The perception of primiparous mothers of comfortable resources in labor pain (a qualitative study)
Abstract
Background: Natural delivery is the most painful event that women experience in their lifetime. That is why labor pain relief has long been as one of the most important issues in the field of midwifery. Thus, the present study aims to explore the perception of primiparous mothers on comfortable resources for labor pain.
Materials and Methods: In the present study, qualitative content analysis technique was used. The participants had singleton pregnancy with normal vaginal delivery. These women referred to the Imam Javad Health Center within 3–5 days after delivery for screening thyroid of their babies.
Results: During the content analysis process, five themes emerged that indicated the nature and dimensions of the primiparous mothers’ perception of comfortable resources. These themes were: “religious and spiritual beliefs,” “use of analgesic methods” (medicinal and non‑medicinal), “support and the continuous attendance of midwife and delivery room personnel,” “family’s and husband’s support during pregnancy and in vaginal delivery encouragement,” and finally “lack of familiarity with the delivery room and lack of awareness about structured delivery process.”
Conclusions: The results showed that mothers received more comfort from human resources than from the environment and modern equipment. Despite the need for specialized midwife with modern technical facilities, this issue shows the importance of highlighting the role of midwife and humanistic midwife care. Therefore, considering midwives and the standardization of human resources in health centers are more important than physical standardization. This will result in midwife interventions being performed with real understanding of the patients’ needs.
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Leeman L, Fontaine P, King V, Klein MC, Ratcliffe S. The nature and management of labor pain: Part I. Nonpharmacologic pain relief. Am Fam Physician 2003;68:1109‑12.
McMahon SB. Wall and Melzack’s Textbook of Pain. 6th ed. Philadelphia: Elsevier; 2013. p. 11.
Bauer BA, Cutshall SM, Wentworth LJ, Engen D, Messner PK, Wood CM, et al. Effect of massage therapy on pain, anxiety, and tension after cardiac surgery: A randomized study. Complement
Ther Clin Pract 2010;16:70‑5.
Karlsson AK, Johansson M, Lidell E. Fragility‑‑the price of renewed life. Patients experiences of open heart surgery. Eur J Cardiovasc Nurs 2005;4:290‑7.
Kim KS, Kwon SH. Comfort and quality of life of cancer patients. Asian Nurs Res (Korean Soc Nurs Sci) 2007;1:125‑35.
Malinowski A, Stamler LL. Comfort: Exploration of the concept in nursing. J Adv Nurs 2002;39:599‑606.
Yousefi H, Abedi HA, Yarmohammadian MH, Elliott D. Comfort as a basic need in hospitalized patients in Iran: A hermeneutic phenomenology study. J Adv Nurs 2009;65:1891‑8.
Hawley MP. Nurse comforting strategies: Perceptions of emergency department patients. Clin Nurs Res 2000;9:441‑59.
Dugas B. Essentials of patient care, comprehensive looking on nursing. Translated by Emad B, Atash Zadeh Shoorideh, Zahri Anboohi S, Ezzati ZH, Moshtagh Eshgh Z, Barz Abadi Farahani Z, et al. 1st ed,Tehran, Golban publisher; 2003. p. 528-30. [persian].
Lotfi R, Tehrani FR, Dovom MR, Abedini M, Sajedinejad S. Development of strategies to reduce cesarean delivery rates in Iran 2012‑2014: A mixed methods study. Int J Prev Med 2014;5:1552‑66.
Taylor C. Fundamentals of Nursing. 1st ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 1099-118.
Golmakani N, Hashemi Asl BM, Sajjadi SA, Pourjavad M. Investigating the factors associated with labor pain and coping behavior. IJOGI 2012;15:36.
Forohar S, Masomi R, Robati M, Hashzadeh S. The effect of audio Quran in third trimester pregnancy on labor pain. J Quran Teb 2011;1:18‑22.
Mohammadi Tabar SH, Rahnama P, Kiani A, Hedari M. The effect recitation of Quran in third trimester pregnancy on labor pain in primiparous. J Payesh 2012;11:901‑6.
Zakerihamidi M, Latifnejad Roudsari R, Merghati Khoei E. Vaginal delivery vs. cesarean section: A focused ethnographic study of women’s perceptions in The North of Iran. Int J Community Based Nurs Midwifery 2015;3:39‑50.
Shamaeian Razavi N, Bahri Binabaj N, Hoseiny Shahidy L, Pour Heidari M. The effect of maternal position on labor pain. Gonabad 2006;12:17‑22.
De Jonge A, Largo‑Janssen AL. Birthing position. A qualitative study into the views of women about various birthing positions. Psychosom Obstet Gynaecol 2004;25:47‑55.
Chaichian S, Akhlaghi A, Rousta F, Safavi M. Experience of water birth delivery in Iran. Arch Iran Med 2009;12:468‑71.
Gayeski ME, Brüggemann OM, Monticelli M, Dos Santos EK. Application of nonpharmacologic methods to relieve pain during labor: The point of view of Primiparous women. Pain Manag Nurs 2015;16:273‑84.
Hodnett ED. Pain and women’s satisfaction with the experience of childbirth: A systematic review. Am J Obstet Gynecol 2002;186 (Suppl Nature):S160‑72.
Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev 2007;CD003766.
Leeman L, Fontaine P, King V, Klein MC, Ratcliffe S. Management of labor pain: Promoting patient choice. Am Fam Physician 2003;68:1023, 1026, 1033 passim.
Safarzadeh A, Beigi M, Salehian T, Khojasteh F, Burayri TT, Navabirigi S, et al. Effect of Doula support on labour pain and outcomes in Primiparous women in Zahedan, southeastern Iran: A randomized controlled trial. J Pain Relief 2012;1:112.
Manizheh P, Leila P. Perceived environmental stressors and pain perception during labor among primiparous and multiparous women. J Reprod Infertil 2009;10:217‑23.
Mohammadi Tabar SH, Kiani Asia Bar A. Midwife’s role in health and treatment service giving. Gilan province’s Journal of Nursing 2003;4:42‑6.
Price S, Noseworthy J, Thornton J. Women’s experience with social presence during childbirth. MCN Am J Matern Child Nurs 2007;32:184‑91.
Waldenström U. Experience of labor and birth in 1111 women. J Psychosom Res 1999;47:471‑82.
Barrett SJ, Stark MA. Factors associated with labor support behaviors of nurses. J Perinat Educ 2010;19:12‑8.
Abrams N. A contrary view of the nurse as patient advocate. NLN Publ 1990;102‑5.
Simkin D. An easy birth by Lamaze method. In: Zeinali Bagha E, 1st edition. Tehran: Noor e Danesh Publisher; 2002. p. 5‑20.
Lally JE, Thomson RG, MacPhail S, Exley C. Pain relief in labour: A qualitative study to determine how to support women to make decisions about pain relief in labour. BMC Pregnancy Childbirth 2014;14:6.
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