Research Article
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Effects of Low Back Pain During The First Stage of Labor on Maternal Birth Satisfaction: A Cross Sectional Study

Year 2022, Volume: 13 Issue: 2, 247 - 255, 15.03.2022

Refika Genç Koyucu , Pelin Palas Karaca

https://doi.org/10.31067/acusaglik.1016943

Abstract

Objectives: Low back pain during labor may occur independently of uterine contractions and may continue without interruption during the labour process. In this study, the characteristics of this pain and its effects on birth satisfaction were evaluated.
Material and Methods: The study was a cross-sectional study with recurrent measurements and consisted of women in the first stage of labor. Low-risk pregnant women in labor (n=300) were included in the study. Low back pain was repeatedly measured at the different phases of the first stage of the labor. The frequency and severity of low back pain, factors related to low back pain, and the effects of pain on maternal satisfaction were evaluated. Descriptive statistics, One-way ANOVA, Cochran's Q test, Logistic regression were used to evaluate the data.
Results: The prevalence of low back pain in latent, active, and transitional phases were 38.6%, 60%, and 56.6% respectively. Mean pain score statistically, significantly increased from latent phase to active phase. Weight gain in pregnancy heightened body mass index, occiput posterior presentation, and dysmenorrhea was found to be related factors in low back pain. Maternal satisfaction scores were significantly higher in women without low back pain.
Conclusion: Low back pain during labor is often overlooked. This study demonstrated the high frequency of low back pain during labor and its negative effects on birth satisfaction. Especially women with occiput posterior presentation, women with high body mass index and dysmenorrhea are at increased risk.

Keywords

Labour low back pain midwives nurses parturition

References

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  • 2. Melzack R. The myth of painless childbirth (The John J. Bonica Lecture). Pain. 1984;19(4): 321-337. PMID: 638489; https://doi:10.1016/0304-3959(84)90079-4.
  • 3. Melzack R, Schaffelberg D. Low-back pain during labor. Am J Obstet Gynecol. 1987;156(4):901-5. PMID: 2953242; doi: 10.1016/0002-9378(87)90349-8.
  • 4. Bonica JJ. Operative obstetrics and anesthesia. Obstetrical & Gynecological Survey. 1980;35, 27-8.
  • 5. Lee N, Kildea S, Stapleton H. ‘Facing the wrong way’: Exploring the occipito posterior position/back pain discourse from women׳s and midwives perspectives. Midwifery.2015;31(10):1008-1014. PMID: 26144367; doi:10.1016/j.midw.2015.06.003.
  • 6. Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. Journal of Midwifery & Womenʼs Health. 2004;49(6): 489-504. PMID: 15544978; doi: 10.1016/j.jmwh.2004.07.007.
