Alternative Pain Relief Techniques During Labor The Role of Nurses
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Abstract
Labor pain is a process caused by uterine contractions, stretching of pelvic muscles, and the descent of the fetal presenting part. Inappropriate pain management can negatively affect the health of the mother and fetus, the labor process, and birth outcomes. If a pregnant woman is able to cope appropriately with labor pain and knows how to manage it effectively, it can lead to positive birth outcomes, ensure fetal safety, and provide a positive childbirth experience. Currently, there are various options for pain relief techniques in the delivery room, both pharmacological and non-pharmacological, as well as interdisciplinary approaches to pain management. Midwives, who are in close contact with and provide continuous care for pregnant women during labor, play a crucial role in this process. They are responsible for performing comprehensive assessments, providing accurate and complete knowledge and guidance on pain relief, delivering holistic and standardized nursing care, continuously monitoring and evaluating outcomes, and offering individualized pain relief techniques suitable for each woman. Collaborative care planning between the healthcare team and the mother enables effective pain management during labor, ensuring a smooth delivery and a positive childbirth experience.
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References
World Health Organization. Labour care guide: user’s manual. Geneva: World Health Organization; 2020.
Mäkelä K, Palomäki O, Korpiharju H, Helminen M, Uotila J. Satisfaction and dissatisfaction with pain relief and birth experience among induced and spontaneous-onset labours ending in vaginal birth: A prospective cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology: X. 2023;18:100185.doi: 10.1016/j.eurox.2023.100185
Hawkins JL. Epidural analgesia for labor and delivery. N Engl J Med. 2010;362(16):1503–10. doi: 10.1056/NEJMct0909254
Smith CA, Levett KM, Collins CT, Dahlen HG. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev. 2018;(3):CD009514. doi: 10.1002/14651858.CD009514.pub2
Klomp T, Manniën J, de Jonge A, Hutton EK, Lagro-Janssen ALM. What do midwives need to know about approaches of women towards labour pain management? A qualitative interview study into expectations of management of labour pain for pregnant women receiving midwife-led care in the Netherlands. Midwifery. 2014;30(4):432-8. doi: 10.1016/j.midw.2013.04.013
Abdel-Fatah Ibrahim H, Alshahrani MS, Al-Qinnah AJ, Elgzar WT. Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers. PeerJ. 2024;12:e16862. doi: 10.7717/peerj.16862
World Health Organization. WHO recommendations: Intrapartum care for a positive childbirth experience [Internet]. Geneva: World Health Organization; 2018 [cited 2025 May 31]. Available from: https://www.who.int/publications/i/item/9789241550215
Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971-9. doi: 10.1126/science.150.3699.971
จิราวรรณ คล้ายวิเศษ, ศรีสมร ภูมนสกุล, จรัสศรี ธีระกุลชัย. ผลของการนวดและ/หรือการประคบร้อน ต่อระดับความปวดในระยะปากมดลูกเปิดเร็ว และการรับรู้ประสบการณ์การคลอดของผู้คลอดครรภ์แรก. Rama Nurse Journal; 2559: 263-76.
Dick-Read G. Childbirth without fear: the principles and practice of natural childbirth. London: Pinter & Martin; 2004.
วรรณี เดียวอิศเรศ, พิมาลา เล้าประจง. การเตรียมสตรีตั้งครรภ์เพื่อการคลอดวิถีธรรมชาติ: แนวคิดและแนวทางการปฏิบัติ. วารสารคณะพยาบาลศาสตร์ มหาวิทยาลัยบูรพา 2561;26:90-8.
Mahalan N, Smitha MV. Effect of audio-visual therapy on pain and anxiety in labor: A randomized controlled trial. European Journal of Obstetrics & Gynecology and Reproductive Biology: X. 2023;20:100240. doi: 10.1016/j.eurox.2023.100240
Chehreh R, Tavan H, Karamelahi Z. The effect of music therapy on labor pain: Systematic review and meta-analysis. Douleurs : Évaluation - Diagnostic - Traitement. 2023;24(3):110-7.
Jahdi F, Sheikhan F, Haghani H, Sharifi B, Ghaseminejad A, Khodarahmian M, Rouhana N. Yoga during pregnancy: The effects on labor pain and delivery outcomes (A randomized controlled trial). Complementary Therapies in Clinical Practice. 2017;27:1-4. doi: 10.1016/j.ctcp.2016.12.002
ขวัญใจ เพทายประกายเพชร, ปาริฉัตร อารยะจารุ, จิราภรณ์ อนุชา. การผสมผสานการฝึกการหายใจร่วมกับการจัดท่าเพื่อลดความเจ็บปวดในระยะคลอด. วารสารวิจัยเพื่อการส่งเสริมสุขภาพและคุณภาพชีวิต 2566; 3(1):83-91.
Ataş AN, Özerdoğan N. The effect of partner massage on pain, anxiety, and the birth process in labor. Advances in Integrative Medicine. 2025;12(2):100461.16.
โรงเรียนอายุรเวทธำรง สถานการแพทย์แผนไทยประยุกต์ คณะแพทยศาสตร์ศิริราชพยาบาล. การแพทย์แผนไทยในคณะแพทยศาสตร์ศิริราชพยาบาล.กรุงเทพมหานคร: ศุภวนิชการพิมพ์; 2552.
