Iranian Society of Gynecology Oncology

Document Type : Original Research Article


1 Department of Psychiatry, School of Medicine, Hormozgan University of Medical Sciences, Hormozgan, Iran

2 Department of Obstetrics and Gynecology, School of Medicine, Abnormal Uterine Bleeding Research Center, Semnan University of Medical Sciences, Semnan, Iran

3 Department of Gynecology, School of Medicine, Reproductive Health Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Guilan, Iran

4 Department of Obstetrics and Gynecology, School of Medicine Kosar Teaching Hospital, Qazvin University of Medical Sciences, Qazvin, Iran


Background & Objective: Because childbirth is a natural process, pain is therefore part of the process. The amount of labor pain is probably directly related to the pregnant woman's mood, familiarity, awareness and self-confidence. Therefore, it is illogical to accept the complications of surgery and anesthesia and harm to the baby in order to escape the pain. Therefore, the aim of current study was investigating the relationship between the perception of labor pain and the number of deliveries.
Materials & Methods: This study is descriptive-analytical correlational study. Two questionnaires were used for gathering information: one on personality traits and the other on labor pain. One hundred participants were chosen according to their demographic information, from a pool of pregnant women at maternal ward of the Persian Gulf Hospital in Bandar Abbas City, Iran. The data was analyzed by means of descriptive_ analytical measures such as Pearson Factor.
Results: The mean age of women was 27.15±4.6. Collected data showed that 31% of women were gravida 1, 33% gravida 2, 15% gravida 3, 10% gravida 4, 5% gravida 5, 4% gravida 6, and 2% were gravida 7. a significant relationship was found between pain in the first delivery and pain in the second, third, fifth and sixth deliveries, so that the pain in the first delivery was more than the pain in the second, third, fifth and sixth deliveries.
Conclusion: According to the results of this study the severity of labor pain in primiparous and multiparous women was not statistically significant and the intensity of reported pain level was high in all mothers.


 According to the results of this study the severity of labor pain in primiparous and multiparous women was not statistically significant and the intensity of reported pain level was high in all mothers


