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This quasai-experimental research aimed to compare the level of pain and the duration of labor in phase 1 among parturients in experimental and control groups. The subjects were 60 primiparous women. They were divided into two groups: 30 in an experimental group and 30 in a control group. The experimental group received care from continuous labor support from village health volunteers. The visual analog scales and recording information about the duration of labor in phase 1 were used to collect the data. The data were analyzed by the descriptive statistics and independent t-test.
The results showed that the average score of the level of labor pain in phase 1, when the cervix opened 3-7 centimeters of the experimental group (M=7.27, SD=2.01) was less than those of the control group (M=8.59, SD=1.70) statistical signifcantly (t=2.744, p< .01). The level of labor pain in phase 1, when the cervix opened 8-10 centimeters of both groups was not different. (t=2.000, p> .05). The average score of the duration of labor in phase 1, cervix opened 3-10 centimeters of the experimental group was not different from the control group (t=1.136, p> .05).
This study suggested that continuous labor support is an efcient type of labor care for pain relief when the cervix opened 3-7 centimeters.
Oboro VO, Oyeniran AO, Akinola SE, et al. Attitudes of Nigerian women toward the presence of their husband or partner as a support person during labor. Int J Gynecol Obstet. 2011; 112 (1): 56-8.
Shahshahan Z, Mehrabian F, Mashoori S. Effect of the presence of support person and routine intervention for women during childbirth in Isfahah, Iran: A randomized controlled trial. Adv Biomed Res. 2014; 3(155): 1-6.
Akbarzadeh M, Masoudi Z, Hadianfard MJ, et al. Comparison of the effects of maternal supportive care and acupressure (BL32 Acupoint) on pregnant women’s pain intensity and delivery outcome. J Pregnancy [serial on the Internet]. 2014 Aug [cited 2016 Apr 5]. Available from: http://www.hindawi.com/journals/jp/2014/129208/.
Simkin P. Pain, suffering, and trauma in labor and prevention of subsequent posttraumatic stress disorder. J Perinat Educ. 2011; 20(3): 166-76.
Iravani M, Zarean E, Janghorbani M, et al. Women’s needs and expectations during normal labor and delivery. J Educ Health Promot. 2015; 4(6): 31-7.
Iliadou M. Supporting women in labour. Health Sci J. 2012; 6(3): 385-91.
Amorim MMR, Katz L. Continuous support for women during childbirth [Internet]. Geneva: World Health Organization; 2012 [cited 2016 Mar 31]. Available from: http://apps.who.int/rhl/pregnancy_childbirth/childbirth/routine_care/ cd0003766_amorimm_com/en/.
Hodnett ED, Gates S, Hofmeyr GJ, et al. Continuous support for women during childbirth (Review) [Internet]. San Francisco: John Wiley & Sons; 2013 [cited 2016 Mar 25]. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003766.pub5/epdf.
Kungwimba E, Malata A, Maluwa A, et al. Experiences of women with the support they received from their birth companions during labour and delivery in Malawi. Health. 2013; 5(1): 45-52.
Safarzadeh A, Beigi M, Salehian T, et al. Effect of doula support on labour pain and outcomes in primiparous women in Zahedan, Southeastern Iran: A randomized controlled trial. J Pain Relief. [serial on the Internet]. 2012 [cited 2016 Apr 5]. Available from: http://dx.doi.org/10.4172/2167-0846.1000112.
Essex HN, Pickett KE. Mothers without companion ship during childbirth: An analysis within the millennium cohort study. Birth. 2008; 35(4): 266-76.
Nommsen-Rivers LA, Mastergeorge AM, Hansen RL, et al. Doula care, early breast feeding outcomes, and breastfeeding status at 6 weeks postpartum among low-income primipara. J Obstet Gynecol Neonatal Nurs. 2009; 38(2): 157-73.
Chunuan S, Somsap Y, Pinjaroen S, et al. Effect of the presence of family members, during the first stage of labor, on childbirth outcomes in a provincial hospital in Songkhla Province, Thailand. Thai J Nurs Res. 2009; 13(1): 16-27.
Stevens J, Dahlen H, Peters K,et al. Midwives’ and doulas’ perspectives of the role of the doula in Australia: A qualitative study. Midwifery. 2011; 27(4): 509-16.
