Investigating the Factors Associated with Labor Pain and Coping Behavior

Document Type : Original Article

Authors

1 Lecturer of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. of Midwifery, Samen Health Care Center, University of Medical Sciences, Mashhad, Iran.

3 Assistant Professor, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Professor, Department of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Pain is a complex perceptional experience that is influenced by psychosocial factors. Coping with labor pain is a defined behavior that is applied to control the pain or emotional reactions to it by every individual. Regarding few researches in this issue, the present study is aimed to investigate the factors associated with pain and coping behaviors.
Methods: This two-phase correlational study was implemented on 120 low-risk pregnant women, in the 36 to 40 weeks of pregnancy, who have referred to Om-Al-Banin Hospital for delivery. The participants were easily selected. Their demographic information, obstetric record, and life style forms were completed. The samples were monitored until the beginning of laboring time. Then in the second phase of sampling, every half an hour during uterine contractions, observation form of coping behavior toward labor pain was filled out from the dilatation of 3–5 cm up to childbirth. The questionnaire content validity was checked and its reliability was assessed by Cronbach's Alpha. Data were analyzed by SPSS software version 16, Kruskal-Wallis, variance analysis and Spearman correlation coefficient statistical tests. P value less than 0.05 was considered statistically significant.
Results: The average age of samples was 25.1 years with a standard deviation of 4.9 and its range was between 18 to 35 years. Based on results, 16.3% of the pregnant women showed unfavorable, 50% acceptable and 33.7% favorable coping behavior toward labor pain. The results of correlation tests revealed that mothers' idea about childbirth (p<0.015), previous delivery experience (p<0.006), the time spent for religious affairs (p<0.000), length of active phase of the first stage (p<0.000), the mean pain intensity (p<0.000) and anxiety due to entering the research (p<0.001) were significantly associated with coping behaviors toward labor pain.
Conclusion: Coping with pain is accompanied with specific characteristics and various effects in labor process. So, more attention should be paid to clinical controlling the parturient, as well as, physiological signs, and clinical examinations.
 

Keywords


1. Rafaty Rahimzade M. [Pain]. J Babol:Babol University of Medical Sciences 2001:20. [in Persian].
2. Roohani Mashhadi S. [Effects of SP6 acupressure on labor pain during first stage of labor at 17 Shahrivar
Hospital in Mashhad in 2005- 2006] [Thesis in Persian]. Mashhad:Mashad University of Medical Sciences,
School of Nursing & Midwifery;2006.
3. Gunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams obstetrics. 23rd ed.
New York:McGraw-Hill;2010.
4. Ghanjavi A, Paghande T, Ebrahimi Nejad Gh. [The quality and intensity of labor pain based on Mc Gill
pain questionnaire in parturient women admitted in the maternity ward of Afzalipour Hospital in Kerman]
[Article in Persian]. J Kerman Univ Med Sci 2010;18(2):164.
5. Saisto T, Kaaja R, Ylikorkata O, Halmesmaki E. Reduced pain tolerance during and after pregnancy in
women suffering from fear of labor. Pain 2001 Aug;93(2):123-7.
 
6. Tampawiboon K. Effect of childbirth preparation on fear, labor pain coping behaviors and childbirth
satisfaction in primiparas. Master’s Thesis. Ramathibodi:Faculty of Medicine Ramathibodi Maternity and
Newbrorn Nursing;2005.
7. Callister IC. Cultural influences on pain perceptions and behaviors. Home Health Care Manage Pract
2003;15(3):207-11.
8. Asghari Moghaddam M. Gholak N. [Role of coping strategies with pain in coping with chronic pain]
[Article in Persian]. Daneshvar 2005;12(10):1-23.
9. Abushaikha LA. Methods of coping with labor pain used by Jordanian women. J Transcult Nurs 2007
Jan;18(1):35-40.
10. Aldwin CM. Stress, coping and development: an integrative perspective. 2nd ed. New York:Guilford
Press;2007.
11. Mirzai A. [The effect of communication skills training on nursing students coping strategies in stressful
situations of clinical courses] [Thesis in Persian]. Mashhad: Mashad University of Medical Sciences,School
of Nursing &Midwifery;2009.
12. Brunner, Lillian Shultis. Pain Treatment, Health Check, Critical Thinking, Ethical Decision And the
Nursing Process (Brunnere & Suddarth). Sami Puran. Tehran: Boshra; 2000; 18-9 (Persian).
13. Kushan M, Vaghei S. [Psychiatric nursing: mental health1. Tehran:Andishe Rafia Publishers;2007:91-3. [in
Persian].
14. Aliakbari S, Jamalian R, Khohan Sh. Valai N. [Impact of childbirth preparation on labor pain and length of
delivery time] [Article in Persian]. Feiz 2001;4(3):41-8.
15. Niven CA, Gijsbers K. Coping with labor pain. J Pain Symptom Manage 1996 Feb;11(2):116-25.
16. Khorsandy M, Ghofranipur F, Heidarnia A, Faghihzade S, Akbarzade A, Vafai M. [Self-efficacy for labor
and childbirth in pregnant women] [Article in Persian]. Med Coun Islam Repub Iran 2008;26(1):89-95.
17. Farzinrad B, Asgharnejad F, Yekeyazdandoost R, Habibyaskarabad M. [A comparison of coping styles and
personality in depressed and non-depressed students] [Article in Persian]. J Behav Sci 2010;4(1);17-21.
18. Callister IC. Cultural influences on pain perceptions and behaviors. Home Health Care Manage Pract
2003;15(3):207-11.
19. Christianes W, Verhaeghe M, Bracke P. Pain acceptance and personal control in pain relief in two
maternity care models: a cross-national comparison of belgium and the netherlands. BMC Health Serv Res
2010 Sep 10;10:268.
20. Nasiry M. [Maternal health of pregnancy childbirth]. Tehran:Boshra;2000. [in Persian]
21. Thaghizade z, Jafarbighloo M, Faghihizade S. [Effectiveness of a counseling intervention on treatment of
stress after a traumatic childbirth] [Article in Persian]. Hayat 2007;13(4):18-24.
22. Escott D, Spidy H, Slade P, Fraser RB. The range of coping strategies women use to manage pain and
anxiety prior to and during first experience of labour. Midwifery 2004 Jun;20(2):144-56.
23. Ghazanfary F, Ghadampur A. coping style and mental health in Khorramabad city] [Article in Persian]. J
Fundament Mental Health 2008;13(3):47-54.
24. Sangrungnapaphan P. Husband participation during labour on anxiety and coping behaviour of
primigravidas at srinagarind Hospital Khon Kaen Province. Master’s Thesis. Bangkok:Mahdiol
University;1987.
25. Sodsang W. The effects of nursing support during labour on labour pain coping behaviours and the
perception of childbirth experience of first-time mothers. Master’s Thesis. Bangkok:Mahdiol
University;2005.
26. Threenate S. Effects of childbirth preparation program emphasizing husbands support on pain level and
pain coping behaviours during delivery of primigravida. Master’s Thesis. Bangkok:Mahdiol
University;2001.
27. Supradith B. Effects of husband preparation for spousal support on husbands and wives satisfaction and
pain coping behaviour during labour. Master’s Thesis. Bangkok:Mahdiol University;2002.
28. Sindamrong S. Marital relationship, self-efficacy in labor pain coping and pain coping behavior during
labor of the first time mothers. Master’s Thesis. Bangkok:Mahdiol University;2004.