Main Subjects

1. Fenaroli V, Molgora S, Dodaro S, Svelato A, Gesi L, Molidoro G, et al. The childbirth experience: obstetric and psychological predictors in Italian primiparous women. BMC Pregnancy Childbirth. 2019;19(1):1-7. [DOI:10.1186/s12884-019-2561-7] [PMID] [PMCID]
2. Naghdipour Mirsadeghi M, Hamidi Madani Z, Boostan A, Massoudifar A. Pain Perception at Birth depending on the Personality of the Parturient Women. J Obstet Gynecol Cancer Res. 2022;7(6):543-7. [DOI:10.30699/jogcr.7.6.543]
3. Abdallah R, Steyn P, Kamel I. Factors Influencing the Perception of Pain in Pregnancy. 2019. p. 989-92. [DOI:10.1007/978-3-319-99124-5_211]
4. Beck CT. Post-traumatic stress disorder due to childbirth: the aftermath. Nurs Res. 2004;53(4):216-24. [DOI:10.1097/00006199-200407000-00004] [PMID]
5. Rodríguez-Almagro J, Hernández-Martínez A, Rodríguez-Almagro D, Quirós-García JM, Martínez-Galiano JM, Gómez-Salgado J. Women's perceptions of living a traumatic childbirth experience and factors related to a birth experience. Int J Environ Res Public Health. 2019;16(9):1654. [DOI:10.3390/ijerph16091654] [PMID] [PMCID]
6. Badaoui A, Abou Kassm S, Naja W. Fear and anxiety disorders related to childbirth: Epidemiological and therapeutic issues. Curr Psychiatry Rep. 2019;21(4):1-14. [DOI:10.1007/s11920-019-1010-7] [PMID]
7. Naghdipour M, Ebrahimzadeh F, Azadehrah M, Boostan A. The effect of pelvic floor muscle fatigue on stress urinary incontinence: A systematic review. Int J Environ Res Public Health. 2021 24(7):29-36.
8. Mathur VA, Morris T, McNamara K. Cultural conceptions of Women's labor pain and labor pain management: A mixed-method analysis. Soc Sci Med. 2020;261:113240. [DOI:10.1016/j.socscimed.2020.113240] [PMID]
9. Chabbert M, Panagiotou D, Wendland J. Predictive factors of women's subjective perception of childbirth experience: a systematic review of the literature. J Reprod Infant Psychol. 2021;39(1):43-66. [DOI:10.1080/02646838.2020.1748582] [PMID]
10. Dencker A, Bergqvist L, Berg M, Greenbrook JT, Nilsson C, Lundgren I. Measuring women's experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised childbirth experience questionnaire. BMC Pregnancy Childbirth. 2020;20(1):1-8. [DOI:10.1186/s12884-020-02869-0] [PMID] [PMCID]
11. Dekel S, Ein-Dor T, Berman Z, Barsoumian IS, Agarwal S, Pitman RK. Delivery mode is associated with maternal mental health following childbirth. Arch Womens Ment Health. 2019;22(6):817-24. [DOI:10.1007/s00737-019-00968-2] [PMID] [PMCID]
12. Garthus-Niegel S, Horsch A, Handtke E, von Soest T, Ayers S, Weidner K, et al. The impact of postpartum posttraumatic stress and depression symptoms on couples' relationship satisfaction: a population-based prospective study. Front Psychol. 2018;9:1728. [DOI:10.3389/fpsyg.2018.01728] [PMID] [PMCID]
13. Bjelica A, Cetkovic N, Trninic-Pjevic A, Mladenovic-Segedi L. The phenomenon of pregnancy-A psychological view. Ginekol Pol. 2018;89(2):102-6. [DOI:10.5603/GP.a2018.0017] [PMID]
14. Türkmen H, Yalniz Dilcen H, Özçoban FA. Traumatic childbirth perception during pregnancy and the postpartum period and its postnatal mental health outcomes: a prospective longitudinal study. J Reprod Infant Psychol. 2021;39(4):422-34. [DOI:10.1080/02646838.2020.1792429] [PMID]
15. Nguyen TV, King J, Edwards N, Dunne MP. "Under great anxiety": Pregnancy experiences of Vietnamese women with physical disabilities seen through an intersectional lens. Soc Sci Med. 2021;284:114231. [DOI:10.1016/j.socscimed.2021.114231] [PMID]
16. Lang AJ, Sorrell JT, Rodgers CS, Lebeck MM. Anxiety sensitivity as a predictor of labor pain. Eur J Pain. 2006;10(3):263-70. [DOI:10.1016/j.ejpain.2005.05.001] [PMID]
17. Saisto T, Halmesmäki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand. 2003;82(3):201-8. [DOI:10.1034/j.1600-0412.2003.00114.x] [PMID] [PMCID]
18. Haines HM, Rubertsson C, Pallant JF, Hildingsson I. The influence of women's fear, attitudes and beliefs of childbirth on mode and experience of birth. BMC Pregnancy Childbirth. 2012;12(1):1-14. [DOI:10.1186/1471-2393-12-55] [PMID]
19. Soet JE, Brack GA, DiIorio C. Prevalence and predictors of women's experience of psychological trauma during childbirth. Birth. 2003;30(1):36-46. [DOI:10.1046/j.1523-536X.2003.00215.x] [PMID]
20. Ghanbari-Homayi S, Fardiazar Z, Meedya S, Mohammad-Alizadeh-Charandabi S, Asghari-Jafarabadi M, Mohammadi E, et al. Predictors of traumatic birth experience among a group of Iranian primipara women: a cross sectional study. BMC Pregnancy Childbirth. 2019;19(1):1-9. [DOI:10.1186/s12884-019-2333-4] [PMID] [PMCID]
21. Lowe NK. The pain and discomfort of labor and birth. J Obstet Gynecol Neonatal Nurs. 1996;25(1):82-92. [DOI:10.1111/j.1552-6909.1996.tb02517.x] [PMID]
22. Phumdoung S, Good M. Music reduces sensation and distress of labor pain. Pain Manag Nurs. 2003;4(2):54-61. [DOI:10.1016/S1524-9042(02)54202-8] [PMID]
23. Nilsson C, Lundgren I. Women's lived experience of fear of childbirth. Midwifery. 2009;25(2):e1-e9. [DOI:10.1016/j.midw.2007.01.017] [PMID]
24. Sullivan DH, McGuiness C. Natural labor pain management. Int J Childbirth. 2015;30(2):20-5.
25. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis Care Res. 2011;63(S11):S240-S52. [DOI:10.1002/acr.20543] [PMID]
26. Pirdel M, Pirdel L. Perceived environmental stressors and pain perception during labor among primiparous and multiparous women. J Reprod Infertil. 2009;10(3):217-23.
27. Areskog B, Uddenberg N, Kjessler B. Fear of childbirth in late pregnancy. Gynecol Obstet Invest. 1981;12(5):262-6. [DOI:10.1159/000299611] [PMID]
28. Kamalifard M, Pirdel M, Bani S, Gojazadeh M, Taghav iS. Comparison and evaluation of labor pain and factors influencing pain perception in primiparous and multiparous woman referring to tabriz alzahra educational center in 2005-2006. Research J Med Sci. 2007;1(5):271-8.
29. Yadollahi P, khalaginia z, Khormaei F, Hashemifard T. The role of personality traits in perception of labor pain in Iranian women. Iran J Nurs Midwifery. 2017;5(4):1-12.
30. Fridh G, Gaston-Johansson F. Do primiparas and multiparas have realistic expectations of labor. Acta Obstet Gynecol Scand. 1990;69(2):103-9. [DOI:10.3109/00016349009006152] [PMID]
31. Johnston RG, Brown AE. Maternal trait personality and childbirth: The role of extraversion and neuroticism. Midwifery. 2013;29(11):1244-50. [DOI:10.1016/j.midw.2012.08.005] [PMID]
32. Nourossadat K, Ahmad Izadi T, Jalal Zarrin Ghalam M. Association between body image and labor pain perception in primiparous and multiparous women. Pajoohandeh. 2013;18(3):103-8.
33. Saisto T, Ylikorkala O, Halmesmäki E. Factors associated with fear of delivery in second pregnancies. Obstet Gynecol. 1999;94(5):679-82. [DOI:10.1016/S0029-7844(99)00413-5] [DOI:10.1097/00006250-199911000-00007] [PMID]
34. Sosan Hoshmandi, Mahrokh Dolatian, Mahin Kamalifard, Mortaza Gojazadeh. Comparison of Labor Pain and Factors Affecting the Pain Perception among Primiparous and Multiparous Women Referring to Women's Private and state Hospitals in Tabriz in 2010. Med J Tabriz Uni Med Sci Health Ser. 2012;34(3):117-21.