scholarly journals An Overview of Labor Pain: Components and Stages of the Labor Process

2021 ◽  
Vol 11 (3) ◽  
pp. 315-317
Author(s):  
Hend A. El-Sakhawy ◽  
Ahmed M. Abodonya ◽  
Walid Kamal Abdelbasset ◽  
Mohamed A. El-Sakhawy6
Keyword(s):  
Labor Pain ◽  
Labor Process ◽  
Labor Management ◽  
Uterine Contractions ◽  
Effective Analgesia ◽  
Catecholamine Concentration

Labor pain (LP) is unbearable and a major source of anxiety and stress. Painful uterine contractions cause hyperventilation in the mother, and because of augmented catecholamine concentration, both the mother and her fetus will be hypoxic. Effective analgesia provides protection from difficulties and ensures good results in both the mother and fetus. Hence, the control of pain should form an integral part of labor management at any level. This brief review aims to identify LP and its effects on fetus and mother, stages of delivery and labor process, and components of LP.

DZIKIR CAN REDUCE LABOR PAIN LEVEL

2021 ◽  
Vol 2 (1) ◽  
pp. 26-30
Author(s):  
Ai Nur Zannah
Keyword(s):  
Physiological Condition ◽  
Active Phase ◽  
Labor Pain ◽  
Pain Level ◽  
Cervical Dilation ◽  
Uterine Contractions ◽  
Before And After ◽  
Quasi Experimental ◽  
Latent Phase ◽  
First Stage Of Labor

Labor pain is a physiological condition that began at the first stage of labor (laten and active phase). Pain comes from uterine contractions and cervical dilation in an attempt to pave the way for birth and encourage babies to be born. Experts find pharmacological and non-pharmacological ways to reduce pain in labor, one of them is Dzikir guided by childbirth helper (midwife). The purpose of this study was to analyze the differences of labor pain level on mother in latent phase before and after applying Dzikir. Subjects were 15 accidentally selected mothers in labor latent phase on March - April in PMB “S” Puger Jember. The design of this study uses a quasi-experimental one group pre-posttest. Results showed significant decreased pain level of mothers after doing Dzikir significantly (Z=-3,578, p≤0.001). In conclusions, there are differences of labor pain level on mother in latent phase before and after applying Dzikir

scholarly journals Butorphanol in Labour Analgesia

2018 ◽  
Vol 56 (214) ◽  
pp. 940-944 ◽  
Author(s):  
Jyotsna Yadav ◽  
Mohan Chandra Regmi ◽  
Pritha Basnet ◽  
K.M. Guddy ◽  
Balkrishna Bhattarai ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Labour Pain ◽  
Cross Sectional Study ◽  
Labour Analgesia ◽  
Labor Pain ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Fetal Heart Rate Monitoring ◽  
Uterine Contractions ◽  
Pain Scores

Introduction: Labour is the process where uterine contractions lead to expulsion of product of conception through the vagina into the outer world. Labour pain is one of the most severe pains which has ever been evaluated and its fear is one of the reasons women wouldn’t go for natural delivery. Delivery is a painful experience for all of the women except a few of them. The labor pain results from some physiological-psychological causes. Different pharmacological and non-pharmacological methods have been tried for pain relief in labour. The objective of this study is to see the effect of butorphanol injection in labour pain. Methods: It is a descriptive cross-sectional study conducted in B.P. Koirala institute of health sciences. We observed 200 pregnant women meeting the inclusion criteria and giving the informed consent who were on 1 mg butorphanol i.m. at the onset of active stage of labour every 4 hourly and on demand. Pain assessment was done by Numerical Pain analogue scale measured from 1 to 10. Fetal heart rate monitoring was done according to the hospital protocol. Caesarean section was performed for obstetrical indication. Neonatal outcome was evaluated by on duty pediatrician and APGAR score were noted at 1 and 5 min.Results: The pain scores in first, second, third, fourth hour were (8.83±0.773), (9.84±0.544), (9.94±0.338), (9.6±0.298) respectively, where 1st and 2nd hour is statistically significant.Conclusions: Butorphanol is an effective labour analgesia without significant adverse effects on women and the neonatal outcome.

