Submission after revision to Sexual & Reproductive Healthcare
Categorie(s):
Healt
Author(s):
Sigfridur Inga Karlsdottir RN. RM. MSN. PhD, Dr. Herdis Sveinsdottir RN. MSN. PhD, Dr. Olof Asta Olafsdottir RN. RM. MSN. PhD, Hildur Kristjánsdóttir RM. RN. M.Ed.
Keyword(s):
Kesehatan, kebidanan, Jurnal Internasional, jurnal, attitude, pain, pain, management, pregnancy, childbirth and health
DOI:
http://dx.doi.org/doi:10.1016/j.srhc.2015.05.006
Abstract :
ABSTRACT
Background: Pregnant women expect childbirth to be painful. However, little is known
about their expectations of the intensity of pain in childbirth (EIPC) and their attitudes to pain
management.
Method: The design was a cross-sectional survey, with self-reported questionnaires used to collect
data from low-risk pregnant women (N=1111) early in pregnancy at 26 of the largest primary
health care centres in Iceland. This consecutive national sample was stratified by residency.
Results: The mean score for the EIPC was 5.58 (SD=1.38) measured on a 7 point scale. The strongest
predictors of a high EIPC score were: negative attitude to the impending childbirth (OR=2.39), low
manifestation of a sense of security (OR=1.80), and a positive attitude to pain management with
medication (OR=1.63). Women living outside the capital area were less likely to have a high EIPC
(OR=0.68). Most women (77%) had a positive attitude towards pain management without
medication and 35% had a positive attitude to pain management with medication.
Conclusions: The study detected multiple predictors of women's EIPC and attitude to pain
management. Early and throughout pregnancy, midwives and health care professionals
need to address these predictors in order to assist women to prepare themselves for the
pain of labour.