The Relationship between Happiness during Pregnancy,And Labor Pain Coping Behaviors

Document Type: Original Quantitative and Qualitative Research Paper

Authors

1 MSc, Instructor, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 MSc student, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Assistant Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, Faculty of Medicine , Mashhad University of Medical Sciences, Mashhad, Iran

4 MSc, Instructor of Biostatistics, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Happiness is accounted for one of the psychological health criteria, and is considered as one of the six fundamental emotions- in human beings. Labor pain is also considered as one of the exclusive experiences, which demands pregnant women’s ability to cope with it. Happiness may give this potential ability to the pregnant women to apply skillful coping methods to tolerate the labor pain, but there is no registered evidence about this relationship.
Aim: To determine the relationship between happiness during pregnancy and labor pain coping behaviors.
Method: In this correlational study 80 low risk pregnant women, in the 36 – 40 weeks of pregnancy, who have referred to Omolbanin Hospital for prenatal care were selected using convenience sampling. Demographic information and the level of happiness were measured during pregnancy using Oxford Happiness Questionnaire. Labor pain coping behaviors were measured during contractions, and each half an hour from the dilatation of 3–5 cm till delivery using Labor Pain Coping Behaviors Observation Form. Data were analyzed with SPSS version 16 using Kruskal-Wallis, One- way ANOVA, Mann-Whitney tests and Spearman and Pearson correlation coefficients.
Results: The frequency of low, medium and high level of happiness was 11.3%,  72.5%, and  16.2% respectively. Also, 16.3% of the pregnant women showed unfavorable, 50% acceptable, and 33.7% favorable labor pain coping behaviors. The results of Spearman’s correlation test revealed that there was a significant relationship between pregnancy happiness and the mean score of labor pain coping behaviors, (p = 0.000, and r = 0.444), i.e. higher levels of happiness during pregnancyis associated with more favorable labor pain coping behaviors.
Conclusion: The parturient's behavior during labor indicates her level of emotion. So in parturient’s clinical management, in addition to physiological signs and clinical examinations these two issues should be considered as well.

Keywords


  1. Jafari A, Abedi M, Liyaghatdar M. Happiness in Students of the Isfahan Medical Sciences University, Degree and Effective Factors. Teb va Tazkie. 2004; - ( 54): 15- 23. (Persian)
  2. Omidian M. Mental Health and Happiness Among Students of the Yazd University. Studies in education and psychology. 2006; 10 (1)‌: 101- 16. (Persian)
  3. Moradi M, Jafari S, Abedi M. Happiness and Personality : A rewiew study. Advances in Cognitive Science. 2005; 7 (2): 60- 71. (Persian)
  4. Hadinejad H, Zareei F. Reliability, Validity and Normalization of the Oxford Happiness Questionnaire. Psychology research. 2009; 12 (1- 2): 62- 77. (Persian)
  5. Jannati y, Khaki N. Psychiatry in Midwifery. Tehran. Jameneghar Publisher. 2005; 144-5
      Jayasvasti K, Kanchanatawan B. Happiness and Related Factors in Pregnant Women. J Med Assoc Tha. 2005; 88 (4). 220–5