scholarly journals Assessment of knowledge on non-pharmacological methods of pain relief during labour among nurses working in maternity and children hospital, Nepal

2017 ◽  
Vol 7 (3) ◽  
pp. 25-28
Author(s):  
Amshu Dhakal ◽  
Shrooti Shah ◽  
Babita Singh
Keyword(s):  
Pain Relief ◽  
Well Being ◽  
Cross Sectional Study ◽  
Labor Pain ◽  
Labor Management ◽  
Cross Sectional ◽  
Self Confidence ◽  
Increased Risk ◽  
Women And Children ◽  
Self Administered Questionnaire

Background: Labor pain is a universal phenomenon and it is associated with the contraction of uterus. Rather than making the pain disappear with pharmacotherapy, the nurses can assist the laboring women to cope up with, build their self-confidence and maintain a sense of mastery of well-being. Thus, nurses must have knowledge to assess pain to implement pain relief strategies. Methods: A descriptive cross-sectional study was carried out among 52 nurses of Siddhartha Women and Children Hospital, Butwal, Nepal to assess Knowledge about Non-pharmacological Methods of Pain Relief during Labor using structured self-administered questionnaire. The reliability of the tool after pretesting was 0.883. Descriptive statistics was used to analyze the data. Results: Among 52 nurses, 36.5% were 18-22 years of age, 46.2% of them had qualification of Proficiency certificate level Nursing, 40.4% had experience of 3 years- 6 years. In this study, 46.2% had satisfactory knowledge about non-pharmacological methods of pain relief during labor, 32.6% had fair knowledge and remaining 21.2% had poor knowledge. Conclusion: This study concluded that less than half of the nurses had satisfactory knowledge about non-pharmacological methods of pain relief during labor. Since, there is an increased risk of complications resulting from pain and anxiety during labor, management of pain is very essential thus nurse’s knowledge on these methods is crucial. Hence, the nurses should be encouraged to enhance knowledge related to management of labor pain.

The Effectiveness of Lavender (Lavendula Augustfolia) and Neroli (Citrus Aurantium) Aromatherapy Inhalation to Decrease Pain Labor

2020 ◽  
Vol 6 (1) ◽  
pp. 26-31
Author(s):  
Nurul Azizah ◽  
Rafhani Rosyidah ◽  
Hanik Machfudloh
Keyword(s):  
Labor Pain ◽  
P Value ◽  
Citrus Aurantium ◽  
Uterine Contractions ◽  
Pain Scores ◽  
Quasi Experimental ◽  
The Mean ◽  
Group 2 ◽  
Almost All ◽  
Postpartum Pain

Maternal labor will experience almost all body pain, such as painful ribs, stitches, abdominal pain due to uterine contractions, and discomfort in the back due to epidural needles, and this discomfort will last several days and can be overcome by prescription for painkillers. In this study aimed at carrying out non-famacological pain relief therapy, namely by using aromatherapy which is believed to reduce pain, this study tried to compare the effectiveness of lavender and neroli aromatherapy inhalation to decrease post-labor pain. The research method used quasi-experimental that is given aromatherapy lavender (Lavendula Augustfolia) and neroli (Citrus Aurantium) inhalation treatments. The number of respondents was 60 with 1-2 days of normal and postpartum criteria, each group consisted of 30 respondents. Group 1 was held at the Pearl Delta Clinic RB and group 2 in the Karunia RB Clinic. Data were analyzed by univariable by using mean and standard deviation, bivariable with statistical test independent sample T test. The results of this study showed a mean reduction in pain scores on lavender aromatherapy inhalation of 2.36 ± 0.15, whereas in the aromatherapy neroli inhalation group the mean reduction in pain score was 3.03 ± 0.067 with a P value <0.002 indicating a significant relationship. The conclusion of this study is the inhalation of lavender aromatherapy (LavendulaAugustfolia) and neroli (Citrus Aurantium) can reduce the intensity of postpartum pain, but in the aromatherapy neroli inhalation group has a greater pain reduction score than the lavender group. 

scholarly journals A comparative study between nifedipine and isoxsuprine in the suppression of preterm labor pain

