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Investigation of the Relationship Between Religious Attitude and Postpartum Physical and Perineal Pain in Iran

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Abstract

Postpartum pain is one of the most important and common problems of postpartum mothers who resort to non-pharmacological strategies to relieve it due to the side effects of painkillers. This study was conducted to investigate the relationship between religiosity and postpartum physical and perineal pain. The sample size in this cross-sectional study was 101 women giving birth in educational and medical centers of Shiraz, Iran, that was selected by purposive-convenience sampling. Then, a questionnaire was completed for each of them including demographic characteristics, religious attitude, and visual scale of postpartum pain. Data were analyzed by SPSS software. The frequency of the majority of the research population was found at moderate religious attitudes 65.4% (72 individuals). There is a positive and Statistical inverse correlation between religious attitude and perineal pain. According to Fisher's test, in mothers with a high religious attitude, 9.7% had severe perineal pain, 41.9% had moderate pain, and 48.4% had mild pain (p = 0.001). Besides, in the case of physical pain, 3.2%, 35.5%, and 61.3% had severe, moderate, and mild pain, respectively. Regarding physical pains, with the increase in the level of mothers' religious attitude, physical pains also decreased, but the statistical relationship was not significant (p = 0.32). The results showed that the religiosity and spirituality of pregnant women have relieving effects on postpartum pain. Therefore, more attention to the spiritual dimension of human existence and planning to improve it using prayer therapy, dhikr, and meditation is suggested as a strategy to deal with the fear of pain and childbirth and reduce psychological and physical changes before and after childbirth. These findings apply to women with ectopic pregnancies in Iran.

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References

  • Abdel-Khalek, A. M., & Lester, D. (2012). Constructions of religiosity, subjective well-being, anxiety, and depression in two cultures: Kuwait and USA. International Journal of Social Psychiatry, 58(2), 138–145. https://doi.org/10.1177/0020764010387545

    Article  PubMed  Google Scholar 

  • Akadri, A. A., & Odelola, O. I. (2018). Labour pain perception: Experiences of Nigerian mothers. The Pan African Medical Journal, 30, 288. https://doi.org/10.11604/pamj.2018.30.288.16672

    Article  PubMed  PubMed Central  Google Scholar 

  • Akbari Sajirani, F., & Mousavi, S. F. (2016). The study of triple dimensions (subjective, psychological and spiritual) of well-being in prediction of fear of normal delivery in pregnant women. Journal of Clinical Nursing and Midwifery, 5(3), 62–72.

    Google Scholar 

  • Akbarzadeh, M., Tayebi, N., & Abootalebi, M. (2017). The relationship between age at menarche and primary dysmenorrhea in female students of shiraz schools. Shiraz E-Medical Journal, 18(9), 2514. https://doi.org/10.5812/semj.14520

    Article  Google Scholar 

  • Allahbakhshian, M., Jaffarpour, M., Parvizy, S., & Haghani, H. (2010). A survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients. Zahedan Journal of Research in Medical Sciences, 12(3), e94299.

    Google Scholar 

  • Ameling, A. (2000). Prayer: An ancient healing practice becomes new again. Holistic Nursing Practice, 14(3), 40–48. https://doi.org/10.1097/00004650-200004000-00008

    Article  CAS  PubMed  Google Scholar 

  • Aziato, L., Odai, P. N. A., & Omenyo, C. N. (2016). Religious beliefs and practices in pregnancy and labour: An inductive qualitative study among post-partum women in Ghana. BMC Pregnancy Childbirth, 16(1), 138. https://doi.org/10.1186/s12884-016-0920-1

    Article  PubMed  PubMed Central  Google Scholar 

  • Babaoğlu, E. (2003). Terminal dönem kanser hastasina bakim veren eşlerin duygusal ve sosyal sorunlari arasindaki ilişki. Hemşirelikte Araştırma Geliştirme Dergisi, 5(2), 24–33.

