The prevalence of pain catastrophising in nulliparous women in Nepal; the importance for childbirth

In Lower-Middle-Income-Countries women are encouraged to present at a birthing facility for skilled care, but attending early can be associated with additional harm. Women admitted in latent labour are more likely to receive a cascade of unnecessary interventions compared with those attending a birt...

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Bibliographic Details
Published in:PloS one 2024-08, Vol.19 (8), p.e0308129
Main Authors: Clark, Carol J, Marahatta, Sujan Babu, Hundley, Vanora A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Analgesics
Anxiety
Biology and Life Sciences
Births
Catastrophization - epidemiology
Catastrophization - psychology
Childbirth
Childbirth & labor
Comparative analysis
Cross-Sectional Studies
Education
Education parks
Ethics
Female
Health care
Higher education institutions
Humans
Medicine and Health Sciences
Minority & ethnic groups
Nepal - epidemiology
Obstetrics
Pain
Pain Measurement
Parity
Parturition - psychology
People and Places
Perceptions
Pharmacy
Population studies
Pregnancy
Prevalence
Public health
Questionnaires
School facilities
Social Sciences
Surveys
Surveys and Questionnaires
Women
Womens health
Young Adult
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Summary:In Lower-Middle-Income-Countries women are encouraged to present at a birthing facility for skilled care, but attending early can be associated with additional harm. Women admitted in latent labour are more likely to receive a cascade of unnecessary interventions compared with those attending a birthing facility during active labour. One reason that women present early is pain, with higher rates of admission among those who pain catastrophise. The aim of this study was to explore the prevalence of pain catastrophising in nulliparous women in Nepal and to identify predictors for pain catastrophising. A cross sectional study was conducted using a semi-structured survey. The survey was completed by 170 women (18-32 years) in one higher education institution in Kathmandu. The survey included the pain catastrophising scale (PCS), current and previous pain and information about period pain, sociodemographic variables of age, ethnicity, and religion. The prevalence of pain catastrophising reported at a cut off score of PCS≥20 was 55.9% and at a cut off score of PCS≥30 was 17.1%. All women with a PCS ≥30 reported having painful periods. Those with a PCS≥20 were four times [95%CI 1.93-8.42] more likely to report painful periods affecting their daily activities (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0308129