Non Pharmacological Pain Management Techniques During First Stage Of Labour

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Sarita Dubey


A Pre-experimental study to assess the effectiveness of self-instructional modules on knowledge and attitude regarding non-pharmacological pain management techniques during the first stage of labour among staff nurses working in selected hospitals at Gorakhpur, U.P, 2011. The study was conducted on 60 staff nurses. A conceptual framework for the study was adopted from a Simple Theory: Roy’s Adoption model. The research design of the study was one group pre-test and post-test research design. The study was conducted in Dufferin Hospital & Railway Hospital at Gorakhpur. Non-probability convenient sampling techniques were used to select the subjects which included a sample 60 staff nurses. The data were collected by a structured questionnaire developed to assess the knowledge and attitude toward non-pharmacological pain management techniques during the first stage of labour and the tool was validated by 5 nursing personnel and 2 medical personnel. The reliability coefficient was calculated by the test and retest method. Data collection was done in the month of 1st – 15th April 2011. The data has been analyzed by using both descriptive and inferential statistics. Descriptive statistics, calculation of percentage, mean, median, standard deviation, and inferential statistics- t-test, Z-test, and chi-square test were used.

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Sarita Dubey. (2016). Non Pharmacological Pain Management Techniques During First Stage Of Labour. Research Inspiration, 1(II), 234–255.




Adeles Pillitteri, “Maternal and Child Health Nursing” Lippincott publication third edition page no. 328-38

Anamma Jacob, A comprehensive textbook of Midwifery,Jaypee Brothers Medica publishers, New Delhi,1st edition2005, pg 25 -46.

Basavanthappa BT (2006) “Textbook of Midwifery and Reproductive Health Nursing” (1st edition). New Delhi: Jaypee Brothers Medical Publisher; pg 246-50.

Basavanthappa BT (2007) “Nursing Research”2nd edition, New Delhi: Jaypee brothers.

Berek Jonathan S (2002) “Novak’s Gynaecology” (13 edition). Philadelphia: J. B. Lippincot company;pg 324-33.

Bobak I. M, Perry S. E and Lowdermilk D. L, “Maternity Nursing” Mosby publication, Fifth Edition page no. 238-241

Brothers; Basavanthappa BT (2007) “Nursing Theories” (Ist edition). New Delhi: Jaypee Brothers;

Dawn C S “Textbook of Gynaecology, contraception and Demography” Kolkata: Dawn Book; 14 edition (2003).pg 103- 9

Donna L. Wong,Shannon EPerry; Maternal Child Nursing Care; Mosby USA;1998;pg 169.

Dutta D.C “ Text book of obstetric” Kolkata, new central book agency (p) Ltd Fifth edition, page no. 220-224

Fraser Diane M, Cooper Margaret A “Myles Textbook for Midwives” Philadelphia: Churchill livingstone ;15th edition2009;pg 180-5

Jayakrishnan K, Rao A Padma (2006) “Infertility, Insight in Management” (1st edition). New Delhi: Jaypee Brothers Medical Publisher;

Kindersley Dorling “Revised and Updated Illustrated Oxford Dictionary” London: Oxford University Press;1st edition 2008.

Littleson Y Lyna, Engebretson C Joan, “Maternal Neonatal and Women’s Health Nursing” Delmar thomson learning publication, 1993 copyright page no. 262-70

Mahajan B K (2006) “Methods in Biostatistics” (6th edition). New Delhi: Jaypee Brothers Medical Publisher;

Staurt Campbell,Ash Monga; Gynecology by 10 teachers; ELST,Astra Zencea ; 17th edition 2000; pg 83- 98.

VL Bhargava; A textbook of Gynecology and Obstetrics, Suneel Galgotia Publication, New Delhi; 1st edition 1993;vol 1; pg 98,147,155.

Wong and Perry “ Maternal and child health Nursing” Mosby Publication Ist edition page no. 252- 260


Adachi K, Shimada M, Usui A. The relationship between the parturient's positions and perceptions of labor pain intensity, Japan 2003, Nurs Res. Jan-Feb;52(1):47-51.

Almeida NA, de Sousa JT, Bachion MM, Silveira Nde A,The use of respiration and relaxation techniques for pain and anxiety relief in the parturition process

Andrews CM, Chrzanowski M, Maternal position, labor, and comfort, Appl Nurs Res. 1990 Feb;3(1):7-13.

Auret K, Starmer DL. Using Structured Clinical Instruction Modules (SCIM) in teaching palliative care to undergraduate medical students, Australia, J Cancer Educ. 2008;23(3):149-55.

B Jaya Bharathi 2008 Effective Nursing Interventions on Pain during Labour among Primi Mothers

Barragán Loayza IM, Solà I, Juandó Prats C, Biofeedback for pain management during labour, Cochrane Database Syst Rev. 2011 Jun 15;6:CD006168

Barragán Loayza IM, Solà I, Juandó Prats CBiofeedback for pain management during labour. Bolivia, Cochrane Database Syst Rev. 2011 Jun 15;6:CD006168.

Catherine T. “Self instructional module and cardiac angiography”. Effectiveness of self instructional module on cardiac angiography for patients undergoing cardiac angiography in a selected hospital, Nirmala College of Nursing, Calicut, Kerala, Nurs J India. 2005 Jun;96(6):132-3.

Clectron E R (2001) A research was conducted among adolescent girls2004 in United State, Nurs Res. Jan-Feb;52(1):35-39

Clectron E R “Attitude and Belief about childbirth among Adolescent girls results of an educational intervention: nursg Juorn 2001 Sept Vol:28(3):Pp: 192-200.