    Google Scholar 

  • Baert, F., Moortgat, L., Van Assche, G., Caenepeel, P., Vergauwe, P., De Vos, M., & North-Holland Gut, C. (2010). Mucosal healing predicts sustained clinical remission in patients with early-stage Crohn’s disease. Gastroenterology, 138(2), 463–468. https://doi.org/10.1053/j.gastro.2009.09.056

    Article  PubMed  Google Scholar 

  • Bradshaw, M., Ellison, C. G., Fang, Q., & Mueller, C. (2015). Listening to religious music and mental health in later life. The Gerontologist, 55(6), 961–971. https://doi.org/10.1093/geront/gnu020

    Article  PubMed  Google Scholar 

  • Caldeira, S., Timmins, F., de Carvalho, E. C., & Vieira, M. (2017). Clinical validation of the nursing diagnosis spiritual distress in cancer patients undergoing chemotherapy. International Journal of Nursing Knowledge, 28(1), 44–52. https://doi.org/10.1111/2047-3095.12105

    Article  PubMed  Google Scholar 

  • Cheraghi, M., & Molavi, H. (2007). The Relationship between different dimensions of religiosity and general health in student of Isfahan University. Journal of Educational and Psychological Research of Isfahan University, 2(2), 1–22.

    Google Scholar 

  • Cummings, J. P., & Pargament, K. I. (2010). Medicine for the spirit: Religious coping in individuals with medical conditions. Religions, 1(1), 28–53. https://doi.org/10.3390/rel1010028

    Article  Google Scholar 

  • Cunningham, F., Leveno, K., Bloom, S., Hauth, J., Rouse, D., & Spong, C. (2010). Williams obstetrics (23rd ed.). Mc Graw Hill.

    Google Scholar 

  • Declercq, E., Cunningham, D. K., Johnson, C., & Sakala, C. (2008). Mothers’ reports of postpartum pain associated with vaginal and cesarean deliveries: Results of a national survey. Birth, 35(1), 16–24. https://doi.org/10.1111/j.1523-536X.2007.00207.x

    Article  PubMed  Google Scholar 

  • Delaram, M., & Dadkhah, N. (2013). Comparing the effects of indomethacin suppository and mefenamic acid capsule on post episiotomy pain. Journal of Kermanshah University of Medical Sciences, 17(3), e77106.

    Google Scholar 

  • Dencker, A., Nilsson, C., Begley, C., Jangsten, E., Mollberg, M., Patel, H., & Sparud-Lundin, C. (2019). Causes and outcomes in studies of fear of childbirth: A systematic review. Women Birth, 32(2), 99–111. https://doi.org/10.1016/j.wombi.2018.07.004

    Article  PubMed  Google Scholar 

  • Deussen, A. R., Ashwood, P., Martis, R., Stewart, F., & Grzeskowiak, L. E. (2020). Relief of pain due to uterine cramping/involution after birth. Cochrane Database Systematic Review, 10, CD004908. https://doi.org/10.1002/14651858.CD004908.pub3

    Article  Google Scholar 

  • Ebrahimi, A. (2008). Factor structure, reliability and validity of religious attitude scale. Journal of Fundamentals of Mental Health, 10(38), 107–116.

    Google Scholar 

  • Foruzandeh, N., Foruzandeh, M., Darakhshandeh, S., Deris, F., Jalaly, S. H., Jaafary, L., & Delaram, M. (2019). The role of spiritual well-being in predicting pregnancy-specific stress. Journal of Health and Care, 20(4), 292–300. https://doi.org/10.29252/jhc.20.4.292

    Article  Google Scholar 

  • Ghiasi, A., & Keramat, A. (2018). The effect of listening to holy quran recitation on anxiety: A systematic review. Iranian Journal of Nursing and Midwifery Research, 23(6), 411–420. https://doi.org/10.4103/ijnmr.IJNMR_173_17

    Article  PubMed  PubMed Central  Google Scholar 

  • Glover-Graf, N. M., Marini, I., Baker, J., & Buck, T. (2016). Religious and spiritual beliefs and practices of persons with chronic pain. Rehabilitation Counseling Bulletin, 51(1), 21–33. https://doi.org/10.1177/00343552070510010501

    Article  Google Scholar 

  • Golbahar, A., Hamid, H., & Mostafa, G. (2011). The relationship continued prayers and spiritual health of patients undergoing hemodialysis. J Mental Health, 12, 2.

    Google Scholar 

  • Golian Tehrani, S., Mirmohammadali, M., Mehran, A., Taghizadea, M., & Baleghi, M. (2015). The comparison of fennel and mefenamic acid effects on post-partum after pain. Journal of Babol University of Medical Sciences, 17(8), 7–13. https://doi.org/10.2208/jbums.17.8.7

    Article  Google Scholar 

  • Hoseinpour, H., Peel, S. A., Rakhshandeh, H., Forouzanfar, A., Taheri, M., Rajabi, O., & Sohrabi, K. (2011). Evaluation of Rosa damascena mouthwash in the treatment of recurrent aphthous stomatitis: A randomized, double-blinded, placebo-controlled clinical trial. Quintessence International, 42(6), 483–491.

