1Associate Professor of Obstetrics & Gynecology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
3Assistant Professor of Clinical Psychology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
Background & Aims: Fear of labor pain is a principal factor in pregnant women's tendency for cesarean
section. This study was done to investigate the factors that affect quality and intensity of labor pain in order
to decrease the rate of elective cesarean sections.
Method: a prospective randomized study was performed on 208 parturient women in Maternity ward of
afzalipour Hospital by using McGill Pain Questionnaire.
Results: Mean age of participants was 25.23±5.54 years old. Comparison of intensity and quality of pain
between stage I and Stage II of labor showed higher pain intensity in stage II (P<0.0001). Nuliparous women
reported higher pain intensity during stage II (P=0.002), whereas multiparous women experienced shorter
labor (P<0.0001). In stage II of labor with increase of age, a decrease of labor pain intensity was observed
(P<0.001). There were no significant statistical relationships between labor pain and variables of job,
education al level, weight of neonate and number of previous pregnancies in multiparous women. Labor pain
intensity in women who had prenatal care in obstetrician's clinics was lower than others.
Conclusion: Lower intensity of labor pain in women who had prenatal care in obstetrician's clinics
emphasizes on the role of obstetricians in recommending vaginal delivery to pregnant women as a