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分娩疼痛:关于疼痛及其管理实践的认知、体验和社会文化影响的全面综述

Labour Pain: A Comprehensive Review of Perceptions, Experiences, and Sociocultural Influences on Pain and Its Management Practices.

作者信息

Tandon Archita, Gujral Kanwal, Gupta Vipin

机构信息

Department of Anthropology, University of Delhi, New Delhi, IND.

Institute of Obstetric and Gynaecology, Sir Ganga Ram Hospital, New Delhi, IND.

出版信息

Cureus. 2025 Jun 22;17(6):e86540. doi: 10.7759/cureus.86540. eCollection 2025 Jun.

DOI:10.7759/cureus.86540
PMID:40698239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12282679/
Abstract

Childbirth is a deeply personal and subjective experience for women, shaped by individual expectations and sociocultural perceptions. Many women approach labour with specific mental imagery and expectations regarding pain and the birthing process. However, these expectations often differ from the actual experience, which can result in emotional distress during and after childbirth. This scoping review systematically searched PubMed, Scopus, and Web of Science databases to identify studies published between 1984 and 2024 focusing on labour pain perception and experience. Only peer-reviewed articles in English were considered. This review identified three major themes that highlighted labour pain, pain management, and the sociocultural factors that were associated with it. It has revealed that the experience of women was consistent with what they had perceived about pain, while it was inconsistent in terms of perception of pain relief during labour. However, the sociocultural paradigm did hold its place in meddling between the perceptions and experiences of these women during labour pain and management. The exploration of personal attributes and sociocultural dynamics that shaped the women's ascription of meanings to labour pain add context to how a similar physiological experience can be perceived and experienced differently.

摘要

分娩对女性来说是一段非常个人化且主观的经历,受到个人期望和社会文化观念的影响。许多女性在分娩时对疼痛和分娩过程有着特定的心理意象和期望。然而,这些期望往往与实际经历不同,这可能导致分娩期间及之后的情绪困扰。本综述性研究系统检索了PubMed、Scopus和科学网数据库,以确定1984年至2024年期间发表的关注分娩疼痛感知和体验的研究。仅纳入英文的同行评审文章。该综述确定了三个主要主题,突出了分娩疼痛、疼痛管理以及与之相关的社会文化因素。研究表明,女性的体验与她们对疼痛的感知一致,但在分娩期间对疼痛缓解的感知方面却不一致。然而,社会文化范式在这些女性分娩疼痛及管理的感知和体验之间确实起到了干预作用。对塑造女性赋予分娩疼痛意义的个人特质和社会文化动态的探索,为类似的生理体验如何被不同地感知和经历增添了背景信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597c/12282679/1d7e503ab279/cureus-0017-00000086540-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597c/12282679/1d7e503ab279/cureus-0017-00000086540-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597c/12282679/1d7e503ab279/cureus-0017-00000086540-i01.jpg

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本文引用的文献

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Pharmacological labour pain interventions: South African midwives' perspective.药物性分娩疼痛干预措施:南非助产士的观点
BMC Nurs. 2024 Mar 14;23(1):176. doi: 10.1186/s12912-024-01844-w.
2
The use of hydrotherapy in the first stage of labour: A systematic review and meta-analysis.水中分娩第一产程应用的系统评价与荟萃分析。
Int J Nurs Pract. 2024 Feb;30(1):e13192. doi: 10.1111/ijn.13192. Epub 2023 Aug 26.
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Women's subjective perceptions and background factors associated with poor maternal childbirth experience among induced and spontaneous onset of labour: a two-year tertiary hospital cohort study.
与诱导分娩和自发性分娩产妇分娩体验不良相关的女性主观认知和背景因素:一项为期两年的三级医院队列研究。
BMC Pregnancy Childbirth. 2023 May 13;23(1):349. doi: 10.1186/s12884-023-05665-8.
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Cultural influence on the expression of labour-associated pain.文化对劳动相关疼痛表达的影响。
BMC Pregnancy Childbirth. 2022 Nov 14;22(1):836. doi: 10.1186/s12884-022-05173-1.
5
Pharmacologic and non-pharmacologic labor pain management techniques in a resource-limited setting: A systematic review.资源有限环境下的药物和非药物分娩疼痛管理技术:一项系统综述
Ann Med Surg (Lond). 2022 Jan 31;74:103312. doi: 10.1016/j.amsu.2022.103312. eCollection 2022 Feb.
6
The Effect of Showing Images of the Foetus with the Virtual Reality Glass During Labour Process on Labour Pain, Birth Perception and Anxiety.分娩过程中使用虚拟现实眼镜展示胎儿图像对分娩疼痛、分娩感知及焦虑的影响
J Clin Nurs. 2021 Aug;30(15-16):2301-2308. doi: 10.1111/jocn.15768. Epub 2021 May 6.
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Maternal Delivery at Home: Issues in India.家庭分娩:印度的问题。
Adv Ther. 2021 Jan;38(1):386-398. doi: 10.1007/s12325-020-01551-3. Epub 2020 Oct 30.
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Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India.印度古吉拉特邦瓦多达拉市区及农村地区母亲在家分娩的决定因素
Indian J Community Med. 2020 Apr-Jun;45(2):159-163. doi: 10.4103/ijcm.IJCM_289_19. Epub 2020 Jun 2.
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Cultural conceptions of Women's labor pain and labor pain management: A mixed-method analysis.女性劳动疼痛和劳动疼痛管理的文化观念:混合方法分析。
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