Labor Pain

Labor pain is the result of the uterus muscles contracting and the cervix being subjected to pressure. The sensation can be experienced as intense cramps in the abdomen, groin, and back, accompanied by a dull ache. Additionally, some women may feel pain in their thighs or sides during this process.

Assessment

1. Determine the client's level of pain using verbal, pain scale, and nonverbal cues. On a scale of 1 to 10, rank the effectiveness of the techniques used.

Support the client in her ability to manage pain until her epidural can be given.



2. Assess the degree of discomfort through verbal and nonverbal cues; note cultural practices on pain response.

Attitudes and reactions to pain are individual and based on past experiences, understanding of physiological changes, and cultural expectations.



3. Assess and record the nature and amount of vaginal show, cervical dilation, effacement, fetal station, and fetal descent.

In the nullipara and multipara, the recommended rate of cervical dilation during the active phase is 1.2 cm/hr and 1.5 cm/hr, respectively; vaginal show rises with fetal descent. In the nullipara and the multipara, descent is anticipated to proceed at a pace of at least 1.0 cm/hr and 2.0 cm/hr, respectively. The selection and administration of drug depends on the degree of dilatation and contractile pattern.

Interventions and Rationale

1. Assess degree of discomfort

Differentiation of nonverbal and nonverbal indicators may be a source of clues to the severity of the pain, the necessity for, and the effectiveness of interventions



2. Monitor time, frequency, intensity, and duration of uterine contraction pattern

Monitor the labour progress and provide information for the client.



3. Routinely assess patient's pain level

Monitor treatment progress



4. Encourage patient to void every 1-2 hours

To avoid bladder distention and promote comfort



5. Educate and assist in breathing and relaxation techniques

To promote relaxation and pain reduction.



6. Provide diversional activities

Enhances coping by refocusing attention