2020 ◽  
Vol 9 (7) ◽  
pp. 2886
Author(s):  
Susheela Khoiwal ◽  
Vandana Patidar ◽  
Radha Rastogi ◽  
Bharat Tailor
Keyword(s):  
Preterm Labor ◽  
Preterm Labour ◽  
Neonatal Morbidity ◽  
Labour Pain ◽  
Labor Pain ◽  
Morbidity And Mortality ◽  
Medical College ◽  
Uterine Contractions ◽  
High Incidence ◽  
A Prospective Study

Background: A prospective study was conducted to compare the effectiveness of Nifedipine and Isoxsuprine in suppression of preterm labour pain as tocolytics drug. As preterm labour pain is major contributor for perinatal morbidity and mortality. The aims of this study were to assess the effect of nifedipine and isoxsuprine in threatened preterm labour with the aim of preventing preterm birth and its sequelae.Methods: This study was conducted on 100 patients coming to Pannadhay Rajkiya Mahila Chikitsalaya, RNT Medical College, Udaipur and attending OPD and IPD with complain of uterine contractions between 28-36 weeks of gestation.Results: Nifedipine was more effective than isoxsuprine hydrochloride as tocolytic agent.Conclusions: There is high incidence of preterm labour in India which leads to neonatal morbidity and mortality. Nifedipine is a better tocolytic drug compared to isoxsuprine hydrochloride.

THE RELATIONSHIP OF HUSBAND COACHES WITH REDUCTION OF PAIN IN THE PROCESS LABOR IN CIOMAS PUSKESMAS BOGOR DISTRICT, 2019

2020 ◽  
Vol 11 (1) ◽  
pp. 107-113
Author(s):  
Elpinaria Elpinaria Girsang
Keyword(s):  
Health Center ◽  
Severe Pain ◽  
Labor Pain ◽  
Labor Process ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Impact Reduction ◽  
Reduction Of Pain ◽  
Artificial Heat ◽  
The Relationship

Husband's companion is encouragement or motivation, to provide assistance and support to the mother during labor, the husband is the first and foremost person in giving encouragement to the wife before the other party gives encouragement, support and attention of a husband to a pregnant wife that will have an impact reduction of pain during labor in Ciomas Health Center, Bogor Regency. The factors that influence the reduction in labor pain include presenting (Husband), positioning, touch and massase, massage, artificial heat, immersion in water, breathing and music. This aims to identify Reduction of Pain in Husband's Companion in Ciomas Health Center, Bogor Regency in 2018. The purpose of this study was to find out the relationship between husband's companion and the reduction of pain in labor in Ciomas Puskesmas, Bogor Regency in 2018. This type of research is an analytical survey with a cross sectional approach. The method of sampling in this study uses total sampling technique with a sample of 30 respondents, Status data for reducing the patient's pain is obtained by observing The results of bivariate analysis using the chi-square test The proportion of respondents with the results of pain reduction when accompanied in labor more moderate pain than severe pain and very severe pain (53.3% 36.7% and 10.0% with ρ = 0.004; ρ <0.05), So Ho was rejected with Ha accepted which means there is a relationship between husband's companion and a reduction in pain Based on the conclusions of the research results, there is a suggestion for the husband's husband to always accompany him during the labor process so that he can reduce the pain in the labor process 

scholarly journals PENGARUH TERAPI BIRTH BALL TERHADAP INTENSITAS NYERI PADA PERSALINAN DI KLINIK PRATAMA HANNA KASIH MEDAN 2020

2021 ◽  
Vol 2 (1) ◽  
pp. 92-96
Author(s):  
Elsa Situmorang ◽  
Deswita E.K.C Gulo ◽  
Herfan Feronika Bago ◽  
Nelfian Laia ◽  
Nelfian Laia ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Labor Process ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
P Value ◽  
Test Analysis ◽  
Process Stage ◽  
Post Test ◽  
Independent Variable