    PubMed  Google Scholar 

  • Jabbari, B., Mirghafourvand, M., Sehhatie, F., & Mohammad-Alizadeh-Charandabi, S. (2020). The effect of holly Quran voice with and without translation on stress, anxiety and depression during pregnancy: A randomized controlled trial. Journal of Religion and Health, 59(1), 544–554. https://doi.org/10.1007/s10943-017-0417-x

    Article  PubMed  Google Scholar 

  • Jangsten, E., Strand, R., Gomez de Freitas, E. G., Hellstrom, A. L., Johansson, A., & Bergstrom, S. (2005). Women’s perceptions of pain and discomfort after childbirth in Angola. African Journal of Reproductive Health, 9(3), 148–158.

    Article  PubMed  Google Scholar 

  • Jangsten, E., Bergh, I., Mattsson, L. A., Hellstrom, A. L., & Berg, M. (2011). Afterpains: A comparison between active and expectant management of the third stage of labor. Birth, 38(4), 294–301. https://doi.org/10.1111/j.1523-536X.2011.00487.x

    Article  PubMed  Google Scholar 

  • Kamran, A., Akram, J., & Lila, E. (2008). Pray effect of treatment on clinical symptoms and diagnostic findings in patients with carpal syndrome. J Army Uni Med Sci Res, 4, 2.

    Google Scholar 

  • Karbasy, S. H., Derakhshan, P., Vejdan, S. A. K., Maleki, H. Z., & M. (2015). Comparison the effect of intercostal nerve block added infusion of intravenous morphine with infusion of intravenous morphine lonely for pain control after open cholecystectomy. Anesthesiology and Pain, 6(1), 8–15.

    Google Scholar 

  • Keshavars, M., Eskandaril, N., Jahdi, F., Ashaieri, H., Hoseini, F., & Kalani, M. (2010). The effect of holly Quran recitation on physiological responses of premature infant. Koomesh, 11(3), 169–178.

    Google Scholar 

  • Krucoff, M. W., Crater, S. W., Green, C. L., Maas, A. C., Seskevich, J. E., Lane, J. D., & Koenig, H. G. (2001). Integrative noetic therapies as adjuncts to percutaneous intervention during unstable coronary syndromes: Monitoring and actualization of noetic training (MANTRA) feasibility pilot. American Heart Journal, 142(5), 760–769. https://doi.org/10.1067/mhj.2001.119138

    Article  CAS  PubMed  Google Scholar 

  • López-Tarrida, Á. D. C., de Diego-Cordero, R., & Lima-Rodríguez, J. S. (2021). Spirituality in a doctor's practice: What are the issues? Journal of Clinical Medicine, 10(23), 5612. https://doi.org/10.3390/jcm10235612

    Article  PubMed  PubMed Central  Google Scholar 

  • Lysne, C. J., & Wachholtz, A. B. (2010). Pain, spirituality, and meaning making: What can we learn from the literature? Religions, 2(1), 1–16. https://doi.org/10.3390/rel2010001

    Article  Google Scholar 

  • Mahjoob, M., Nejati, J., Hosseini, A., & Bakhshani, N. M. (2016). The effect of holy Quran voice on mental health. Journal of Religion and Health, 55(1), 38–42. https://doi.org/10.1007/s10943-014-9821-7

    Article  PubMed  Google Scholar 

  • Mann, J. R., Mannan, J., Quinones, L. A., Palmer, A. A., & Torres, M. (2010). Religion, spirituality, social support, and perceived stress in pregnant and postpartum Hispanic women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39(6), 645–657. https://doi.org/10.1111/j.1552-6909.2010.01188.x

    Article  PubMed  Google Scholar 

  • Mirghafourvand, M., Sehhati Shafaie, F., Mohammad-Alizadeh-Charandabi, S., & Jabbari, B. (2016). Effect of vocalization of the holy Quran with and without translation on pregnancy outcomes: A randomized clinical trial. Iranian Red Crescent Medical Journal. https://doi.org/10.5812/ircmj.35421

    Article  PubMed  PubMed Central  Google Scholar 

  • Mohammadi, E. (2017). The application Barriers of complementary therapies in clinical nursing practice: A qualitative content analysis. Complementary Medicine Journal, 6(4), 1647–1666.

