国际护理科学（英文）2021，Vol.8Issue(4)：380-387,后插2,9.
初产妇与经产妇分娩恐惧及疼痛强度的比较研究
A comparison of maternal fear of childbirth,labor pain intensity and intrapartum analgesic consumption between primiparas and multiparas:A cross-sectional study
摘要
Abstract
Objectives:To describe and compare fear of childbirth and in-labor pain intensity between primiparas and multiparas and explore the association between the amount of actual pain relief and fear of childbirth.Methods:A convenience sampling method was used.A total of 260 women undergoing spontaneous or induced labor,including 97 primiparas and 163 multiparas,were recruited in a large academic specialized hospital in Guangzhou,China,from February 2018 to August 2019.The clinical data of maternal and neonatal were extracted from a structured electronic medical record system.Other de-mographic information,such as employment and family monthly income,was collected by a ques-tionnaire.The Numeric Rating Scale(NRS)and the Chinese version of the Childbirth Attitude Questionnaire(C-CAQ)were applied to assess maternal in-labor pain intensity and fear of childbirth.The analgesic consumption and the frequency of manual boluses as rescue analgesia were stored and collected from the analgesia pump.Results:Eighty-two(84.5％)primiparas and ninety-nine(60.7％)multiparas received epidural analgesia(P＜0.001).In the epidural subgroup,the primiparous average fear of childbirth(36.46±10.93)was higher than that of the multiparas(32.06±10.23)(P=0.007).However,multiparas reported more intense in-labor pain[8.0(8.0,9.0)vs.8.0(7.0,8.0)],had more successful manual boluses per hour[2.68(1.65,3.85)vs.1.77(0.90,2.47)],more hourly analgesic consumption[23.00(16.00,28.25)vs.17.24(11.52,21.36)mL]and more average analgesic consumption[0.35(0.24,0.45)vs.0.26(0.19,0.35)mL/(h.kg)[than the primiparas(P＜0.05).Spearman's correlation analysis showed that the maximum in-labor pain was weakly positively correlated with fear of childbirth(r=0.09)(P＜0.05),hourly analgesic con-sumption(r=0.16)(P＜0.01)and average analgesic consumption(r=0.17)(P＜0.05).No statistically significant association was uncovered between analgesic consumption and maternal fear of childbirth.Conclusions:Fear of childbirth is a potential predictor of labor pain intensity.Further study is needed to explore its role and value in pain management during delivery.Parity is not a determinant of pain relief use and should not be a preconceived preference of obstetric care team members to determine the distribution of epidural analgesia,especially when analgesia resources are insufficient.关键词
镇痛,硬膜外/恐惧/分娩疼痛/妇产科,医院/产次/分娩Key words
Epidural analgesia/Fear/Labor pain/Obstetrics and gynecology department of/the hospital/Parity/Parturition引用本文复制引用
邓永芳,林艳,杨丽媛,梁秋霞,符白玲,李惠先,张慧珠,刘妍..初产妇与经产妇分娩恐惧及疼痛强度的比较研究[J].国际护理科学（英文）,2021,8(4):380-387,后插2,9.基金项目
This study was funded by Guangzhou Municipal Science and Technology General Guide Project(20201A011028)and Nursing Research Fund of Guangzhou Women and Children's Medical Center(HLB-2020-13). （20201A011028）
