Labor pain management by posture control behaviors learning : Postures chosen by primigravidas during the first stage of delivery

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  • Suzuki Kyoko
    Tokyo Metropolitan University, Faculty of Sciences, School of Nursing:Graduate School of Nursing, Kitasato University
  • Takahashi Mari
    Kitasato University, School of Nursing

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  • 姿勢コントロール行動の学習による産痛対処 : 初産婦が分娩第1期に選択する姿勢
  • シセイ コントロール コウドウ ノ ガクシュウ ニ ヨル サンツウ タイショ ショサンプ ガ ブンベン ダイ1キ ニ センタク スル シセイ

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Abstract

The present study investigated learned posture control behaviors for labor pain management before delivery in primigravidas in order to identify the postures chosen during delivery and to clarify subjective perceptions of labor pain management. Subjects were 38 primigravidas who had learned posture control behaviors, had a generally normal course of pregnancy and experienced vaginal delivery. Using the participant-observer method, postures chosen by subjects during the beginning, active and transition periods of the first stage of delivery were recorded in seven grades. On the first day postpartum, the degree of labor pain during each period was assessed by conducting interviews based on the McGill Pain Questionnaire. Subjective perceptions of labor pain management were assessed using the visual analogue scale (0-100). The results revealed that during the first stage of delivery, sitting position was selected for significantly more time than any other posture, while supine and cross-legged sitting positions were selected for significantly less time. Posture control behaviors during the first stage of delivery were classified into eight patterns, of which the predominant three were latter-half crouching, latter-half crawling and lateral dominant. Subjective perceptions of labor pain management were comparatively high for these patterns.

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