00256 Delivery Pain

Domain 12: comfort
Class 1: physical comfort
Diagnostic Code: 00256
Nanda label: delivery pain
Diagnostic focus: delivery pain
Approved 2013 • Revised 2017, 2020 • Evidence level 2.2

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « delivery pain » is defined as: sensory and emotional experience that varies from pleasant to unpleasant, associated with childbirth and birth.

Definite characteristics

  • Alteration of blood pressure
  • Heart rate alteration
  • Alteration of muscle tension
  • Alteration in neuroendocrine functioning
  • Respiratory rate alteration
  • Urinary operation alteration
  • Anxiety
  • Change in appetite
  • Diaphoresis
  • Distraction behavior
  • expressive behavior
  • Facial expression of pain
  • Focus narrowing
  • Nausea
  • Perineal pressure
  • Pain avoidance posture
  • Protection behavior
  • Pupillary dilation
  • Express alteration of the sleep-vigilia cycle
  • Attention centered on self
  • Uterine contraction
  • Vomiting

Related factors

Behavioral factors

  • Insufficient fluid intake
  • supine position

Cognitive factors

  • Fear of delivery
  • Inappropriate knowledge about birth
  • Inadequate preparation to deal with childbirth pain
  • Low self -efficacy
  • Perception of childbirth pain as non -productive
  • Perception of childbirth pain as negative
  • Perception of childbirth pain as threatening
  • Perception of childbirth pain as unnatural
  • Perception of pain as significant

Social factors

  • Interference in decision making
  • Insolidarity Company

Non -modified environmental factors

  • Noisy delivery room
  • Breeding room crowded
  • Turbulent environment

Risk population

  • Women who experience an emergency situation during childbirth
  • Women of cultures with a negative perspective of childbirth pain
  • Women who give birth in a disease based on the disease
  • Women whose mothers have a high educational level
  • Women with a history of dysmenorrhea before pregnancy
  • Women with a history of sexual abuse in childhood
  • Women without support partner

Associated problems

  • Cervical dilation
  • Depression
  • Fetal expulsion
  • High maternal anxiety trait
  • Restriction of prescribed mobility
  • Long duration delivery