Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT04883047 |
| Other study ID # |
laborpain |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
May 25, 2021 |
| Est. completion date |
June 25, 2021 |
Study information
| Verified date |
July 2021 |
| Source |
Gazi University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Although labor pain is a physiological and natural process, when the woman cannot cope with
labor pain, the health of the mother and fetus is negatively affected. These negative effects
mostly focus on the respiratory system, cardiovascular system, neuroendocrine and limbic
system. During birth, the mother becomes exhausted due to pain and has to use all her energy
to cope with the pain.When the mother can effectively cope with the pain of labor, she starts
motherhood with a positive experience, experiences the happiness of actively participating in
the birth of the baby, can participate in practices with health professionals, and the
problems that can be seen in the newborn are reduced because there is no need for medication.
In this respect, it is extremely important for the mother, baby and family to end the birth
process in the best possible way. For this reason, nursing care includes emotional, physical,
spiritual and psychosocial continuous birth support and coping with the pain of labor. In
this direction, the "algorithm for coping with labor pain" developed includes the
interventions that should be done to cope with the pain in labor.
Description:
Pain is defined as an unpleasant emotional sensation originating from a certain part of the
body, often related to tissue damage, and related to the past experiences of the person.
Labor pain is an experience that is a part of a natural process, takes place in a limited
time, and is perceived and experienced differently by every woman. Physiological changes
during labor such as maternal age, parity, weight of mother and baby, position of the fetus,
anatomical structure of the pelvis, cervical dilatation and uterine contractions;
psychological factors such as perception of threats to the body or soul, culture, ethnicity,
anxiety, loneliness, loss of control, fear that a painful or painful event will occur,
anxiety that the baby or himself may be harmed, previous pain experiences and healthcare
professionals' communication with the pregnant woman Environmental factors such as noise,
lighting, and birth pain significantly affect the pregnant woman's coping with labor pain.
Although labor pain is a physiological and natural process, when the woman cannot cope with
labor pain, the health of the mother and fetus is adversely affected. These negative effects
mostly focus on the respiratory system, cardiovascular system, neuroendocrine and limbic
system. During birth, the mother becomes exhausted due to pain and has to use all her energy
to cope with the pain. When the mother cannot cope, she becomes tired, and her oxygen
requirement, blood pressure and cardiac out-put increase. Fear and anxiety caused by labor
pain increase the release of stress hormones such as adrenaline, noradrenaline and
corticosteroid. These hormones reduce the blood flow to the uterus and cause distress in the
fetus by reducing the amount of oxygen in the placental flow. In addition, due to the
increased adrenaline, it causes a decrease in the amount of oxytocin during delivery. This
causes prolongation of labor and more bleeding. At the same time, when the woman is able to
cope with labor pain, the formation of tetany in the pregnant woman is prevented by
preventing hyper ventilation and hypocapnia formation.
When the mother can effectively cope with the pain of labor, she starts motherhood with a
positive experience, experiences the happiness of actively participating in the birth of the
baby, can participate in practices with health professionals, and the problems that may be
seen in the newborn are reduced since there is no need for medication. In this respect, it is
extremely important for the mother, baby and family to end the birth process in the best
possible way. For this reason, nursing care includes emotional, physical, spiritual and
psychosocial continuous birth support and coping with the pain of labor. Providing
non-pharmacological pain relief methods such as relaxation and breathing exercises, massage,
positioning, therapeutic communication, listening to music, hot-cold application, partner and
family support, providing home environment is associated with a positive birth experience.
Accordingly, the "algorithm for coping with labor pain" developed by Roberts et al. (2010)
includes the interventions that should be done to cope with the pain at birth. The algorithm
for coping with labor pain has two branches. One is the arm that shows pregnant ways of
coping with pain, such as rhythmic activity, deep breathing, inner focus, relaxation between
contractions, which gives clues to healthcare professionals; Another is the arm that enables
the evaluation of the findings that show that the woman cannot cope with labor pain such as
clenching her teeth, crying, and inability to focus. According to the algorithm, when a woman
can cope with labor pain, there is no need to do any intervention. However, when the woman
cannot cope with labor pain, it is easier for the woman to cope with labor pain with holistic
birth support strategies such as providing physical comfort, emotional comfort, informative
support and advocacy.