Pain in childbirth is a physiological process caused by myometrial contractions with different intensities for each mother and is a signal to inform the mother that she has entered the labor process stage. Pain in childbirth has the highest degree of pain among other pain, so that many women are not ready to have children because they imagine the pain that will be presented at the time of labor later. The general objective of this study was to determine whether there was an effect of birth ball therapy on pain intensity in labor at the Pratama Hanna Kasih clinic, Medan 2020. Univariate and bivariate analysis using Wilcoxon test analysis. Bivariate analysis is used to see the effect of the independent variable (independent) on the dependent variable using the Wilxocon test analysis. Of the 30 respondent mothers who carried out the variable therapy pre-test birth ball who were very painful and 19 respondents had pain (63%), and a minority of respondents had little pain, 11 people (37%). And on the post-test respondents the least pain was increased by 22 respondents (73%), while the minority of pain was quite severe as many as 8 respondents (27%). A significant effect on the effect of birth ball therapy on labor pain where the p value is 0.00 <0.05. The results are expected to have an effect on birth therapy on labor pain. The results of the Wilcoxon test analysis with a degree of significance (α) = 0.05 and a P value of 0.00 were obtained (α <0.05) which can be seen from the value which means that Ho is rejected and Ha is accepted. The conclusion is that there is an effect of birth ball therapy on labor pain

scholarly journals β2-Adrenergic Receptor Genotype and Other Variables that Contribute to Labor Pain and Progress

2011 ◽  
Vol 114 (4) ◽  
pp. 927-939 ◽  
Author(s):  
Elena Reitman ◽  
Jessamyn Conell-Price ◽  
Jennifer Evansmith ◽  
Luke Olson ◽  
Sofia Drosinos ◽  
...  
Keyword(s):  
Black Women ◽  
Adrenergic Receptor ◽  
Strong Association ◽  
Active Phase ◽  
Labor Pain ◽  
Average Weight ◽  
Labor Management ◽  
Cervical Dilation ◽  
Asian Ethnicity ◽  
Β2 Adrenergic Receptor

Background β2-Adrenergic receptor (β2AR) activity influences labor. Its genotype affects the incidence of preterm delivery. We determined the effect of β2AR genotype on term labor progress and maternal pain. Methods We prospectively enrolled 150 nulliparous parturients in the third trimester and obtained sensory thresholds, demographic information, and DNA. Cervical dilation, pain scores, and labor management data were extracted with associated times. The association of genetic and demographic factors with labor was tested using mixed effects models. Results Parturients who express Gln at the 27 position of the β2AR had slower labor (P &lt; 0.03). They progressed from 1-10 cm dilation in approximately 21 h compared with 14 h among other patients. Asian ethnicity, previously associated with slower labor, is highly associated with this polymorphism (P &lt; 0.0001). Heavier and black patients had slower latent labor (P &lt; 0.01, 0.01). Neuraxial analgesia was associated with slower labor progress (P &lt; 0.0001). It could take up to 36 h for parturients who were black and/or more than median weight (165 lb) to transition from 1 cm cervical dilation to active labor. However, after this active phase began, labor rates among these patients were similar to that of other parturients. Conclusions We detected a strong association between β2AR genotype and slower labor. Asian ethnicity may be a proxy for β2AR genotype. Black women and those of higher than average weight have slower latent labor. These results confirm many of the associations found when this mathematical model was applied to a large retrospective cohort, further validating this approach to description and analysis of labor progress.

scholarly journals PENGARUH PEMBERIAN TEHNIK AKUPRESUR TERHADAP PENURUNAN NYERI PERSALINAN KALA I PADA IBU PRIMIPARA DI RUANG WIDYA RUMAH SAKIT CIREMAI CIREBON TAHUN 2016

2020 ◽  
Vol 7 (2) ◽  
pp. 880-886
Author(s):  
Awaludin Jahid Abdillah ◽  
Iyus Meni
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Labor Pain ◽  
P Value ◽  
Test Design ◽  
Research Results ◽  
Uterine Contractions ◽  
Post Test ◽  
Numerical Rating ◽  
Reduction Effect