    Google Scholar 

  • Mohamadirizi, S., Mohamadirizi, M., Mohamadirizi, S., & Mahmoodi, F. (2018). The effect of religious-spiritual support on childbirth self-efficacy. Journal of Education and Health Promotion, 7, 14. https://doi.org/10.4103/jehp.jehp_60_17

    Article  PubMed  PubMed Central  Google Scholar 

  • Mokhtaryan, T., Yazdanpanahi, Z., Akbarzadeh, M., Amooee, S., & Zare, N. (2016). The impact of Islamic religious education on anxiety level in primipara mothers. Journal of Family Medicine and Primary Care, 5(2), 331–337. https://doi.org/10.4103/2249-4863.192314

    Article  PubMed  PubMed Central  Google Scholar 

  • Mutmainnah, M., & Afiyanti, Y. (2019). The experiences of spirituality during pregnancy and child birth in Indonesian muslim women. Enfermeria Clinica, 29, 495–499. https://doi.org/10.1016/j.enfcli.2019.04.074

    Article  Google Scholar 

  • Nikbakht Nasrabadi, A., Taghavi Larijani, T., Mahmoudi, M., & Taghlili, F. (2005). A comparative study of the effect of Benson’s relaxation technique and Zekr (rosary) on the anxiety level of patients awaiting abdominal surgery. Hayat Journal, 10(4), 29–37.

    Google Scholar 

  • Nilsson, U., Rawal, N., Enqvist, B., & Unosson, M. (2003). Analgesia following music and therapeutic suggestions in the PACU in ambulatory surgery; a randomized controlled trial. Acta Anaesthesiologica Scandinavica, 47(3), 278–283. https://doi.org/10.1034/j.1399-6576.2003.00064.x

    Article  CAS  PubMed  Google Scholar 

  • Papadopoulos, I., Lazzarino, R., Wright, S., Ellis Logan, P., & Koulouglioti, C. (2021). Spiritual support during COVID-19 in England: A scoping study of online sources. Journal of Religion and Health, 60(4), 2209–2230. https://doi.org/10.1007/s10943-021-01254-1

    Article  PubMed  PubMed Central  Google Scholar 

  • Pargament, K. I., & Raiya, H. A. (2007). A decade of research on the psychology of religion and coping: Things we assumed and lessons we learned. Psyke & Logos, 28(2), 25–25.

    Article  Google Scholar 

  • Parsa, L., Ozgoli, G., Mojab, F., Nasiri, M., Moramezi, F., & Ghezi, M. (2019). Comparison of effects of Zataria multiflora capsule and Ibuprofen on postpartum pain. The Iranian Journal of Obstetrics, Gynecology and Infertility, 22(3), 32–40.

    Google Scholar 

  • Puchalski, C. M. (2001). The role of spirituality in health care. Proceeding (baylor University Medical Center), 14(4), 352–357. https://doi.org/10.1080/08998280.2001.11927788

    Article  CAS  Google Scholar 

  • Rabiepoor, S., Sadeghi, E., & Sayyadi, H. (2019). Spiritual health and physical activity among iranian pregnant women. Journal of Religion and Health, 58(2), 506–515. https://doi.org/10.1007/s10943-017-0487-9

    Article  PubMed  Google Scholar 

  • Roberts, C. L., Raynes-Greenow, C. H., Nassar, N., Trevena, L., & McCaffery, K. (2004). Protocol for a randomised controlled trial of a decision aid for the management of pain in labour and childbirth [ISRCTN52287533]. BMC Pregnancy and Childbirth, 4(1), 24. https://doi.org/10.1186/1471-2393-4-24

    Article  PubMed  PubMed Central  Google Scholar 

  • Romeiro, J., Caldeira, S., Brady, V., Timmins, F., & Hall, J. (2017). Spiritual aspects of living with infertility: A synthesis of qualitative studies. Journal of Clinical Nursing, 26(23–24), 3917–3935. https://doi.org/10.1111/jocn.13813

    Article  PubMed  Google Scholar 

  • Santos, S., Martins, H., Capelas, M. L., Domingues, T. D., Caldeira, S., & Taylor, E. J. (2022). Validation of the Nurse Spiritual Care Therapeutics Scale in Portuguese palliative care settings: A methodological study. International Journal of Palliative Nursing, 28(4), 157–163. https://doi.org/10.12968/ijpn.2022.28.4.157

    Article  PubMed  Google Scholar 

  • Shaygan, M., Mozafari, M., Zahedian-Nasab, N., Shayegan, L., & Bagheri, S. (2020). Comparison of depression and spiritual well-being in chronic pain patients and healthy control group. Journal of Pizhūhish dar dīn va salāmat, 6(2), 100–114.

