Abstract
Childbirth is a complex, multidimensional experience for the parturient. Pain is one aspect of childbirth and for the majority of women in all cultures and societies it is one of the most painful events in their lifetime. Labor pain is mediated by neural pathways involving spinal cord segments T10–L1 and S2–S4. While there seems to be no difference in pain intensity ratings for labor pain between women of different ethnicity and culture, pain behavior and satisfaction with the birth experience are significantly influenced by environmental factors, learned values and attitudes to the perception and expression of acute pain. Due to significant advances in regional analgesia techniques, analgesia for labor and delivery is now safer than ever and can be offered during all stages of labor. In addition, many nonpharmacological and complimentary medicine pain management approaches for labor pain are available. However, many of these have not been subjected to proper scientific studies yet, and these studies are urgently needed.
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