The RETHINK Study: Could pain catastrophising explain why some women are more likely to attend hospital during the latent phase of labour
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Bartholomew, V
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Bournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery & Womens Hlth, Bournemouth Gateway Bldg, St Pauls Lane, Bournemouth BH8 8GP, Hampshire, EnglandBournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery & Womens Hlth, Bournemouth Gateway Bldg, St Pauls Lane, Bournemouth BH8 8GP, Hampshire, England
Bartholomew, V
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Hundley, V
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Clark, C. J.
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Bournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery & Womens Hlth, Bournemouth Gateway Bldg, St Pauls Lane, Bournemouth BH8 8GP, Hampshire, EnglandBournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery & Womens Hlth, Bournemouth Gateway Bldg, St Pauls Lane, Bournemouth BH8 8GP, Hampshire, England
Clark, C. J.
[1
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Parris, B. A.
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Bournemouth Univ, Dept Psychol, Poole House P331,Talbot Campus, Poole BH12 5BB, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery & Womens Hlth, Bournemouth Gateway Bldg, St Pauls Lane, Bournemouth BH8 8GP, Hampshire, England
Parris, B. A.
[2
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[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
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.
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Bournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Clark, Carol J.
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Kalanaviciuteb, Guste
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Bournemouth Univ, Fac Sci & Technol, Psychol Grad, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Kalanaviciuteb, Guste
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Bartholomewc, Vanessa
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Bournemouth Univ, Fac Hlth & Social Sci, Dept Midwifery & Hlth Sci, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Bartholomewc, Vanessa
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Cheyne, Helen
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Univ Stirling, NMAHP Res Unit, Midwifery Res, Stirling, ScotlandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Cheyne, Helen
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Hundleye, Vanora A.
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Bournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery Maternal & Perinatal Hlth, Midwifery, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
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Boston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Massachusetts Gen Hosp, Munn Ctr Nursing Res, Boston, MA 02114 USABoston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Edmonds, Joyce K.
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Miley, Kathleen
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Angelini, Kimberly J.
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Boston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Dowd Med Reading, Reading, MA USABoston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Angelini, Kimberly J.
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Shah, Neel T.
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Harvard TH Chan Sch Publ Hlth, Ariadne Labs, Delivery Decis Initiat, Boston, MA USA
Beth Israel Deaconess Med Ctr, Obstet Gynecol & Reprod Biol, Boston, MA 02215 USABoston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
机构:
Bournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Clark, Carol J.
;
Kalanaviciuteb, Guste
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Bournemouth Univ, Fac Sci & Technol, Psychol Grad, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Kalanaviciuteb, Guste
;
Bartholomewc, Vanessa
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Bournemouth Univ, Fac Hlth & Social Sci, Dept Midwifery & Hlth Sci, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Bartholomewc, Vanessa
;
Cheyne, Helen
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Univ Stirling, NMAHP Res Unit, Midwifery Res, Stirling, ScotlandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
Cheyne, Helen
;
Hundleye, Vanora A.
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机构:
Bournemouth Univ, Fac Hlth & Social Sci, Ctr Midwifery Maternal & Perinatal Hlth, Midwifery, Bournemouth, Dorset, EnglandBournemouth Univ, Fac Hlth & Social Sci, Dept Rehabil & Sport Sci, Physiotherapy, Bournemouth, Dorset, England
机构:
Boston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Massachusetts Gen Hosp, Munn Ctr Nursing Res, Boston, MA 02114 USABoston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Edmonds, Joyce K.
;
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机构:
Miley, Kathleen
;
Angelini, Kimberly J.
论文数: 0引用数: 0
h-index: 0
机构:
Boston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Dowd Med Reading, Reading, MA USABoston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA
Angelini, Kimberly J.
;
Shah, Neel T.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard TH Chan Sch Publ Hlth, Ariadne Labs, Delivery Decis Initiat, Boston, MA USA
Beth Israel Deaconess Med Ctr, Obstet Gynecol & Reprod Biol, Boston, MA 02215 USABoston Coll, William F Connell Sch Nursing, Chestnut Hill, MA 02167 USA