สุภัทราพร โสดี, ไพลิน อ่อนโพธิ์อารีย์, ดอกไม้ วิวรรธมงคล, วิวดี บุญเลี้ยง, เอื้อมพร สุวรรณไตรย์. แนวทางการดูแลสตรีตั้งครรภ์ในห้องคลอดด้วยศาสตร์การแพทย์แผนไทย. Siriraj Medical Bulletin 2565;15(3):172-80.
Mattingly JE, D’Alessio J, Ramanathan J. Effects of obstetric analgesics and anesthetics on the neonate : a review. Paediatr Drugs. 2003;5(9):615-27. doi: 10.2165/00148581-200305090-00004
Kadirogullari P, Yalcin Bahat P, Sahin B, Gonen I, Seckin KD. The Effect of Pethidine Analgesia on Labor Duration and Maternal-Fetal Outcomes. Acta Biomed. 2021;92(2):e2021065. doi: 10.23750/abm.v92i2.10905
Lingling W, Xiaohui L, Yuzhu Y, Ke S, Ling W, Wei Y, et al. Effectiveness of acupuncture versus spinal-epidural anesthesia on labor pain: a randomized controlled trial. Journal of Traditional Chinese Medicine. 2017;37(5):629-35.
Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A. Epidural versus non-epidural or no analgesia for pain management in labour. Cochrane Database Syst Rev. 2018;5(5):Cd000331.
Rosen MA. Nitrous oxide for relief of labor pain: a systematic review. Am J Obstet Gynecol. 2002;186(5 Suppl Nature):S110-26.
Nanji JA, Carvalho B. Pain management during labor and vaginal birth. Best Practice & Research Clinical Obstetrics & Gynaecology. 2020;67:100-12. doi: 10.1016/j.bpobgyn.2020.03.002
Salih T, Elgie L, Acheampong Y, Moonesinghe SR. Entonox® use for labour analgesia in the context of environmental impact and occupational exposure: a national survey of UK midwives. British Journal of Anaesthesia. 2024;133(6):1435-8.
Sirkeci I, Cagan O, Koc S. The effect of ylang oil and lemon oil inhalation on labor pain and anxiety pregnant women: A randomized controlled trial. Complementary Therapies in Clinical Practice. 2023;52:101748. doi: 10.1016/j.ctcp.2023.101748
Hawkes JC, Singaravelu R, Sirala Jagadeesh N, Ramanathan K, Subramaniyan S. Snoezelen therapy for pain, labor outcome and maternal satisfaction among parturient at tertiary hospital, South India. Clinical Epidemiology and Global Health. 2024:101601.
Żebrowska K, Maria F, Iwona S, Katarzyna K-K. Attitudes and knowledge about labour pain management methods among polish women. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2024;293:91. doi: 10.1016/j.ejogrb.2023.08.256
National Institute for Health and Care Excellence (NICE). Intrapartum care: Care of healthy women and their babies during childbirth (NG235)[Internet]. London: NICE; 2023 [cited 2025 October 15]. Available from: https://www.nice.org.uk/guidance/ng235
จุฬาภรณ์ คำวงษ์.ผลของโปรแกรมการสนับสนุนอย่างต่อเนื่องในระยะคลอดโดยพยาบาลต่อระดับความเจ็บปวดและพฤติกรรมการเผชิญความเจ็บปวดในหญิงวัยรุ่นครรภ์แรกโรงพยาบาลบึงกาฬ. วารสารการแพทย์โรงพยาบาลอุดรธานี.2561;26(3):164-75.
กาญจนา ศรีสวัสดิ์. ผลของการให้ความรู้และฝึกผ่อนคลายต่อความตึงเครียดในหญิงตั้งครรภ์วัยรุ่น. พยาบาลสาร 2554;38(1):40-51.
Ngai F-W, Xiao X. Perceptions of paternal involvement and labour pain management in Chinese couples during childbirth: A qualitative study. Women and Birth. 2021;34(3):288-95. doi: 10.1016/j.wombi.2020.03.003
Akbaş P, Özkan Şat S, Yaman Sözbir Ş. The Effect of Holistic Birth Support Strategies on Coping With Labor Pain, Birth Satisfaction, and Fear of Childbirth: A Randomized, Triple-Blind, Controlled Trial. Clin Nurs Res. 2022;31(7):1352-61.
Buerengen T, Bernitz S, Øian P, Dalbye R. Association between one-to-one midwifery care in the active phase of labour and use of pain relief and birth outcomes: A cohort of nulliparous women. Midwifery. 2022;110:103341. doi: 10.1016/j.midw.2022.103341
Weerasingha TK, Ratnayake C, Abeyrathne RM, Tennakoon SUB. Evidence-based intrapartum care during vaginal births: Direct observations in a tertiary care hospital in Central Sri Lanka. Heliyon. 2024;10(7):e28517. doi: 10.1016/j.heliyon.2024.e28517
Sturrock ELW. Evaluation of tools for describing patient responses to labor. [Master's thesis]. University of Utah; 1972.
