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Women's Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study

2014Journal article Open access
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dc.contributor.authorCosta Martins, JM
dc.contributor.authorFernandes da Silva, C
dc.contributor.authorPereira, M
dc.contributor.authorMartins, H
dc.contributor.authorOliveira, C
dc.contributor.authorPuga, A
dc.contributor.authorCoelho, R
dc.contributor.authorTavares, J
dc.date.accessioned2015-02-06T12:30:40Z
dc.date.available2015-02-06T12:30:40Z
dc.date.issued2014
dc.description.abstractINTRODUCTION: Labour is considered to be one of the most painful and significant experiences in a woman's life. The aim of this study was to examine whether women's attachment style is a predictor of the pain experienced throughout labour and post-delivery. MATERIAL AND METHODS:Thirty-two pregnant women were assessed during the third trimester of pregnancy and during labour. Adult attachment was assessed with the Adult Attachment Scale ' Revised. The perceived intensity of labour pain was measured using a visual analogue scale for pain in the early stage of labour, throughout labour and post-delivery. RESULTS:Women with an insecure attachment style reported more pain at 3 cm of cervical dilatation (p < 0.05), before the administration of analgesia (p < 0.01) and post-delivery (p < 0.05) than those securely attached. In multivariate models, attachment style was a significant predictor of labour pain at 3 cm of cervical dilatation and before the first administration of analgesia but not of the perceived pain post-delivery. DISCUSSION: These findings confirm that labour pain is influenced by relevant psychological factors and suggest that a woman's attachment style may be a risk factor for greater pain during labour. CONCLUSION:Future studies in the context of obstetric pain may consider the attachment style as an indicator of individual differences in the pain response during labour. This may have important implications in anaesthesiology and to promote a relevant shift in institutional practices and therapeutic procedures.por
dc.identifier.citationActa Med Port. 2014 Nov-Dec;27(6):692-9por
dc.identifier.urihttp://hdl.handle.net/10400.17/1997
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherCentro Editor e Livreiro da Ordem dos Médicospor
dc.subjectMAC ANSpor
dc.subjectMAC PSICpor
dc.subjectForecastingpor
dc.subjectLabor Pain/epidemiologypor
dc.subjectLongitudinal Studiespor
dc.subjectObject Attachmentpor
dc.subjectPain/epidemiology
dc.subjectPregnancy
dc.subjectProspective Studies
dc.subjectPuerperal Disorders/epidemiology
dc.titleWomen's Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Studypor
dc.title.alternativeVinculação da Mulher como Preditor da Dor Durante o Parto e Após o Nascimento: um Estudo Observacional Prospectivopor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage699por
oaire.citation.startPage692por
oaire.citation.titleActa Médica Portuguesapor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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