Henrique Angelita J, Rodney Patricia, Joolaee Soodabeh, Cox Susan, Shriver Adam, Moreira Camila B, Climaco Julia, Schirmer Janine
Paulista School of Nursing, Department of Women's Health, Federal University of São Paulo, São Paulo, São Paulo, Brazil; The W. Maurice Young Centre for Applied Ethics, School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
The W. Maurice Young Centre for Applied Ethics, School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; School of Nursing, Faculty of Applied Science, University of British Columbia, Vancouver, British Columbia, Canada.
Women Birth. 2021 Jul;34(4):e368-e375. doi: 10.1016/j.wombi.2020.08.003. Epub 2020 Aug 30.
The pain associated with childbirth is a cause of severe pain, and the literature suggests that it can be influenced by psychosocial influences, the environment, and cognitive processes, creating the overall experience of childbirth. Therefore, the investigation of women's childbirth pain experience is essential.
The purpose of this study is to understand women's childbirth pain and determine which influences can contribute to building different experiences.
A qualitative descriptive approach was adopted to explore the women's childbirth pain experiences, by understanding the influences on their experiences. Data were collected through in-depth interviews with 21 women in a hospital setting in São Paulo, Brazil, and analysed by thematic analysis.
Three major themes emerged from the analysis: (1) experiencing childbirth pain, (2) face-to-face with pain, and (3) empowerment needs.
Many factors influence how Brazilian women manage pain and shape their experience during childbirth. The findings suggest that when women had a positive experience, they asked for minimal support, demonstrated balance, and expressed that the pain was manageable; when they had unfavourable experiences, they regarded pain as a threat and a punishment and associated it with unpleasant emotions.
The results outlined concerns that should be addressed in the provision of specific, appropriate care for women, to support them in improving their experience during childbirth.
分娩相关疼痛是剧痛的一个成因，文献表明它会受到社会心理影响、环境及认知过程的作用，从而形成分娩的整体体验。因此，对女性分娩疼痛体验进行调查至关重要。
本研究旨在了解女性的分娩疼痛，并确定哪些影响因素会促成不同的体验。
采用定性描述法，通过了解对女性分娩疼痛体验的影响因素，来探究她们的分娩疼痛经历。在巴西圣保罗的一家医院里，通过对21名女性进行深入访谈收集数据，并采用主题分析法进行分析。
分析得出三个主要主题：（1）经历分娩疼痛，（2）直面疼痛，（3）赋权需求。
许多因素影响着巴西女性在分娩期间应对疼痛的方式以及塑造她们的体验。研究结果表明，当女性有积极体验时，她们寻求的支持极少，表现出平衡感，并表示疼痛是可控的；当她们有负面体验时，她们将疼痛视为一种威胁和惩罚，并将其与不愉快的情绪联系在一起。
研究结果列出了在为女性提供具体、适当护理时应解决的问题，以支持她们改善分娩体验。
