The RETHINK Study: Could pain catastrophising explain why some women are more likely to attend hospital during the latent phase of labour

被引:0
作者
Bartholomew, V [1 ]
Hundley, V [1 ]
Clark, C. J. [1 ]
Parris, B. A. [2 ]
机构
[1] Bournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery & Womens Hlth, Bournemouth Gateway Bldg, St Pauls Lane, Bournemouth BH8 8GP, Hampshire, England
[2] Bournemouth Univ, Dept Psychol, Poole House P331,Talbot Campus, Poole BH12 5BB, Dorset, England
关键词
Latent; Labour; Pain; Catastrophising; Fear; Hospital; FEAR; CHILDBIRTH; DELIVERY; BIRTH; QUESTIONNAIRE; OUTCOMES; SEEKING; EVENTS; SCALE; CARE;
D O I
10.1016/j.srhc.2023.100941
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To examine the prevalence of pain catastrophising and identify whether it impacts on the timing of hospital admission when in labour.Methods: A longitudinal cohort study. Nulliparous women, experiencing an uncomplicated pregnancy in England, were recruited between 25 and 33 weeks gestation. Participants completed two online questionnaires, (1) on recruitment, including the Pain Catastrophizing Scale (PCS) and the Wijma Delivery Expectancy Questionnaire (WDEQ-A) (2) at three weeks postnatal.Results: A total of 389 eligible participants entered the study. The percentage of women who were pain catastrophisers (PCS >= 20) was 28.1 %, while 7.6 % had a high pain catastrophising score (PCS >= 30). There was no association between pain catastrophising and the timing of hospital admission. The percentage of women reporting fear of childbirth (WDEQ-A score of >= 85) was 10.6 %. Fear of childbirth was highly associated with PCS scores (p <.001) at both the lower (>= 20) and higher (>= 30) thresholds.Conclusion: Although not statistically significant, there was a tendency for women who pain catastrophise to present to hospital in the latent phase. The highly significant association between PCS and WDEQ-A scores has implications for the identification of these women and suggests that the PCS can be used as a screening tool to identify those women who have heightened fear around pain and who may also go on to develop clinically relevant fear of childbirth. Further studies are needed to confirm the acceptability of the PCS as a screening tool with women.
引用
收藏
页数:10
相关论文
共 41 条
[1]   Validation of Canadian mothers' recall of events in labour and delivery with electronic health records [J].
Bat-Erdene, Uilst ;
Metcalfe, Amy ;
McDonald, Sheila W. ;
Tough, Suzanne C. .
BMC PREGNANCY AND CHILDBIRTH, 2013, 13
[2]   Tocophobia in the DSM-5 era: Outcomes of a new cut-off analysis of the Wijma delivery expectancy/experience questionnaire based on clinical presentation [J].
Calderani, Enrico ;
Giardinelli, Lisa ;
Scannerini, Silvia ;
Arcabasso, Susanna ;
Compagno, Elisa ;
Petraglia, Felice ;
Ricca, Valdo .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2019, 116 :37-43
[3]   Ethnic differences in pain and pain management [J].
Campbell, Claudia M. ;
Edwards, Robert R. .
PAIN MANAGEMENT, 2012, 2 (03) :219-230
[4]   Swedish women's experiences of seeking care and being admitted during the latent phase of labour: A grounded theory study [J].
Carlsson, Ing-Marie ;
Hallberg, Lillemor R-M. ;
Pettersson, Karen Odberg .
MIDWIFERY, 2009, 25 (02) :172-180
[5]   Reliability of maternal recall of delivery and immediate newborn care indicators in Sarlahi, Nepal [J].
Carter, Emily D. ;
Chang, Karen T. ;
Mullany, Luke C. ;
Khatry, Subarna K. ;
LeClerq, Steven C. ;
Munos, Melinda K. ;
Katz, Joanne .
BMC PREGNANCY AND CHILDBIRTH, 2021, 21 (01)
[6]   Exploring pain characteristics in nulliparous women; A precursor to developing support for women in the latent phase of labour [J].
Clark, Carol J. ;
Kalanaviciuteb, Guste ;
Bartholomewc, Vanessa ;
Cheyne, Helen ;
Hundleye, Vanora A. .
MIDWIFERY, 2022, 104
[7]  
Clark CJ, 2023, MIDIRS Midwifery Digest, V33, P160
[8]   Catastrophizing mediates the relationship between fear of pain and preference for elective caesarean section [J].
Dehghani, M. ;
Sharpe, L. ;
Khatibi, A. .
EUROPEAN JOURNAL OF PAIN, 2014, 18 (04) :582-589
[9]   Causes and outcomes in studies of fear of childbirth: A systematic review [J].
Dencker, Anna ;
Nilsson, Christina ;
Begley, Cecily ;
Jangsten, Elisabeth ;
Mollberg, Margareta ;
Patel, Harshida ;
Wigert, Helena ;
Hessman, Eva ;
Sjoblom, Helen ;
Sparud-Lundin, Carina .
WOMEN AND BIRTH, 2019, 32 (02) :99-111
[10]   Decision Making about Hospital Arrival among Low-Risk Nulliparous Women after Spontaneous Labor Onset at Home [J].
Edmonds, Joyce K. ;
Miley, Kathleen ;
Angelini, Kimberly J. ;
Shah, Neel T. .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2018, 63 (04) :455-461