Pain Management in Labor Based on the Neuromatrix Theory

Authors

  • แพรวพรรณ แสงทองรุ่งเจริญ Boromarajonani College of Nursing Sawanpracharak Nakhonsawan
  • ศรีสุดา งามขำ Boromarajonani College of Nursing Sawanpracharak Nakhonsawan

Keywords:

Neuromatrix theory, Pain management, Labor

Abstract

Labor pain is the feeling of pressuring and suffering for laboring women. They may feel uncomfortable, stressful, anxious, fatigued and exhausted both physically and mentally. When entering the delivery period, they will have consistent uterine contraction resulted in the cervical dilatation, the baby and placenta coming out laeding to labor pain. Thus, labor pain caused anxiety and stress of laboring women. In addition, fear is related to the progress of labor. Pain management is the activities to reduce these feelings. Pain management composes of pain assessment and treatment both pharmacology and non-pharmacology. Non-pharmacology treatment includes massage, aromatherapy, music therapy, movement and changing position, that was explained by the neuromatrix theory. Pain management is an independent role of nurses in labor room. The objective of the paper is to describe the pain definition, labor pain mechanism, labor pain management based on the neuromatrix theory, nurses’ role and pregnancy woman’s role. Nurses in the labor room should know about pain management in the delivery room to help and support the laboring women to cope with labor pain appropriately.

References

สินีนาฎ หงษ์ระนัย, อรุณี พึ่งแพง. การใช้เทคนิคการบรรเทาปวดโดยไม่ใช้ยาในระยะที่หนึ่งของ การคลอด: การใช้ผลงานวิจัย. กรุงเทพฯ: แคเน็กซ์อินเตอร์คอร์ปอเรชั่น; 2555.

Melzack R, Wall PD. Pain mechanisms: A new theory. Science. 1965;150(699):971-979.

Melzack R. From the gate to the neuromatrix. Pain. Aug 1999;Suppl 6:S121-126.

Rost CC, Jacqueline J, Kaiser A, Verhagen AP, Koes BW. Pelvic pain during pregnancy: a descriptive study of signs and symptoms of 870 patients in primary care. Spine (Phila Pa 1976). Nov 15 2004;29(22):2567-2572.

Shnol H, Paul N, Belfer I. Labor Pain Mechanism. International Anesthesiology Clinics. 2014;52(3):1 - 17.

Ranta P, Jouppila P, Jouppila R. The intensity of labor pain in grand multiparas. Acta Obstet Gynecol Scand. Mar 1996;75(3):250-254.

Sng BL, Sia AT, Quek K, Woo D, Lim Y. Incidence and risk factors for chronic pain after caesarean section under spinal anaesthesia. Anaesth Intensive Care. Sep 2009;37(5): 748-752.

Trout KK. The neuromatrix theory of pain: implications for selected nonpharmaco logic methods of pain relief for labor. J Midwifery Womens Health. Nov-Dec 2004;49(6):482-488.

Melzack R, Taenzer P, Feldman P, Kinch RA. Labour is still painful after prepared childbirth training. Canadian Medical Association Journal. Aug 15 1981;125(4):357-363.

Chen SF, Wang CH, Chan PT, et al. Labor pain control by aromatherapy: A metaanalysis of randomized controlled trials. Women Birth. Oct 18 2018.

Chuang CH, Chen PC, Lee CS, Chen CH, Tu YK, Wu SC. Music intervention for pain and anxiety management of the primiparous women during labour: A systematic review and meta-analysis. J Adv Nurs. Apr 2019;75(4):723-733.

Hartmann S, Bung P, Schlebusch H, Hollmann W. [The analgesic effect of exercise during labor]. Z Geburtshilfe Neonatol. Aug 2005;209(4):144-150.

Asadi N, Maharlouei N, Khalili A, et al. Effects of LI-4 and SP-6 Acupuncture on Labor Pain, Cortisol Level and Duration of Labor. J Acupunct Meridian Stud. Oct 2015;8(5): 249-254.

Perry SE, Hockenberry MJ, Lowdermilk DL, Wilson D. Maternal child nursing care. Mis souri: Mosby Elsevier; 2010.

Ngamkham S, Holden J, Wilkie DJ. Differences in pain location, intensity, and quality by pain pattern in outpatients with cancer. Cancer Nursing. 2011;34(3):228-237.

ทัศนีย์ คล้ายขำ, ฉวีวรรณ อยู่สำราญ, นันทนา ธนาโนวรรณ, วรรณา พาหุวัฒนากร. ผลของการนวด ร่วมกับการประคบร้อนต่อความเจ็บปวดและการเผชิญความเจ็บปวดของผู้คลอดครรภ์แรก. วารสาร พยาบาลศาสตร์. 2013;2:38 - 47.

Lowdermilk DL, Perry SE, Cashion K, Alden KR. Maternity woman’s health care. Saint Louis: Mosby Elsevier; 2012.

นันทนา แสนศิริพันธ์, สุกัญญา ปริสัญญกุล. การพยาบาลในระยะคลอด: แนวคิด ทฤษฎี สู่การปฏิบัติ. เชียงใหม่: ครองช่างพริ้นติ้ง; 2558.

สุวิสา ปานเกษม. การออกกำลังกายในระยะตั้งครรภ์. วารสารพยาบาลทหารบก. 2557;15(3): 108 - 113.

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Published

2019-12-01

How to Cite

แสงทองรุ่งเจริญ แ., & งามขำ ศ. (2019). Pain Management in Labor Based on the Neuromatrix Theory. Journal of Nurses Association of Thailand Northern Office, 25(2), 1–12. Retrieved from https://he01.tci-thaijo.org/index.php/jnorthnurse/article/view/232948

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Section

Research Articles