DEVELOPMENT OF A LABOUR PAIN ASSESSMENT INSTRUMENT
DOI:
https://doi.org/10.25159/2520-5293/279Abstract
Labour may impose severe pain, yet women experience the intensity of pain differently. The severity of labour pain is frequently underestimated by women and care providers and biases in labour pain estimation are often displayed by maternal care providers. Pain assessment is considered the key to labour pain management and a standardised pain assessment instrument can assist with adequate measurement and management of labour pain. The study conducted a search for pain assessment instruments that could be used to assess and measure pain during the first stage of labour. Although a variety of pain assessment/measurement tools are available, many problems were experienced in applying existing pain assessment methods to a woman in labour.
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A new labour pain assessment instrument was developed that includes the pain scores of maternal care providers and the woman in labour. This mixed method study described the refinement process of a labour pain assessment instrument that was developed from the literature. The focus group members and Delphi experts expressed their enthusiasm and appraisement for a new labour pain assessment instrument. A sense of closure (saturation) was attained and the experts concluded that the instrument was ready to be tested.
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References
Abushaikha, L. &, Oweis, A. 2005. Labour pain experience and intensity: A Jordanian perspective. International Journal of Nursing Practice, 11:33-38.
Alehagen, S.I.W., Wijma, B., Lundberg, U.L.F. & Wijma, K. 2005. Fear, pain and stress hormones during childbirth. Journal of Psychosomatic Obstetrics and Gynecology, 26:153-165.
Bell, H.K. 2006. A pain assessment tool for patients with limited communication ability. Nursing Standard, 20:40-44.
Bird, J. 2005. Assessing pain in older people. Nursing Standard, 19:45-52.
Blackburn, M.L. & Waite, P.J. 2006. Instrument construction for measuring intention to obtain AED training. American Journal of Health Study, 21:133-136.
Camann, W. 2005. Editorials: Pain Relief During Labor. The New England Journal of Medicine, 352:718.
Capogna, G., Camorcia, M., Stirparo, S., Valentin, G., Garassino, A. & Farcomeni, A. 2010. Multidimensional evaluation of pain during early and late labor: a comparison of nulliparous and multiparous women. International Journal of Obstetric Anesthesia, 19:167-170.
Chang, M., Chen, C. & Huang, K. 2006. A comparison of massage effects on labor pain using the McGill Pain Questionnaire. Journal of Nursing Research, 14:190-196.
Christiaens, W. & Bracke, P. 2007. Assessment of social psychological determinants of satisfaction with childbirth in a cross-national perspective. BioMed Central Health Services Research, 7:26.
Da Silva, F.M.B., De Oliveira, S.M.J.V. & Nobre, M.R.C. 2009. A randomised controlled trial evaluating the effect of immersion bath on labour pain. Midwifery, 25:286-294.
Flink, I.K., Mroczek, M.Z., Sullivan, M.J.L. & Linton, S.J. 2009. Pain in childbirth and postpartum recovery – The role of catastrophizing. European Journal of Pain, 13:312-316.
Foster, R.L. 2007. State-of-the-art pain assessment and management. Journal of Paediatric Nursing, 12:137-138.
Gulliver, B.G., Fisher, J. & Roberts, L. 2008. A new way to assess pain in laboring women. Nursing for Women’s Health, 12:406-408.
Jastrzab, G., Ker, S. & Fairbrother, G. 2009. Misinterpretation of the Faces Pain Scale-Revised in adult clinical practice. Acute Pain, 11:51-55.
Manworren, R.C.B. 2007. It’s time to relieve children’s pain. Journal for Specialists in Pediatric Nursing, 12:196-198.
McLafferty, E. & Farley, A. 2008. Assessing pain in patients. Nursing Standard, 22:42-46.
Miles, M.B. & Huberman, A.M. 1994. Qualitative analysis: an expanded sourcebook. 2nd Edition. Thousand Oaks: Sage.
Mohammad, K., Shaban, I., Homer, C. & Creedy, D., 2014. Women’s satisfaction with hospital-based, intrapartum care: A Jordanian study. International Journal of Nursing and Midwifery, 6(3):32-39.
Nikkola, E., Laara, A., Hinkka, S., Ekblad, U., Kero, P. & Salonen, M. 2006. Patient-controlled epidural analgesia in labor does not always improve maternal satisfaction. Acta Obstetricia et Gynecologica 85:188-194.
Nystedt, A., Högberg, U. & Lundman, B. 2006. Some Swedish women’s experiences of prolonged labour. Midwifery, 22:56-65.
O’Cathain, A.O., Murphy, E. & Nicholl, J. 2007. Why, and how, mixed methods research is undertaken in health services research in England: a mixed methods study. BioMed Central Health Services Research, 7:85.
Ohel, I., Walfisch, A., Shitenberg, D., Sheiner, E., Hallak, M., 2007. A rise in pain threshold during labor: A prospective clinical trial. Pain, 132:S104-S108.
Ong, K.S. & Seymour, R.A. 2004. Pain measurement in humans. Surgeon, 2(1):15-27.
Polit, D.F. & Beck, C.T. 2012. Nursing research: Generating and assessing evidence for nursing practice, 9th Edition. Philadelphia: Lippincott, William & Wilkins.
Rachmawati, I.N. 2012. Maternal reflection on labour pain management and influencing factors. British Journal of Midwifery, 20(4):263-269.
Roberts, L., Gulliver, B., Fisher, J. & Cloyes, K.G., 2010. The Coping With Labor Algorithm: An alternate pain assessment tool for the laboring woman. Journal of Midwifery and Women’s Health, 55:107-116.
Rooks, J.P. 2012. Labor pain management other than neuraxial: What do we know and where do we go next? Birth, 39(4):318-322.
Tzeng, Y.L., Chao, Y.M.Y., Kuo, S.Y. & Teng, Y.K. 2008. Childbirth-related fatigue trajectories during labour. Journal of Advanced Nursing, 63(3):240-249.
Williams, A.C., Morris, J., Stevens, K., Gessler, S., Cella, M. & Baxter, J. 2013. What influences midwives in estimating labour pain? European Journal of Pain, 17:86-93.
Winkelman, C., Norman, D., Maloni, J.A. & Kless, J.R. 2008. Pain measurement during labor: comparing the visual analog scale with dermatome assessment. Applied Nursing Research, 21:104-109.
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Accepted 2016-04-08
Published 2016-07-15
