Department of Obstetrics and Gynaecology Nursing, Faculty of Health Sciences, Mus Alparslan University, Mus City, Turkey.
Midwifery Department, Faculty of Health Sciences, Siirt University, Siirt City, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2024 Nov;302:15-25. doi: 10.1016/j.ejogrb.2024.08.037. Epub 2024 Aug 26.
Labor pain is one of the most severe pains experienced by women. In the literature, there is no research examining the effect of Neurolinguistic Programming (NLP) on birth pain and fear. It was aimed to determine the effect of NLP on labor pain, fear, duration, and maternal satisfaction in both nulliparous, and multiparous pregnant women.
This study consists of each with two arms, parallel-group randomized controlled trials, on two different samples for both nulliparous and multiparous women. Data were collected between 3 October 2023-21 January 2024. A total of 124 women (62 nulliparous and 62 multiparous women) who gave birth vaginally constituted the sample of the study. Both nulliparous and multiparous women were randomly assigned to groups. The primary outcomes were labor pain, fear, duration, and satisfaction. When the cervical span was 3-4, 5-6, and 7-8 cm, NLP was applied to the experimental group for 20 min each, the control group rested for 20 min each.
According to the measurement times, the mean pain score of the experimental group was lower than the control group. The mean VAS pain score measured over time decreased by 90.3 % in the NLP group compared to the control group for primiparous and 64.5 % compared to the control group for multiparous. In both nulliparous and multiparous, the fear of labor of the NLP group was lower, the duration of labor was shorter, and the satisfaction with labor was higher compared to the control group (p < 0.05).
NLP reduces labor pain and fear, shortens the duration of labor, and increases maternal satisfaction in labor.
分娩疼痛是女性经历的最剧烈疼痛之一。在文献中，没有研究检查神经语言程序学（NLP）对分娩疼痛和恐惧的影响。本研究旨在确定 NLP 对初产妇和经产妇分娩疼痛、恐惧、持续时间和产妇满意度的影响。
这是一项包含两个平行组随机对照试验的研究，每个试验针对初产妇和经产妇各有两个样本。数据收集于 2023 年 10 月 3 日至 2024 年 1 月 21 日之间。共有 124 名（62 名初产妇和 62 名经产妇）经阴道分娩的妇女构成了本研究的样本。初产妇和经产妇均随机分组。主要结局指标是分娩疼痛、恐惧、持续时间和满意度。当宫颈口扩张至 3-4cm、5-6cm 和 7-8cm 时，实验组接受 20 分钟的 NLP 治疗，对照组则休息 20 分钟。
根据测量时间，实验组的平均疼痛评分低于对照组。与对照组相比，NLP 组初产妇的 VAS 疼痛评分在整个过程中平均降低了 90.3%，经产妇则降低了 64.5%。与对照组相比，NLP 组初产妇和经产妇的分娩恐惧程度较低，分娩持续时间较短，对分娩的满意度较高（均 p<0.05）。
NLP 可减轻分娩疼痛和恐惧，缩短分娩持续时间，提高产妇对分娩的满意度。
