Effects of pain management program in the first stage of labor among primipara women with continuous labor support

Abstract

Primipara women often experience anxiety, fear, and pain during delivery, therefore the appropriate development of a pain management model is extremely important. This quasi-experimental research, one-group pretest-posttest design, aimed to compare the average pain scores before and after the experiment in the latent, active, and transition phases. The sample group consisted of 30 primipara women who received midwife services in the community hospitals, in Uthai-Thani province. The experimental tool was a pain management program in the first stage of labor for primipara women by providing continuous labor support. Data collection tools included a personal information questionnaire and a pain assessment form with a numeric rating scale. Data were analyzed using frequency distribution statistics, percentages, means, and standard deviations. The research hypotheses were tested using Wilcoxon signed ranks test. The results showed that the mean pain score after all 3 phases of the experiment was significantly lower than before the experiment (p<.01). The results of this research can be used as a guideline for preparing primipara women before labor, reducing pain in the first stage of labor to increase the quality of nursing care in terms of pain management more efficient.