A Comparison between Observing Medical Ethics Principals and Labor Pain Perception from the Perspective of the Women of Lur and Fars Ethnicities
akhlāq-i pizishkī i.e., Medical Ethics,
Vol. 16 No. 47 (1401),
28 June 2022
,
Page 1-12
https://doi.org/10.22037/mej.v16i47.39654
Abstract
Background and Aim: Safe and satisfactory delivery with the least pain experience is one of the important principles in providing midwifery services in any society and culture. The key point in the management of labor pain is the ethical commitment of the service providers. Therefore, this study was conducted with the aim of comparing the relationship between the observance of medical ethics on the part of the medical team during the delivery process and labor pain perception in the women having natural births from the perspective of the parturient women visiting the birthing centers in Yasuj and Shiraz.
Methods: This research is a correlational descriptive study. The study population consisted of 400 parturient women visiting the maternity hospitals affiliated to Yasuj and Shiraz University of Medical Sciences in 2019. Sampling was done through convenience sampling method. The data collection tools included a demographic information questionnaire, the Perception of Labor Pain Questionnaire (PLPQ) by Yadollahi etal and Medical Ethics Attitude in Vaginal Delivery Questionnaire (MEAVDQ) by Mirzaee et al. The data were analyzed through SPSS 22 software using Pearson's correlation coefficient and regression analysis. The significance level was p<0.05.
Ethical Considerations: Ethical considerations were observed through completing the informed consent form, voluntary participation and explaining the research objectives.
Results: According to the parturient women in the city of Yasuj (group 1), respect for autonomy (β=-0.530, P=0.001) as well as the principles of beneficence and non-maleficence (β=-0.361, P=0.002) were the negative predictors of the score of labor pain perception. However, according to the women in Shiraz (group 2), only the principles of beneficence and non-maleficence (β=-0.267, P<0.037) were the negative predictors of the score of labor pain perception. In addition, observing the principle of respect for autonomy was different from the viewpoints of the parturient women in the two groups (P=0.006)
Conclusion: Considering that the second and the third principles of medical ethics, beneficence and non-maleficence, are of equal importance in both cultures, the delivery team can reduce the severity of labor pain through paying complete attention to both the mother and the fetus, as well as avoiding unnecessary intervention in any culture. Therefore, it is possible to take a step towards promoting maternal and child health and prevent further irreparable psychological harm to mothers.
Please cite this article as:
Bozorgian L, Janghorban R, Yadollahi P. A Comparison between Observing Medical Ethics Principals and Labor Pain Perception from the Perspective of the Women of Lur and Fars Ethnicities. Faṣlnāmah-i akhlāq-i pizishkī, i.e., Quarterly Journal of Medical Ethics. 2022; 16(47): e21.
- Medical Ethics; Pain Perception; Natural Childbirth
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References
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