Original Article

The Relationship between Self-esteem and Anxiety with Severity of Pain and Suffering of Labor

Abstract

Introduction: Recognition of labor pain is a primary concern of physicians, midwives and their clients in controlling labor pain and preventing the resulting suffering. The purpose of this study was to assess the relationship between self-esteem and anxiety with severity of pain and suffering of labor in women.
Method: This cross-sectional study was conducted on 365 mothers who experienced delivery at Shahidan Mobini hospital in Sabzevar in 2014. The data were collected using Rosenberg Self-esteem questionnaire and Spielberger State-Trait Anxiety scales, visual analogue scale (VAS) for pain, and experience and perception of suffering. Data were analyzed using t-test, Pearson correlation coefficient and chi-square test considering level of significance equal to 0.05.
Results: The mean age was 26.4± 4.7 years old. In this study, 119 (44.9%) samples were nulliparous, 20 (7.5%) were employed and 196 (74%) were urban citizens. There was no significant difference between the pain of labor score in terms of self-esteem levels (p=0.84) and the level of covert anxiety (p=0.15) and overt anxiety (p=0.06). However, there was a significant differences between the suffering of labor scores in terms of selfesteem levels (p<0.001),the covert anxiety levels (p<0.001) and the overt anxiety levels (p<0.05).
Conclusion: Considering pregnant women with higher self- esteem and lower anxiety score had a lower score on labor suffering in this study, it seems health care providers can help reduce pregnant women’s suffering of labor through strengthening the well-being and health of pregnant women and supporting them during pregnancy and labor.

