j.ajns.20170602.12 DO - 10.11648/j.ajns.20170602.12 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 80 EP - 86 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20170602.12 AB - Labor pain is an organic response which is important to make a correct assessment. Human evolution brought some modifications to the human body and as a consequence, labor pain is a major concern for women and simultaneously a professional matter for midwives. The aim of this study is to describe the perception of labor pain by the parturient and its evaluation by midwives of these episodes. A quantitative cross-sectional descriptive design was used. Non-parametric methods were applied because the sample obtained was not normal. The study was based on two convenience samples, totaling 164 parturients and 18 nurses. The visual analogue scale (VAS) was applied. Data were collected from 575 pain episodes. The age and parity of the parturient are not associated statistically with the intensity of labor pain at the time of hospital admission, as well as the presence of a companion. The level of pain mentioned by the parturients is significantly higher than indicated by the evaluation of the midwives. Midwives with between 6-10 and 11-15 years in practice assess pain at lower levels than nurses with 1-5 or 16-20 years in practice. Conclusions: The midwives underestimate labor pain. It is important to develop greater accuracy in assessing labor pain. Midwives can provide the stronger support if they do a correct evaluation of parturient’s pain. VL - 6 IS - 2 ER -