Document Type : Original Article


1 Department of Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences

2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences,

3 Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


INTRODUCTION: Factors affecting labor pain include physiological, psychological, and social factors,
among which psychological factors refer to attitudes and beliefs about labor pain. Hence, the present
study was conducted to determine the relationship between attitude toward labor pain and length of
the first, second, and third stages in primigravida women.
MATERIALS AND METHODS: This cross‑sectional study was performed on 230 pregnant
women who were referred to hospitals affiliated to Isfahan University of Medical Sciences in a
two‑stage sampling in 2018. In the beginning, the participants completed the questionnaire of
demographic/fertility characteristics and attitude to labor pain (25Q), and at the next stage, the
researcher completed the form of labor information including length of the labor stages. Data were
analyzed by SPSS software version 22 and Pearson correlation coefficient, Student’s t‑test, one‑way
ANOVA, and general linear regression.
RESULTS: The mean (standard deviation) of the attitude to labor pain was 53.96 (1.9), and the
length of the first stage was 10.01 (0.3) (h), the second stage was 1.6 (0.4) (h), and the third stage
was 15.9 (1.7) (min). One hundred and eighty‑three (79.6%) had negative attitude and 47 (20.4%)
had positive attitude toward labor pain. There was a significant positive correlation between attitude
toward labor pain and length of the first (P = 0.001, r = 0.37) and second stages of labor (P = 0.001,
r = 0.24).   There was no significant between length of third stage of labor and attitude toward labor
pain (P = 714).
CONCLUSION: The results showed that the majority of primiparous women had a higher (negative)
attitude toward labor pain, which was associated with  longe the first and second stages of labor.


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