Pain during birth process is acknowledged for good progress of labour but severe,
unbearable pain cause reduced effectiveness of contractions and lead to maternal
exhaustion and fetal distress. Non pharmacological and pharmacological pain relief
methods can be implemented to assist the women to cope with pain during labour.
Non-pharmacological and pharmacological pain relief is available in the hospital, but
it is not understood when and how labour pain is assessed and pain relief
What is the current workplace culture relating to pain management during the first
stage of labour? What alternative strategies can be implemented to address the
current workplace culture relating to pain management during the first stage of
Research design and methods
A qualitative design was followed. Convenience sampling was used and 18
observations on pain management during labour were done. Midwives taking care of
women during labour took part in the research and their informed consent was
obtained beforehand. Data was collected during unstructured observations of pain
management during labour. Data was analysed by means of the creative
hermeneutic data analysis method.
Four themes were derived from the data: pain assessment, isolation, therapeutic
environment and documentation. Based on these themes, strategies for improving
pain management during labour were identified collaboratively.
Dissertation (MCur)--University of Pretoria, 2017.