The clinical significance of pain and cognitive activity in latent labor.

摘要: We examined the relationship between pain and cognitive activity during latent (less than or equal to 3 cm), mid-active (5-7 transition (greater 8 cm) phases of labor concomitant efficiency latent, active, descent in 115 nulliparous women. Patients provided subjective ratings described their thoughts each three phases. Higher levels phase were predictive longer (r = 0.58) active 0.50) labor. Distress-related 0.31, P less .01), 0.67), second-stage 0.61) found no relationships measured second stage Pain assessed also prognostic obstetric outcome. Thirteen 19 women (68.4%) who reported "horrible" "excruciating" required instrumental delivery, compared with eight 27 (29.6%) "discomforting" group. Subjects "distress-related" group had 2.6 times incidence five abnormal fetal heart rate patterns, four requirement for pediatric assistance neonate subjects "coping" conclude that is a critical psychobiology this are important contributors