Nyeri persalinan dapat menimbulkan stres yang menyebabkan pelepasan hormon yang berlebihan seperti katekolamin dan steroid. Hormon ini dapat menyebabkan terjadinya ketegangan otot polos dan vasokontriksi pembuluh darah. Hal ini dapat mengakibatkan penurunan kontraksi uterus,penurunan sirkulasi utero plasenta, pengurangan aliran darah dan oksigen ke uterus, serta timbulnya iskemia uterus yang membuat impuls nyeri bertambah banyak akupresur, stimulasi kulit dapat memberi efek penurunan nyeri yang efektif. Tehnik akupresur dapat dimanfaatkan sebagai menurunkan rasa nyeri pada saat persalinan. Tujuannya adalah  untuk mengetahui pengaruh  pemberian tehnik akupresur terhadap nyeri persalinan kala I pada ibu primapara. Jenis penelitian ini adalah Pre eksperiment dengan rancangan pre and post test design.  Populasi adalah  ibu bersalin kala I primipara di ruang Widya Rumah Sakit Ciremai Cirebon Tahun 2016, Sampel menggunakan tehnik total sampling dengan jumlah sampel 22 responden. Instrumen penelitian menggunakan  Numerical Rating Scale. Metode pengambilan data dalam  penelitian ini menggunakan observasi, dianalisis dengan Wilcoxon Matchead Pairs p-value ≤0.05.Dari hasil penelitian dengan menggunakan uji Wilcoxon Matchead Pairs, menunjukan nilai ρ=0.000 (0,000≤0.05), berarti ada pengaruh pemberian tehnik akupresur terhadap penurunan nyeri persalinan. Sehubungan dengan hasil penelitian diharapkan perlunya memberikan pelatihan tentang tehnik akupresur baik bagi rumah sakit, ilmu keperawatan, praktik keperawatan dan ibu bersalin primipara.Kata Kunci : intensitas nyeri, persalinan, tehnik akupresur  ABSTRACTLabor pain can cause stress which causes excessive release of hormones such as catecholamines and steroids. These hormones can cause smooth muscle strain and vasoconstriction of blood vessels. This can lead to decreased uterine contractions, decline in utero placental circulation, reducing blood flow and oxygen to the uterus, as well as the onset of ischemia of the uterus which make implus pain increased. acupressure, skin stimulation can provide effective pain reduction effect. Acupressure technique can be used as a decrease pain during labor . The purpose is to determine the effect on the provision of acupressure techniques to the first stage of labor pain in the mother primapara.This research is a Pre experimental design with pre and post test design maternity respondents in the room when I primiparas Widya Hospital Cirebon Ciremai 2016, use the technique of total smpling with a sample of 22 respondents . research instruments using Numerical Rating Scale. The method of collecting data in this study using observation, Matchead Pairs analyzed by Wilcoxon p-value ≤0.05 .From the results of research using the Matchead Pairs Wilcoxon, research results show the value ρ = 0.000 ( 0,000≤0.05 ), means that there is the effect of acupressure techniques to decrease labor pain.In connection with the research results expected need for providing training in acupressure technique is good for hospitals , nursing science, nursing practice and maternal primiparous.Keywords : pain intensity, labor, acupressure technique

scholarly journals Mother's Anxiety Face Primigravidal Delivery Ages 20-35 Years at Mandiri Midwife Practices Cengkal Sewu Village, Kayen District, Pati Regency

2022 ◽  
Vol 4 (2) ◽  
pp. 51-56
Author(s):  
Nur Cahyani Ari Lestari
Keyword(s):  
Child Labor ◽  
Qualitative Method ◽  
Phenomenological Approach ◽  
Labor Process ◽  
Anxiety And Depression ◽  
Birth Canal ◽  
Uterine Contractions ◽  
First Child ◽  
Depth Interview ◽  
The Face

Anxiety before labor in pregnant women is a physiological matter, but in facing labor process in which there are a series of physical and psychological changes that starting with uterine contractions, dilatation of the birth canal, and spending baby and placenta which ended with first punding between mother and baby. Anxiety and depression are two types of interference that related each other. The objectives of this study is to explore mother’s anxiety facing labor primigravid 20-35 years old in BPM Sulityowati Cengkalsewu Village Sub Kayen Pati Regency. This study used a qualitative method with phenomenological approach. Technique of data collection with in depth interview and purposive sampling. The results of in-depth interview in participant obtained information mother’s anxiety resolve labor primigravid 20-35 years old about definition, causes, family support, factors of anxiet. and how to prevent and resolve anxiety. All mothers who are facing labor already know about the content of the anxiety in the face of first child labor. As well as how to prevent and resolve that anxiety.Mother’s anxiety facing labor primigravid 20-35 years old is good.

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