  • 7. Hutton E, Kasperink M, Rutten M, et al. Sterile water injection for labour pain: A systematic review and meta-analysis of randomised controlled trials. BJOG. 116(9):1158-66. PMID: 19459860; doi: DOI: 10.1111/j.1471-0528.2009.02221.x.
  • 8. Lieberman E, O'donoghue C. Unintended effects of epidural analgesia during labor: A systematic review. Am J Obstet Gynecol. 2002;186(5):31-68. PMID:12011872; doi:10.1067/mob.2002.122522.
  • 9. Crichton N. Information point: Visual Analogue Scale (VAS). J Clin Nurs. 2001;10:697-706.
  • 10. Martin CH, Fleming V. The birth satisfaction scale. International Journal of Health Care Quality Assurance. 2011;24(2):124-35. PMID: 21456488; doi: 10.1108/09526861111105086.
  • 11. Cetin Çoşar F, Sezer A, Merih DoğanY. The birth satısfaction scale: Turkish adaptation, validation and reliability study. North Clin of Istanb. 2015;25(2):42-150. PMID: 28058355; doi: 10.14744/nci.2015.40412.
  • 12. Lowe NK. The nature of labor pain. Am J Obstet Gynecol. 2002;186(5), 16-24. PMID: 12011870; doi: 10.1067/mob.2002.121427.
  • 13. Arendt-Nielsen L, Svensson P. Referred muscle pain: basic and clinical findings. Clin J Pain, 2001;17(1):11-9. PMID: 11289083; doi: 10.1097/00002508-200103000-00003.
  • 14. Tzeng Y, Su T. Low back pain during labor and related factors. J Nurs Res. 2008;16(3):231-240. PMID: 18792893; doi: 10.1097/01.jnr.0000387310.27117.6d.
  • 15. Mårtensson L, Wallin G. Sterile water injections as treatment for low-back pain during labour: A review. Aust N Z J Obstet Gynaecol. 2008;48(4):369-374. PMID: 18837842; doi: 10.1111/j.1479-828X.2008.00856.x.
  • 16. Fogarty V. Intradermal sterile water injections for the relief of low back pain in labour. A systematic review of the literature. Women Birth. 2008;21(4):157-163. PMID: 18926789; doi:10.1016/j.wombi.2008.08.003.
  • 17. Kjærgaard H, Olsen J, Ottesen B, Nyberg P, Dykes AK. Obstetric risk indicators for labour dystocia in nulliparous women: A multi-centre cohort study. BMC Pregnancy and Childbirth. 2008;8(45):1-7. PMID: 18837972; doi: 10.1186/1471-2393-8-45.
  • 18. Selin L, Wallin G, Berg M. Dystocia in labor-risk factors, management and outcome: a retrospective observational study in a Swedish setting. Acta Obstet Gynecol Scand. 2008;87(2):216-21. PMID: 18231891; doi: 10.1080/00016340701837744.
  • 19. Melzack R, Bélanger E. Labour pain: Correlations with menstrual pain and acute low-back pain before and during pregnancy. Pain. 1989;36(2):225-9. PMID: 2521931; doi: 10.1016/0304-3959(89)90027-4.
  • 20. Jafari E, Mohebbi P, Mazloomzadeh S. Factors related to women's childbirth satisfaction in physiologic and routine childbirth groups. Iran J Nurs Midwifery. 2017;22(3):219-224. PMID: 28706547; doi: 10.4103/1735-9066.208161.
  • 21. Avcıbay B, Alan S. Doğum ağrısı kontrolünde nonfarmakolojik yöntemler. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2011; 4:18-24.

