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Abstract

There is little multivariate, multiphasic research on childbirth pain and satisfaction. We explored the relationship of demographic, medical, psychological, and environmental variables at different times to multiple indices of pain and satisfaction in 70 primiparae and multiparae. Induced labor, desirability of pregnancy, and coach's helpfulness predicted sensory pain. Duration of labor, depression, and outcome expectancy that childbirth education would facilitate medication-free childbirth predicted affective pain. Physician-anticipated complications, induced labor, and motivation to be medication-free predicted pain intensity. Grade level predicted-satisfaction. The results also demonstrated differences between primiparae and multiparae in the pattern of variables that explained pain and satisfaction as well as the temporal sensitivity of pain predictors. We discuss the implications of our findings for research and practice.

The reversed Birth Satisfaction Scale: translation, adaptation and validation for a Greek sample

“…Also, in accordance with (Q4), 'I felt anxious during my labour and birth', anxious women have a predisposition towards having negative birth expectations 30 , which renders midwives accountable for instilling confidence through delivering effective preparatory education 31 . Preparation for childbirth palpably influences birth satisfaction 3 , with engagers more confident and able to cope 31,32 . It also enhances selfefficacy 25 , which has been shown to reduce pain experience 24 .…”

“…Women's personal attributes: (a) Ability to cope during labour 1,15 ; (b)Feeling in control 2,16 ; (c)Preparation for childbirth 3,17 ; (d)Relationship with baby 11,25 .…”

“…In this respect, healthcare cannot be high quality unless the woman is satisfied with the care she has received 2 , within a prescribed system and budget. Since every woman creates childbirth expectations differently and appreciation varies 3,4 , it is important that women's birth experiences are evaluated. In terms of quantitative research, a woman's The reversed Birth Satisfaction Scale: Translation, adaptation and validation for a Greek sample Victoria G. Vivilaki 1 satisfaction with intrapartum care can only be considered high quality when gratification is high in relation to the care she has received 2 .…”

Childbirth pain, attachment orientations, and romantic partner support during labor and delivery

“…Given the well-known comorbidity of depression and pain (Bair, Robinson, Kataon, & Kroenke, 2003), and that women’s self-reported prenatal depression is associated with greater childbirth pain specifically (Dannenbring et al, 1997), the frequency of participants’ prenatal depressive symptoms during the past week was assessed as a control variable using the Center for Epidemiologic Studies Depression Scale (CESD) (Radloff, 1977), a 20-item measure developed for non-clinical populations. Example items included “I felt depressed” and “I was bothered by things that don’t usually bother me”.…”

“…Although many demographic variables (e.g., race, age, parity status), aspects of the birth experience itself (e.g., labor duration, medical complications, mode of delivery), and psychosocial factors (e.g., social support, personal controllability) can influence the perception of pain during labor and delivery (Dannenbring, Stevens, & House, 1997; Eisenach et al, 2008; Fridh, Kopare, Gaston-Johansson, & Norvell, 1988; Gjerdingen, Froberg, & Fontaine, 1991; Norr et al, 1977; Tinti, Schmidt, & Businaro, 2011), less attention has been paid to the role of personality factors in shaping women’s pain experiences.…”