Journal of Japan Academy of Midwifery
Online ISSN : 1882-4307
Print ISSN : 0917-6357
ISSN-L : 0917-6357
Progression of Labor Pain in Primiparas and Multiparas
Analysis of Subjective Labor Painand Uterine contractions
Kiyoko KABEYAMAJunko KONDO
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JOURNAL FREE ACCESS

1992 Volume 6 Issue 1 Pages 23-30

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Abstract

The purpose of this study was to systematically describe the dimensions of pain during the progression of labor in primiparas and multiparas. The characteristics of pain were operationalized as responses of 41 primiparas and 64 multiparas to 3self-report measures, the Visual Analogue Scale, the Verbal Rating Scale and the McGill-Melzack pain Questionnaire, when the cervix was dilated0-3cm, 4-7cm, 8-9cm, 10cm and third stage. With 44 0ut of 105 laboring women, the uterine contractions were measured by tocographies except Stage III.
The findings of this study are summarized as follows.
1. primiparas had most intense pain in dilation of 8-9cm and multiparas had most intense pain in stage II.
2. Primiparas had significantly more painin Stages I than multiparas.
3. Miltiparas had significantly more pain during Stages II and III than primiparas.
4. Three self-report measures tended to be better correlated with the uterine contractions in dilation of4-7cm and of 8-9cm.
It is suggested that the analyses of labor pain by both subjective and objective methods may gain profound knowledge.

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