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Women’s perceptions of the pain assessment and non-pharmacological pain relief methods used during labor: A cross-sectional survey

Rantala, Arja; Hakala, Mervi; Pölkki, Tarja (2022)

 
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Eur_J_Midwifery_2022_6(April)_21.pdf (673.7Kt)
Lataukset: 


Rantala, Arja
Hakala, Mervi
Pölkki, Tarja
EU European Publishing
2022
doi:10.18332/ejm/146136
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi-fe2023030830650
Tiivistelmä
Introduction:
The use of non-pharmacological pain relief methods and pain assessment scales during labor has received limited research attention. This study aimed to describe women’s perceptions of the pain assessment and non-pharmacological pain relief methods used during labor.

Methods:
A descriptive, cross-sectional survey was conducted. A convenience sample of women (n=204) from one Finnish maternity ward participated in the study. Women who had given birth were asked to respond to a validated questionnaire between November 2018 and February 2019. The statistical significance of observed differences was analyzed using the chi-squared test.

Results:
Less than half (46%) of the women who gave birth at the hospital were asked to assess the intensity of their pain on a pain assessment scale. The most commonly used non-pharmacological pain relief methods were encouragement (92%), the presence of a midwife (82%), and proper breathing technique that was taught by a midwife (81%). Aqua blisters (3%), reflexology (e.g. zone magnets, 5%), and music (9%) were the least commonly used non-pharmacological methods during labor. The participants’ experiences of fear and pain were significantly associated with the implementation of pain assessment.

Conclusions:
Women’s pain was rarely evaluated by using a certain pain assessment scale. In addition, non-pharmacological pain relief methods were inadequately used during labor. More specifically, methods that required midwives’ own personal contributions were rarely offered to the women.
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