Childbirth pain.docVIP

 PAGE \* MERGEFORMAT 21 Childbirth pain Keywords:: 1. Deliveries / physiology 2. Obstetric analgesia 3. The pain 4. Pain threshold 5. Local anesthesia Childbirth pain has always been an important issue of concern to human beings, and in order to control this pain has done a lot of work. While modern medicine is very developed, but the correct handling of the mother’s childbirth pain is still a modern health care systems in many countries are facing important issues. 1. Childbirth pain and pain level of the universality Vaginal birth mothers in labor and in parturition, the pain varies, although it is a common phenomenon in obstetrics, but in pain incidence, intensity and characteristics of the well-designed studies are few. In 78 randomly selected study of the Swedish primipara, Netteladt such as found during childbirth, with 35% of maternal unbearable pain, 37% had severe pain and 28% had moderate pain. Luadh Swedish primipara and multipara investigation and research data suggest that can not be tolerated, the incidence of severe pain, 35% ~ 58%, and the rest had moderate pain, per capita, while the Bundsen found during childbirth, 77% of the original maternal , complaining that serious or can not tolerate the pain. Of 35 countries in 6 continents and 121 maternal obstetric centers in 2700 observation records indicate that the incidence and extent of the pain of childbirth were as follows: 15% of patients have micro-pain or pain; 35% had moderate pain; 30% had severe pain; 20 % have very severe pain. Melzack and so the earlier study of back pain, cancer pain, limb pain and postherpetic neuralgia of the records and compared the pain of childbirth, pointed out that the pain of childbirth pain index (PRI) pain index higher than the above 8 ~ more than 10 Er. 2. Delivery mechanism of pain In the first stage of labor contractions during labor pain completely from the uterus and its annexes. During the uterine contraction was mainly due to the cervix (CX) and