A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study
Objectives: To describe and compare fear of childbirth and in-labor pain intensity between primiparas and multiparas and explore the association between the amount of actual pain relief and fear of childbirth. Methods: A convenience sampling method was used. A total of 260 women undergoing spontaneo...
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| Language: | English |
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Elsevier
2021-10-01
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| Series: | International Journal of Nursing Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013221000922 |
| _version_ | 1818689801348448256 |
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| author | Yongfang Deng Yan Lin Liyuan Yang Qiuxia Liang Bailing Fu Huixian Li Huizhu Zhang Yan Liu |
| author_facet | Yongfang Deng Yan Lin Liyuan Yang Qiuxia Liang Bailing Fu Huixian Li Huizhu Zhang Yan Liu |
| author_sort | Yongfang Deng |
| collection | DOAJ |
| description | Objectives: To describe and compare fear of childbirth and in-labor pain intensity between primiparas and multiparas and explore the association between the amount of actual pain relief and fear of childbirth. Methods: A convenience sampling method was used. A total of 260 women undergoing spontaneous or induced labor, including 97 primiparas and 163 multiparas, were recruited in a large academic specialized hospital in Guangzhou, China, from February 2018 to August 2019. The clinical data of maternal and neonatal were extracted from a structured electronic medical record system. Other demographic information, such as employment and family monthly income, was collected by a questionnaire. The Numeric Rating Scale (NRS) and the Chinese version of the Childbirth Attitude Questionnaire (C-CAQ) were applied to assess maternal in-labor pain intensity and fear of childbirth. The analgesic consumption and the frequency of manual boluses as rescue analgesia were stored and collected from the analgesia pump. Results: Eighty-two (84.5%) primiparas and ninety-nine (60.7%) multiparas received epidural analgesia (P < 0.001). In the epidural subgroup, the primiparous average fear of childbirth (36.46 ± 10.93) was higher than that of the multiparas (32.06 ± 10.23) (P = 0.007). However, multiparas reported more intense in-labor pain [8.0 (8.0, 9.0) vs. 8.0 (7.0, 8.0)], had more successful manual boluses per hour [2.68 (1.65, 3.85) vs. 1.77 (0.90, 2.47)], more hourly analgesic consumption [23.00 (16.00, 28.25) vs. 17.24 (11.52, 21.36) mL] and more average analgesic consumption [0.35 (0.24, 0.45) vs. 0.26 (0.19, 0.35) mL/(h·kg)] than the primiparas (P < 0.05). Spearman’s correlation analysis showed that the maximum in-labor pain was weakly positively correlated with fear of childbirth (r = 0.09) (P < 0.05), hourly analgesic consumption (r = 0.16) (P < 0.01) and average analgesic consumption (r = 0.17) (P < 0.05). No statistically significant association was uncovered between analgesic consumption and maternal fear of childbirth. Conclusions: Fear of childbirth is a potential predictor of labor pain intensity. Further study is needed to explore its role and value in pain management during delivery. Parity is not a determinant of pain relief use and should not be a preconceived preference of obstetric care team members to determine the distribution of epidural analgesia, especially when analgesia resources are insufficient. |
| first_indexed | 2024-12-17T12:15:53Z |
| format | Article |
| id | doaj.art-f5d65af0b69f48219fcf169c0074b511 |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-12-17T12:15:53Z |
| publishDate | 2021-10-01 |
| publisher | Elsevier |
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| series | International Journal of Nursing Sciences |
| spelling | doaj.art-f5d65af0b69f48219fcf169c0074b5112022-12-21T21:49:11ZengElsevierInternational Journal of Nursing Sciences2352-01322021-10-0184380387A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional studyYongfang Deng0Yan Lin1Liyuan Yang2Qiuxia Liang3Bailing Fu4Huixian Li5Huizhu Zhang6Yan Liu7Department of High-Risk Obstetric, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Nursing Administrative Office, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China; Corresponding author.Department of High-Risk Obstetric, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Gynaecology and Obstetrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDepartment of Gynaecology and Obstetrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaInstitute of Pediatrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDelivery and Labor Room, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaDelivery and Labor Room, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, ChinaObjectives: To describe and compare fear of childbirth and in-labor pain intensity between primiparas and multiparas and explore the association between the amount of actual pain relief and fear of childbirth. Methods: A convenience sampling method was used. A total of 260 women undergoing spontaneous or induced labor, including 97 primiparas and 163 multiparas, were recruited in a large academic specialized hospital in Guangzhou, China, from February 2018 to August 2019. The clinical data of maternal and neonatal were extracted from a structured electronic medical record system. Other demographic information, such as employment and family monthly income, was collected by a questionnaire. The Numeric Rating Scale (NRS) and the Chinese version of the Childbirth Attitude Questionnaire (C-CAQ) were applied to assess maternal in-labor pain intensity and fear of childbirth. The analgesic consumption and the frequency of manual boluses as rescue analgesia were stored and collected from the analgesia pump. Results: Eighty-two (84.5%) primiparas and ninety-nine (60.7%) multiparas received epidural analgesia (P < 0.001). In the epidural subgroup, the primiparous average fear of childbirth (36.46 ± 10.93) was higher than that of the multiparas (32.06 ± 10.23) (P = 0.007). However, multiparas reported more intense in-labor pain [8.0 (8.0, 9.0) vs. 8.0 (7.0, 8.0)], had more successful manual boluses per hour [2.68 (1.65, 3.85) vs. 1.77 (0.90, 2.47)], more hourly analgesic consumption [23.00 (16.00, 28.25) vs. 17.24 (11.52, 21.36) mL] and more average analgesic consumption [0.35 (0.24, 0.45) vs. 0.26 (0.19, 0.35) mL/(h·kg)] than the primiparas (P < 0.05). Spearman’s correlation analysis showed that the maximum in-labor pain was weakly positively correlated with fear of childbirth (r = 0.09) (P < 0.05), hourly analgesic consumption (r = 0.16) (P < 0.01) and average analgesic consumption (r = 0.17) (P < 0.05). No statistically significant association was uncovered between analgesic consumption and maternal fear of childbirth. Conclusions: Fear of childbirth is a potential predictor of labor pain intensity. Further study is needed to explore its role and value in pain management during delivery. Parity is not a determinant of pain relief use and should not be a preconceived preference of obstetric care team members to determine the distribution of epidural analgesia, especially when analgesia resources are insufficient.http://www.sciencedirect.com/science/article/pii/S2352013221000922Epidural analgesiaFearLabor painObstetrics and gynecology department of the hospitalParityParturition |
| spellingShingle | Yongfang Deng Yan Lin Liyuan Yang Qiuxia Liang Bailing Fu Huixian Li Huizhu Zhang Yan Liu A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study International Journal of Nursing Sciences Epidural analgesia Fear Labor pain Obstetrics and gynecology department of the hospital Parity Parturition |
| title | A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study |
| title_full | A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study |
| title_fullStr | A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study |
| title_full_unstemmed | A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study |
| title_short | A comparison of maternal fear of childbirth, labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas: A cross-sectional study |
| title_sort | comparison of maternal fear of childbirth labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas a cross sectional study |
| topic | Epidural analgesia Fear Labor pain Obstetrics and gynecology department of the hospital Parity Parturition |
| url | http://www.sciencedirect.com/science/article/pii/S2352013221000922 |
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