  1. Hagstrom P, Wu S. Are Pregnant Women Happier? Racial Differences in the Relationship between Pregnancy and Life Satisfaction. 2010; Online at http://mpra.ub.uni-muenchen.de/24853
  2. Sable M, Libbus M. Pregnancy Intention and Pregnancy Happiness: Are They Different? Maternal and Child Health Journal. 2000; 4 (3): 191–7
  3. Veenhoven R. Effects of Happiness on Physical Health and the Consequences for Preventive Health Care. Earlier versions of this paper were presented at the 3rd European Conference on Positive Psychology in Braga. Portugal. 2006; 3-6
  4. Tang N, Salkovskis P, Hodges A, Wright K, Hanna M, Hester J. Effects of Mood on Pain Responses and Pain Tolerance: An Experimental Study in Chronic Back Pain Patients. Pain. 2008; 138 (2): 392-401
  5. Tampawiboon K. Effect of Childbirth Preparation on Fear, labor Pain Coping Behaviors and Childbirth Satisfaction in Primiparas. Master’s Thesis. Mahdiol university in Tailand. 2005
  6. Niven, c; Gijsbers, k. Coping With Labor Pain. pain and symptom management. 1996; 11(2):116-25
  7. Khorsandy M, Ghofranipur F, Heidarnia A, Faghihzade S, Akbarzade A, Vafai M. Self-efficacy for Labor and Childbirth in Pregnant Women. Medical Council of Islamic Republic of Iran. 2008; 26 (1): 95-89. (Persian)
  8. Roohani Mashhadi S. Effects of SP6 Acupressure on Labor Pain During First Stage of Labor at 17 Shahrivar Hospital in Mashhad in 2005- 2006. A Thesis presented for the Master of Science Degree in Midwifery: School of Nursing & Midwifery of Mashhad. 2006
  9. Ghanjavi A, Paghande T, Ebrahimi Nejad Gh. The Quality and Intensity of  Labor Pain Based on Mc Gill Pain Questionnaire in Parturient Women Admitted in the Maternity Ward of Afzalipour Hospital in Kerman. J Kerman Univ Med Sci. 2010; 18 (2): 164. (Persian)
  10. Sisto T, Kaaja R, Ylikorkata O, Halmesmaki E. Reduced Pain Tolerance During and After Pregnancy in Women Suffering from Fear of Labor. Pain. 2001; 93 (2): 123-7
  11. Asghari Moghaddam M. Gholak N. Role of Coping strategies with pain in coping with chronic pain. Daneshvar raftar. 2005; 12 (10): 1 – 23. (Persian)
  12. Aldvin M, Carolin M. Stress, Coping and Development: An Integrative Perspective. The Guilford press. New York. 2007
  13. Brunner, Lillian Shultis. Pain Treatment, Health Check, Critical Thinking, Ethical Decision And the Nursing Process (Brunnere & Suddarth). Sami Puran. Tehran: Boshra; 2000; 18-9 (Persian)
  14. Kushan M, Vaghei S. Psychiatric Nursing (Mental Health 1). Tehran. Andishe Rafia Publisher. 2007; 91-3
  15. Lubna A. Methods of Coping With Labor Pain Used by Jordanian Women. Transcultural Nursing. 2007; 18(1): 35-40
  16. Barber j. An Examination of Happiness and it’s Relationship to Community College Students Coping Strategies and Academic Performance. Morgan State University. A Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree Doctor of Education. 2010
  17. Rezai S, Afsharnejad T, Kafi M, Soltani R, Fallahkohan S. Relationship Between Depression  and Coping Strategy With Chronic Back Pain: A Controlled Study of Pain Intensity and Duration. Daneshvar raftar. 2009; 16(81): 63-74. (Persian)
  18. Hills, P., Argyle, M. The Oxford Happiness Questionnaire: A Compact Scale for the Measurement of Psychological Well-being. Personality and Individual Differences. 2002. 33 (7), 1073–82
  19. Sangrungnapaphan, P. Husband Participation During Labour on Anxiety and Coping Behaviour of Primigravidas at Srinagarind Hospital Khon Kaen Province. Master’s Thesis. Mahdiol university in Tailand; 1988
  20. Sodsang, W. The Effects of Nursing Support During Labour on Labour Pain Coping Behaviours and the Perception of Childbirth Experience of First-time Mothers. Master’s Thesis. Mahdiol university in Tailand; 2005
  21. Threenate, S. Effects of Childbirth Preparation Program Emphasizing Husbands Support on Pain Level and Pain Coping Behaviours During Delivery of Primigravida. Master’s Thesis. Mahdiol university in Tailand; 2001
  22. Supradith, B. Effects of Husband Preparation for Spousal Support on Husbands and Wives Satisfaction and Pain Coping Behaviour During Labour. Master’s Thesis. Mahdiol university in Tailand; 2002
  23. Sindamrong, S. Marital Relationship, Self- efficacy in Labor Pain Coping. And Pain Coping Behavior During Labor of the First Time Mothers. Master’s Thesis. Mahdiol university in Tailand; 2004
  24. Cheng Ch, Pickler R. Maternal Psychological Well-Being and Salivary Cortisol in Late Pregnancy and Early Post-Partum. Stress and Health. 2009: Published online in Wiley InterScience (www.interscience.wiley.com)
  25. Aliakbari S, Jamalian R, Khohan Sh. Valai N.  Impact of Childbirth Preparation on Labor Pain and Length of Delivery Time. Feiz. 2001; 4 (3): 41-48. (Persian)
  26. Rim,Y.  Happiness and Coping Style. Person Individ Diff. 1993. 14(4): 617-8
  27. Wolsko, Ch; Lardon, C; Mohatt, G; Orr, E.” Stress , Coping and Well -being Among the Yup ’ik of the Yukon –Kuskokwim Delta : The Role of Enculturation and Acculturation”. Int J Circumpolar Health. 2007; 66 (1): 51-61
  28. Huang CM, Tung WS, Kuo LL, Chang YJ. Com­parison of Pain Responses in Premature Infants to Heelstick Between Containment and Swaddling. J of Nurs Research 2004;12 (1) :31-9