Year 2022, Volume: 13 Issue: 2, 247 - 255, 15.03.2022

Refika Genç Koyucu , Pelin Palas Karaca

https://doi.org/10.31067/acusaglik.1016943

Abstract

References

  • 1. Mårtensson LB, Hutton EK, Lee N, Kildea, et al. Sterile water injections for childbirth pain: An evidenced-based guide to practice. Women Birth. 2018;31(5):380-5. PMID: 29241699; doi:10.1016/j.wombi.2017.12.001.
  • 2. Melzack R. The myth of painless childbirth (The John J. Bonica Lecture). Pain. 1984;19(4): 321-337. PMID: 638489; https://doi:10.1016/0304-3959(84)90079-4.
  • 3. Melzack R, Schaffelberg D. Low-back pain during labor. Am J Obstet Gynecol. 1987;156(4):901-5. PMID: 2953242; doi: 10.1016/0002-9378(87)90349-8.
  • 4. Bonica JJ. Operative obstetrics and anesthesia. Obstetrical & Gynecological Survey. 1980;35, 27-8.
  • 5. Lee N, Kildea S, Stapleton H. ‘Facing the wrong way’: Exploring the occipito posterior position/back pain discourse from women׳s and midwives perspectives. Midwifery.2015;31(10):1008-1014. PMID: 26144367; doi:10.1016/j.midw.2015.06.003.
  • 6. Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. Journal of Midwifery & Womenʼs Health. 2004;49(6): 489-504. PMID: 15544978; doi: 10.1016/j.jmwh.2004.07.007.
  • 7. Hutton E, Kasperink M, Rutten M, et al. Sterile water injection for labour pain: A systematic review and meta-analysis of randomised controlled trials. BJOG. 116(9):1158-66. PMID: 19459860; doi: DOI: 10.1111/j.1471-0528.2009.02221.x.
  • 8. Lieberman E, O'donoghue C. Unintended effects of epidural analgesia during labor: A systematic review. Am J Obstet Gynecol. 2002;186(5):31-68. PMID:12011872; doi:10.1067/mob.2002.122522.
  • 9. Crichton N. Information point: Visual Analogue Scale (VAS). J Clin Nurs. 2001;10:697-706.
  • 10. Martin CH, Fleming V. The birth satisfaction scale. International Journal of Health Care Quality Assurance. 2011;24(2):124-35. PMID: 21456488; doi: 10.1108/09526861111105086.
  • 11. Cetin Çoşar F, Sezer A, Merih DoğanY. The birth satısfaction scale: Turkish adaptation, validation and reliability study. North Clin of Istanb. 2015;25(2):42-150. PMID: 28058355; doi: 10.14744/nci.2015.40412.
  • 12. Lowe NK. The nature of labor pain. Am J Obstet Gynecol. 2002;186(5), 16-24. PMID: 12011870; doi: 10.1067/mob.2002.121427.
  • 13. Arendt-Nielsen L, Svensson P. Referred muscle pain: basic and clinical findings. Clin J Pain, 2001;17(1):11-9. PMID: 11289083; doi: 10.1097/00002508-200103000-00003.
  • 14. Tzeng Y, Su T. Low back pain during labor and related factors. J Nurs Res. 2008;16(3):231-240. PMID: 18792893; doi: 10.1097/01.jnr.0000387310.27117.6d.
  • 15. Mårtensson L, Wallin G. Sterile water injections as treatment for low-back pain during labour: A review. Aust N Z J Obstet Gynaecol. 2008;48(4):369-374. PMID: 18837842; doi: 10.1111/j.1479-828X.2008.00856.x.
  • 16. Fogarty V. Intradermal sterile water injections for the relief of low back pain in labour. A systematic review of the literature. Women Birth. 2008;21(4):157-163. PMID: 18926789; doi:10.1016/j.wombi.2008.08.003.
  • 17. Kjærgaard H, Olsen J, Ottesen B, Nyberg P, Dykes AK. Obstetric risk indicators for labour dystocia in nulliparous women: A multi-centre cohort study. BMC Pregnancy and Childbirth. 2008;8(45):1-7. PMID: 18837972; doi: 10.1186/1471-2393-8-45.
  • 18. Selin L, Wallin G, Berg M. Dystocia in labor-risk factors, management and outcome: a retrospective observational study in a Swedish setting. Acta Obstet Gynecol Scand. 2008;87(2):216-21. PMID: 18231891; doi: 10.1080/00016340701837744.
  • 19. Melzack R, Bélanger E. Labour pain: Correlations with menstrual pain and acute low-back pain before and during pregnancy. Pain. 1989;36(2):225-9. PMID: 2521931; doi: 10.1016/0304-3959(89)90027-4.
  • 20. Jafari E, Mohebbi P, Mazloomzadeh S. Factors related to women's childbirth satisfaction in physiologic and routine childbirth groups. Iran J Nurs Midwifery. 2017;22(3):219-224. PMID: 28706547; doi: 10.4103/1735-9066.208161.
  • 21. Avcıbay B, Alan S. Doğum ağrısı kontrolünde nonfarmakolojik yöntemler. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2011; 4:18-24.
There are 21 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Research Articles
Authors

Refika Genç Koyucu 0000-0003-4373-703X

Pelin Palas Karaca 0000-0002-9336-6209

Publication Date March 15, 2022
Submission Date October 31, 2021
Published in Issue Year 2022Volume: 13 Issue: 2

Cite

EndNote Genç Koyucu R, Palas Karaca P (March 1, 2022) Effects of Low Back Pain During The First Stage of Labor on Maternal Birth Satisfaction: A Cross Sectional Study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 2 247–255.
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