شدت و كيفيت درد زايمان در زائوهاي بستري در بخش زنان و زايمان بيمارستان افضلي پور كرمان بر اساس سنجش درد مك گيل

The Quality and Intensity of Labor Pain based on McGill pain Questionnaire in Parturient Women Admitted in the Maternity Ward of Afzalipour Hospital in Kerman

Background & Aims: Fear of labor pain is a principal factor in pregnant womenʹs tendency for cesarean section. This study was done to investigate the factors that affect quality and intensity of labor pain in order to decrease the rate of elective cesarean sections. Method: a prospective randomized study was performed on 208 parturient women in Maternity ward of afzalipour Hospital by using McGill Pain Questionnaire. Results: Mean age of participants was 25.23±5.54 years old. Comparison of intensity and quality of pain between stage I and Stage II of labor showed higher pain intensity in stage II (PcO.OOOl). Nuliparous women reported higher pain intensity during stage II (P=0.002), whereas muciparous women experienced shorter labor (P<0.0001). In stage II of labor with increase of age, a decrease of labor pain intensity was observed (PcO.OOl). There were no significant statistical relationships between labor pain and variables of job, education al level, weight of neonate and number of previous pregnancies in muciparous women. Labor pain intensity in women who had prenatal care in obstetricianʹs clinics was lower than others. Conclusion: Lower intensity of labor pain in women who had prenatal care in obstetricianʹs clinics emphasizes on the role of obstetricians in recommending vaginal delivery to pregnant women as a physiologic phenomenon.