The Effects of an Integrated Preparation Program Combined Integrated with Religious Beliefs on Pain Coping Behaviors During the First Stage of Labor Among Primiparous Muslim Women
DOI:
https://doi.org/10.64767/trcn.2026.279500Keywords:
childbirth preparation, fear of childbirth, labor pain, pain-coping behavior, Muslim womenAbstract
This quasi-experimental study compared pain coping behavior scores during the first stage of labor between primigravida Muslim women who received an Islamic-integrated childbirth preparation program and those who received standard care. The sample consisted of 41 primigravida Muslim women at a secondary hospital care in Yala Province, assigned to an experimental (n = 20) and control group (n = 21) via time-based allocation. The intervention was developed from Dick-Read's Fear-Tension-Pain Theory integrated with Islamic practices including zikrullah, du'a, and Quran recitation, delivered across antenatal and intrapartum phases (CVI = .90). The data collection instrument was a pain coping behavior observation form covering five domains adapted from an existing labor pain coping observation tool (Cronbach's α = .85), with Visual Analog Scales for fear and pain as monitoring instruments. Data were analyzed using Mann-Whitney U test with Bonferroni correction (α = .025).
The experimental group had significantly higher pain coping behavior scores during both the active phase (Mdn = 5.0 vs. 4.0, U = 90.0, p < .001, r = .49) and transition phase (Mdn = 4.0 vs. 0.0, U = 55.0, p < .001, r = .63). These findings suggest that Islamic-integrated childbirth preparation effectively promotes pain coping behaviors and should be considered as a nursing practice guideline for Muslim women in culturally diverse settings.
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