Dauer LT, Kelvin JF, Horan CL, St Germain J. Evaluating the effectiveness of a radiation safety training intervention for oncology nurses: a pretest-intervention-posttest study New York, USA, BMC Med Educ. 2006 Jun 8;6:32.

Davim RM, Torres Gde V, Dantas Jda C, Effectiveness of non-pharmacological strategies in relieving labor pain. Article in Portuguese. Rev Esc Enferm USP. 2009 Jun;43(2):438-45.

Gentz BA, Alternative therapies for the management of pain in labour and delivery, Arizona Clin Obstet Gynecol. 2001 Dec;44(4):704-32.

Lampman C et al, A qualitative research was conducted among adolescent girls to investigate belief, knowledge and attitude towards childbirth 2002 Australia, Appl Nurs Res. 1990 Feb;3(1):Pp -56-58

Lampman C, Philips A, “Adolesecent girls knowledge and attitude about caesarean birth” nursg Juorn 1999 Sept Vol:24(3):Pp: 159-164.

Lawrence A, Lewis L, Hofmeyr GJ, Dowswell T, Styles C. Maternal positions and mobility during first stage labour Australia, Cochrane Database Syst Rev. 2009 Apr 15;(2):CD003934

Leeman L, Fontaine P, King V, Klein MC, Ratcliffe S,The nature and management of labor pain: part I. Nonpharmacologic pain relief. New Mexico, Am Fam Physician. 2003 Sep 15;68(6):1109-12

Leeman L, Fontaine P, King V, Klein MC, Ratcliffe SThe nature and management of labor pain: part I. Nonpharmacologic pain relief ,New Mexico, Am Fam Physician. 2003 Sep 15;68(6):1109-12.

Mary Ellen Donerty, “ Voice of Midwivies, A tapestry of challenges & Blessing” the Americn Journl of M & C Nursg. May/Jun2007, Vol 32 (3): Pp: 97-101

Morrison J, Osrin D, Shrestha B, Tumbahangphe KM, Tamang S, Shrestha D, Thapa S, Mesko N, Manandhar DS, Costello A. J Perinatol. 2008 Dec;28 Suppl 2:S14-22.

Motahareh Pilevarzadeh (.M.S) Saadat Salari (.M.S) Nematollah Shafiei (.M.S)Effect of massage on reducing pain and anxiety during labour, Kerman, Iran 2007.

N. Khoda Karami*, A. Safarzadeh**, N. Fathizadeh, Effect of Massage Therapy on Severity of Pain and Outcome of Labor in Primipara. Tehran2004

Plymale MA, Sloan PA, Johnson M, LaFountain P, Snapp J, Sloan DA Cancer pain education: the use of a structured clinical instruction module to enhance learning among medical students USA J Pain Symptom Manage. 2000 Jul;20(1):4-11.

Prasertcharoensuk W, Thinkhamrop J, Non-pharmacologic labour pain relief, Khon Kaen, Thailand2004.

Ramsey SA, Greenberg JS, Hale JF, Evaluation of a self-instructional program in stress management for college students, Health Educ. 1989 Feb-Mar;20(1):8-13.

Rejane Marie Barbosa DavimI; Gilson de Vasconcelos TorresII; Eva Saldanha de Melo, Non-pharmacological strategies on pain relief during labor 2008

Rev Lat Am Enfermagem. 2005 Jan-Feb;13(1):52-8. Epub 2005 Mar 3[Article in Portuguese].

Roberts J, Malasanos L, Mendez-Bauer C, Maternal positions in labor: analysis in relation to comfort and efficiency, 2001Birth Defects Orig Artic Ser. 2001;17(6):97-128.

Schuiling KD, Sampselle CM, Comfort in labor and midwifery art, 2009, Image J Nurs Sch. 2009;31(1):77-81. Michigan

Sheri Price, Jennifer N W and Julie Thornton “protecting women experience with social presence during childbirth” the Americn Journl of M & C Nursg. May/Jun2007, Vol 32 (3): Pp: 184-191

Simkin P, Bolding A, Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Women's Health. 2004 Nov-Dec;49(6):489-504

Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Women's Health. 2004 Nov-Dec;49(6):489-504

Sloan DA, Donnelly MB, Plymale M, McGrath PC, Kenady DE, Schwartz RW, The structured clinical instruction module as a tool for improving students' understanding of breast cancer Lexington USA, Am Surg. 1997 Mar;63(3):255-60.

Sonotopietro E. effectiveness of a self-instructional module in human sexuality counselling. Nursg res 2000; Jan 74(1): Pp42-44

Souza JP, Miquelutti MA, Cecatti JG, Makuch MY.Maternal position during the first stage of labor Brazil, Reprod Health. 2006 Nov 30;3:10.

Swank C, Christianson CA, Prows CA, West EB, Warren NS, Effectiveness of a genetics self-instructional module for nurses involved in egg donor screening Baltimore USA, J Obstet Gynecol Neonatal Nurs. 2001 Nov-Dec;30(6):617-25.

Sylvia T. Brown, EdD, RN, Carol Douglas, MSN, RN, and LeeAnn Plaster Flood, MSN, CNM 2007Women's Evaluation of Intrapartum Nonpharmacological Pain Relief Methods Used during Labor.


A recent survey of American women who gave birth between 2000 and 2002 on the Effectiveness of Relaxation in Reducing Pain and Suffering During Labor.

Chalmers B, Dzakpasu S, Heaman M, Kaczorowski The Canadian maternity experiences survey: an overview of findings. Kingston ON, J Obstet Gynaecol Can. 2008 Mar;30(3):217-28.