Abstract
BACKGROUND AND OBJECTIVES: Pain, which is an individual and multifactorial sensation associated or not to tissue injury, may be influenced by psychological, biological, socio-cultural and economic factors. There are scales and questionnaires which enable its location and measurement during labor. This study aimed at identifying the most frequent pain location during early active labor stage. METHODS: Clinical trial assessing 87 primiparous women with gestational age above 37 weeks, cervical dilatation between 4 and 5 cm, with adequate uterine dynamics for this labor stage. Participated in this study pregnant woman with spontaneous labor, not using drugs during this period and without associated risk factors; pain was evaluated with the body diagram for location and spatial distribution of pain during one labor stage. RESULTS: It was observed during early active labor stage that most patients have reported pain in the infra-pubic and lumbar region (78%), followed by infra-pubic (20%) or lumbar (2%) region alone. CONCLUSION: Pain during active labor stage with cervical dilatation from 4 to 5 cm was predominant in infra-pubic and lumbar regions.
Highlights
Labor is a physiological and natural, painful process[1]
The Body Diagram for Location and Spatial Distribution of Pain is a multidimensional tool to measure, in a simple way, intensity and type of pain by a symbol developed by Ransford
Patients admitted to the maternity and meeting the criteria for the study were interviewed by the physical therapist who informed them about the research and, after agreeing to participate, they signed the Free and Informed Consent Term (FICT)
Summary
Labor is a physiological and natural, painful process[1]. Pain during labor increases catecholamine and cortisol secretion and results in physiological responses, such increased cardiac output, blood pressure and peripheral vascular resistance, so its relief is recognized as a pillar of delivery humanization[2,3,4]. To evaluate pain location during labor and measure it, scales and questionnaires were developed to enable its quantification and qualification by specialized professionals. This study aimed at identifying the most frequent pain location during early active labor stage. Participated in this study pregnant woman with spontaneous labor, not using drugs during this period and without associated risk factors; pain was evaluated with the body diagram for location and spatial distribution of pain during one labor stage. RESULTS: It was observed during early active labor stage that most patients have reported pain in the infra-pubic and lumbar region (78%), followed by infra-pubic (20%) or lumbar (2%) region alone. CONCLUSION: Pain during active labor stage with cervical dilatation from 4 to 5 cm was predominant in infrapubic and lumbar regions.
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