Authors

1Mª Isabel Sánchez Perruca, 2Matilde Fernández y Fernández Arroyo, 3Noelia Benito de la iglesia, 3Mª Jesús Castaños Ruiz, 3Lucía García López, 3Paloma López Hernández, 3Sagrario Martín de María, 3Juana Sánchez Martín, 3Inés Mª Sánchez Martín, 3Encarnación Tamayo García, 3Mª José Tello Castellanos, 3Rosa Mª Vaqué Herguete, 3Carmen Zapater Serrano

Position

¹Matrona. Jefa de Estudios Unidad Docente de Matronas de Madrid. ²Matrona. Área 10 de Atención Primaria de Madrid. Profesora Unidad Docente de Matronas de Madrid. ³Residente de Matrona de segundo año de la Unidad Docente de Matronas de Madrid.

Contact address

Paseo de la Castellana, 261. 28046 Madrid.

Contact email: isanchez@hulp.insalud.es

Abstract

Objectives: To identify the frequency with which the diagnoses "Pain", "Fear" and "Anxiety" present during the dilatation cycle. To relate age, parity, maternal education and time in the dilatation room to the frequency of the diagnoses. To analyse the manifestations and the factors related to these diagnoses.

Material and Method: Study: observational, descriptive and prospective. Sample: 258 gestating women in the period of dilatation admitted to five hospitals, selected by a non-probabilistic random sampling. For data collection, a previously validated evaluation sheet was used.

Results: The diagnosis "Pain" presented in 95%, "Anxiety" in 43% and "Fear" in 39,1%. The diagnosis "Pain" was related mainly to uterine contractions, "Fear" to pain, state of the foetus and invasive procedures, and "Anxiety" to confusion concerning the respiratory pattern to follow. The most frequent manifestations were "when the women informs", "expression of pain", "repeats questions", "difficulty concentrating" and "reduced perception".

Conclusions: The most important manifestations found require the healthcare professionals to adopt an attitude of listening, availability and respect, while showing a capacity for observation of non-verbal language. The importance of using a diagnostic methodology is corroborated.

Keywords:

nursing diagnosis; midwife care; labour; pain; fear; anxiety; womanpregnancy

Versión en Español

Título:

Dolor, temor y ansiedad durante el parto, como diagnósticos de Enfermería