1. Azhari S, Movahed KH, Tara F, H. E. Comparison the Effect of Sitting and Kneeling Positions during the Second Stage of Labor on Pain and Duration of Second Stage of Labor in Nulliparous Women. . The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013;15(38):7-16.
2. Simavli S, Gumus I, Kaygusuz I, Yildirim M, Usluogullari B, Kafali H. Effect of music on labor pain relief, anxiety level and postpartum analgesic requirement: a randomized controlled clinical trial. Gynecologic and obstetric investigation. 2014;78(4):244-50.
3. Hosseininasab SD , S T, S. A. The Effectiveness of Prenatal Education in Decreasing the Childbirth Pain and Anxiety. . Medical Journal of Tabriz University of Medical Scienses & Health Services. 2009;31(4):24-30.
4. Hoshmandi S DM, Kamali fard M, M. g. Comparing pain severity and factors influencing its perception in nulliparous women and multiparous private and public hospitals. . Medical Journal Of Tabriz University Of Medical Sciences 2012;34(3):117-21.
5. Ghadimi R IF, Zarghami A, Rajabi M, Baleghi M, Z. B. Effective Factors for Choosing the Delivery Method in Primiparous Women in Babol, Iran. JBUMS. 2013;15(6):52-8.
6. Salomonsson B, Gullberg MT, Alehagen S, Wijma K. Self-efficacy beliefs and fear of childbirth in nulliparous women. Journal of Psychosomatic Obstetrics & Gynecology. 2013;34(3):116-21.
7. Dolatian M, Mirabzadeh A, Forouzan AS, Sajjadi H, Majd HA, Moafi F, et al. Correlation between self-esteem and perceived stress in pregnancy and ways to coping with stress. Pajoohandeh Journal. 2013;18(3):148-55.
8. Sharifzadeh M, Navininezhad M, Keramat A. Investigating the Relationship between SelfEsteem and Postpartum Blues among Delivered Women. Journal of Research in Medical and Dental Sciences. 2018;6(3):375-6 2 .
9. Amini M, Hamtaeian K, F D. Effectiveness of teaching problem solving skills to increase self-esteem and mental health. 6th International Congress onChild and Adolescent Psychiatry;. 2013;Tabtiz university of medical sciences.
10. Arzandehfar A , MJ AEA. The Effectiveness of Life Skills Training on Self- Esteem of Students with Visual Problems. . Research in Clinical Psychology and Counseling. 2013;3(1):147-62.
11. Akhlaghi F, Mokhber N, Shakeri MT, Shamsa F. Relation Between Depression, Anxiety, Self-Esteem, Marital Satisfaction, Demographical Factor And Maternal Complications With Fear Of Childbirth In Nulliparous Women. Journal of Fundamentals of Mental Health. 2012;14(2):122-31.
12. Mahram B. Spielberger test standardization in Mashhad (Persian .)Tehran: University Tabatabaei 1995.
13. Pirasteh Motlagh A, Nikmanesh Z. The Relationship of Spirituality with the Pain and Quality of Life in Patients with HIV/AIDS. Armaghane danesh. 2012;17(4):337-48 .
14. Schulz R, Monin JK, Czaja SJ, Lingler JH, Beach SR, Martire LM, et al. Measuring the experience and perception of suffering. The Gerontologist. 2010:gnq033.
15. Vaziri F, Khademian Z, Morshed Behbahani B. Qualitative investigation of experiences and perception of primiparous women regarding childbirth in women referring to educational hospitals of Shiraz University of Medical Sciences. Modern Care Journal. 2013;9(3):226-36.
16. Kamalifard M, Pirdel M, Bani S, Ghojazadeh M, S. T. Comparison and evaluation of labor pain and factors influencing pain perception in primiparous and multiparous women referring to Tabriz alzahra educational center in 2005-2006. 2005.
17. Melzack R. The myth of painless childbirth (the John J. Bonica lecture). Pain. 1984;19(4):321-37.
18. Heimstad R, Dahloe R, Laache I, Skogvoll E, Schei B. Fear of childbirth and history of abuse: implications for pregnancy and delivery. Acta Obstetricia et Gynecologica Scandinavica. 2006;85(4):435-40.
19. Nerum H, Halvorsen L, Sørlie T, Øian P. Maternal request for cesarean section due to fear of birth: can it be changed through crisisoriented counseling? Birth. 2006;33(3):221-8.
20. Azizi M, Khamseh F, Rahimi A, Barati M. The relationship between self-esteem and depression in nursing students of a selected medical university in Tehran. Iranian Journal of Psychiatric Nursing. 2013;1(1):28-34.
21. Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. Journal of midwifery & women’s health. 2004;49(6):489504.
22. Chapman CR, Gavrin J. Suffering and its relationship to pain. Journal of palliative care. 1992;9(2):5-13.
23. Cassell EJ. The nature of suffering and the goals of medicine. Loss, Grief & Care. 1998;8(1-2):129-42.
24. Chapman CR, Gavrin J. Suffering: the contributions of persistent pain. The Lancet. 1999;353(9171):2233-7.
25. Salari P, Alavian F, Habibi rad A, F T. The Relationship between Stress, Anxiety and Pain with Salivary Cortisol Levels in First Stage of Labor in Primiparous Women. T IGOJI. 2013;16(55):14-21.
26. Lang AJ, Sorrell JT, Rodgers CS, Lebeck MM. Anxiety sensitivity as a predictor of labor pain. European Journal of pain. 2006;10(3):263 .
27. Wang S-Y, Jiang X-Y, Jan W-C, Chen CH. A comparative study of postnatal depression and its predictors in Taiwan and mainland China. American journal of obstetrics and gynecology. 2003;189(5):1407-12.
28. Vatanparast S, KHalilzadh N, Mohammadi M, Yadegari O, Azizi N. The Relationship between postpartum primiparous women depression and stress and anxiety. Journal of Urmia Nursing And Midwifery Faculty. 2014;12(3):230-7. 29.Martens A, Greenberg J, Allen JJ, Hayes J, Schimel J, Johns M. Self-esteem and autonomic physiology: Self-esteem levels predict cardiac vagal tone. Journal of Research in Personality. 2010;44(5):573-84.
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IssueVol 5 No 1 (2019) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/jbe.v5i1.1907
Keywords
Labor pain Suffering Anxiety Self-estee Mental health
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How to Cite
1.
Baghani R, Sharifzadeh M, Navi Nezhad M, Keramat A, Khosravi A. The Relationship between Self-esteem and Anxiety with Severity of Pain and Suffering of Labor. JBE. 2019;5(1):58-65.