    Google Scholar 

  • Sima, E. S., Davoud, S., Kamal, A., Leili, S., Azar, T., & Monavvar, M. S. (2012). The impact of chronic diseases on the quality of life among the elderly people in the east of Tehran. Payavard Salamat, 6(3).

  • Singh, V., Pal, M., Gupta, S., Tiwari, S. K., Malkunje, L., & Das, S. (2013). Turmeric–A new treatment option for lichen planus: A pilot study. National Journal of Maxillofacial Surgery, 4(2), 198–201. https://doi.org/10.4103/0975-5950.127651

    Article  PubMed  PubMed Central  Google Scholar 

  • Sitepu, N. F. (2009). Effect of zikr meditation on post operative pain among muslim patients undergoing abdominal surgery, Medan, Indonesia Prince of Songkla University].

  • Sollgruber, A., Bornemann-Cimenti, H., Szilagyi, I. S., & Sandner-Kiesling, A. (2018). Spirituality in pain medicine: A randomized experiment of pain perception, heart rate and religious spiritual well-being by using a single session meditation methodology. PLoS ONE, 13(9), e0203336. https://doi.org/10.1371/journal.pone.0203336

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Taleb, S., Ozgoli, G., Mojab, F., Nsiri, M., & Ahvazi, M. (2016). Effect of verbascum thapsus cream on intensity of episiotomy pain in primiparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 19(7), 9–17.

    Google Scholar 

  • Tayebi, N., Khooshab, E., Ghodrati, F., & Akbarzadeh, M. (2019). Investigation of correlation between religious attitude and mother-adolescent girls conflict. Journal of Family Medicine and Primary Care, 8(9), 2893–2897. https://doi.org/10.4103/jfmpc.jfmpc_387_19

    Article  PubMed  PubMed Central  Google Scholar 

  • Tork Zahrani, S., Haji Rafiei, E., Hajian, S., Alavi Majd, H., & Izadi, A. (2020). The correlation between spiritual health and maternal-fetal attachment behaviors in pregnant women referring to the health centers in Qazvin. Iran. International Journal of Community Based Nursing and Midwifery, 8(1), 84–91. https://doi.org/10.30476/IJCBNM.2019.81668.0

    Article  PubMed  Google Scholar 

  • Wachholtz, A. B., & Pargament, K. I. (2005). Is spirituality a critical ingredient of meditation? Comparing the effects of spiritual meditation, secular meditation, and relaxation on spiritual, psychological, cardiac, and pain outcomes. Journal of Behavioral Medicine, 28(4), 369–384. https://doi.org/10.1007/s10865-005-9008-5

    Article  PubMed  Google Scholar 

  • Wong, K. F., & Yau, S. Y. (2010). Nurses’ experiences in spirituality and spiritual care in Hong Kong. Applied Nursing Research, 23(4), 242–244. https://doi.org/10.1016/j.apnr.2008.10.002

    Article  PubMed  Google Scholar 

  • Yang, J. (2016). Yu Kilchun’s concept of reform of the tax system in the Korean empire. International Journal of Korean History, 21(2), 49–78. https://doi.org/10.22372/ijkh.2016.08.21.2.49

    Article  Google Scholar 

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Acknowledgements

The present article was extracted from a proposal (No. 94-01-08-10550). The authors would like to thank the Research Vice-chancellor of Shiraz University of Medical Sciences for financially supporting the study. The authors would like to thank the Center for Development of Clinical Research of Nemazee Hospital for statistical analysis and Mr Saman Solimanzadeh for editorial assistance.

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The study was financially supported by the Research Deputy of Shiraz University of Medical Sciences, Shiraz, Iran.

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MA contributed to the study design; NT and MA wrote the first draft of the manuscript and collected the data and did the literature search; MK helped in the article search and drafting of the manuscript; MA and NT made critical revisions to the paper and responded to the reviewers. All authors have read and approved the manuscript and ensured that this is a case study.

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Correspondence to Marzieh Akbarzadeh.

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The Code of Ethics was obtained from the Research Ethics Committee of Shiraz University of Medical Sciences (Grant NO: 94-01-08-10550). Permission was obtained from the hospital authorities to conduct the research, and a full description of the study objectives was provided to them. The authorities were assured that all the information under investigation was kept confidential.

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Dokuhaki, S., Tayebi, N., Keshavarz, M. et al. Investigation of the Relationship Between Religious Attitude and Postpartum Physical and Perineal Pain in Iran. J Relig Health 62, 3313–3326 (2023). https://doi.org/10.1007/s10943-023-01869-6

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