Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960 |
Resumo: | Introduction: 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.Keywords: Labor Pain; Labor, Obstetric; Maternal-Fetal Relations; Object Attachment. |
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Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational StudyVinculação da Mulher como Preditor da Dor Durante o Parto e Após o Nascimento: um Estudo Observacional ProspectivoIntroduction: 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.Keywords: Labor Pain; Labor, Obstetric; Maternal-Fetal Relations; Object Attachment.Introdução: O parto é considerado uma das experiências mais dolorosas e significativas na vida de uma mulher. O objectivo deste estudo foi avaliar se o estilo de vinculação da grávida é um preditor significativo da dor experienciada durante o parto e após o nascimento.Material e Métodos: Trinta e duas grávidas foram avaliadas durante o terceiro trimestre de gravidez e durante o parto. A vinculação no adulto foi avaliada através da Escala de Avaliação no Adulto – Revista. A intensidade da dor de parto foi avaliada através de uma Escala Visual Analógica para a dor durante o parto e após o nascimento.Resultados: As mulheres com um estilo de vinculação inseguro reportaram maior dor aos 3 cm de dilatação cervical (p < 0,05), antes da administração da analgesia (p < 0,01) e após o nascimento (p < 0,05) que as mulheres com uma vinculação segura. Nos modelos multivariados, o estilo de vinculação mostrou-se um preditor significativo da dor no parto aos 3 cm de dilatação cervical e antes da administração da analgesia, mas não na dor percebida após o nascimento.Discussão: Estes resultados confirmam que a dor de parto é influenciada por factores psicológicos relevantes e sugerem que o estilo de vinculação da mulher pode ser um factor de risco para maior intensidade de dor no parto.Conclusão: Estudos futuros no contexto da dor obstétrica devem considerar o estilo de vinculação como um indicador de diferenças individuais na experiência de dor durante o parto. Isto pode ter importantes implicações para a Anestesiologia e promover importantes mudanças nas práticas institucionais e procedimentos terapêuticos.Palavras-chave: Dor do Parto; Trabalho de Parto; Relações Materno-Fetais; Apego ao Objecto.Ordem dos Médicos2014-12-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960oai:ojs.www.actamedicaportuguesa.com:article/4960Acta Médica Portuguesa; Vol. 27 No. 6 (2014): November-December; 692-699Acta Médica Portuguesa; Vol. 27 N.º 6 (2014): Novembro-Dezembro; 692-6991646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960/4142https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960/7455Costa Martins, José ManuelSilva, Carlos Fernandes daPereira, MarcoMartins, HenriquetaOliveira, CéliaPuga, AlexandraCoelho, RuiTavares, Jorgeinfo:eu-repo/semantics/openAccess2022-12-20T11:04:07Zoai:ojs.www.actamedicaportuguesa.com:article/4960Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:00.767179Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study Vinculação da Mulher como Preditor da Dor Durante o Parto e Após o Nascimento: um Estudo Observacional Prospectivo |
title |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study |
spellingShingle |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study Costa Martins, José Manuel |
title_short |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study |
title_full |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study |
title_fullStr |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study |
title_full_unstemmed |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study |
title_sort |
Women’s Attachment as a Predictor of Pain During Labour and Post-Delivery: a Prospective Observational Study |
author |
Costa Martins, José Manuel |
author_facet |
Costa Martins, José Manuel Silva, Carlos Fernandes da Pereira, Marco Martins, Henriqueta Oliveira, Célia Puga, Alexandra Coelho, Rui Tavares, Jorge |
author_role |
author |
author2 |
Silva, Carlos Fernandes da Pereira, Marco Martins, Henriqueta Oliveira, Célia Puga, Alexandra Coelho, Rui Tavares, Jorge |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa Martins, José Manuel Silva, Carlos Fernandes da Pereira, Marco Martins, Henriqueta Oliveira, Célia Puga, Alexandra Coelho, Rui Tavares, Jorge |
description |
Introduction: 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.Keywords: Labor Pain; Labor, Obstetric; Maternal-Fetal Relations; Object Attachment. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-12-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960 oai:ojs.www.actamedicaportuguesa.com:article/4960 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/4960 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960/4142 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4960/7455 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 27 No. 6 (2014): November-December; 692-699 Acta Médica Portuguesa; Vol. 27 N.º 6 (2014): Novembro-Dezembro; 692-699 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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