Barrett SJ, Stark MA. Factors associated with labor support behaviors of nurses. J Perinat Educ. 2010; 19(1): 12-8.
Carolan-Olah M, Kruger G, Gravey-Graham A. Midwives’ experiences of the factors that facilitate normal birth among low risk women at a public hospital in Australia. Midwifery. 2015, 31(1): 112-21.
Small R, Taft AJ, Brown SJ. The power of social connection and support in improving health: lessons from social support interventions with childbearing women. BMC Public Health [serial on the Internet 2011 Nov [cited 2016 Sep 2]; 11. Available from: http://www.biomedcentral.com/1471-2458/11/S5/S4.
Department of Health, Ministry of Public Health. Manual for participation of husband or relative for continuous labor support. Bangkok: Department of Health, Ministry of Public Health; 2012. Thai.
Phumdoung S, Youngvanichsate S, Mahattanan S, et al. Prince of Songkla University Cat and upright positions together with music reduces the duration of active phase of labour and labour pain in primiparous women compared to Oxytocin. Focus Altern Complement Ther. 2014; 19(2): 70-7.
Lipsey MW. Design sensitivity: Statistical power for experimental research. London: SAGE Publication, Inc.; 1990.
Good M, Stiller C, Zauszniewski JA, et al. Sensation and distress of pain scale: Reliability, validity, and sensitivity. J Nurs Meas. 2001; 9(3): 219-38.
Hosseni SF, Pilevarzadeh M, Vazirinasab H. Non-pharmacological strategies on pain relief during labor. Biosci Biotechnol Res Asis. 2016; 13(2): 701-6.
Gallo RBS, Santana LS, Ferreira CHJ, et al. Massage reduced severity of pain during labour: A randomised trial. J Physiother. 2013; 59(2): 109-16.
Janssen P, Shroff F, Jaspar P. Massage therapy and labor outcomes: A randomized controlled trial. Int J Ther Massage Bodywork. 2012; 5 (4): 15-20.
Mortazavi SH, Khaki S, Moradi R, et al. Effects of massage therapy and presence of attendant on pain, anxiety and satisfaction during labor. Arch Gynecol Obstet. 2012; 286(1): 19-23.
Naghian K, Sokhangoei Y, Alikhah H. The effect of massage on reduction of labor pain and duration of labor in primiparas women. Int J Curr Res Aca Rev. 2016; 4(6): 150-55.
Ward SL, Hisley SM, Kennedy AM. Maternal-child nursing care: optimizing outcomes for mothers, children, & families 2nd ed. Philadelphia: F.A. Davis Company; 2016.
Gizzo S, Di Gangi S, Noventa M, et al. Women’s choice of positions during labour: return to the past or a modern way to give birth? A cohort study in Italy. Biomed Res Int. [serial on the Internet]. 2014 [cited 2016 Sep 20]. Available from: http://dx.doi.org/10.1155/2014/638093.
Thilagavathy G. Maternal birthing position and outcome of labor. J Fam Welf. 2012; 58(1): 68-73.
Nilsen E, Sabatino H, Lopes MH. The pain and behavior of women during labor and the different positions for childbirth. Rev Esc Enferm USP. 2011; 45(3): 557-65.
Abdolahian S, Ghavi F, Abdollahifard S, et al. Effect of dance labor on the management of active phase labor pain & clients’ satisfaction; a randomized controlled trial study. Glob J Health Sci. 2014; 6(3): 219-26.
Butkus SC. Maternal-neonatal nursing: Made incredibly easy 3rd ed. Philadelphia: Wolters Kluever; 2015.
Pillitteri A. Maternal & child health nursing: Care of the childbearing & childrearing family 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2014.
Kashanian M, Javadi F, Haghighi MM. Effect of continuous support during labor on duration of labor and rate of cesarean delivery. Int J Gynaecol Obstet. 2010; 109(3): 198-200.
Storton S. The coalition for improving maternity services: Evidence basis for the ten steps of mother-friendly care: Step 4: Provides the birthing woman with freedom of movement to walk, move, assume positions of her choice. J Perinat Educ. (2007). 16(Suppl 1): 10S-9S.
Suppasri, P. Natural childbirth: Humanized health care. The Journal of Faculty Nursing Burapha University. 2007;15(4):16-26. Thai.