Journal of Behavioral Medicine

, Volume 20, Issue 2, pp 127–142

Predictors of Childbirth Pain and Maternal Satisfaction

  • Dawn Dannenbring
  • Michael J. Stevens
  • Alvin E. House


There is little multivariate, multiphasic research on childbirth pain and satisfaction. We explored the relationship of demographic, medical, psychological, and environmental variables at different times to multiple indices of pain and satisfaction in 70 primiparae and multiparae. Induced labor, desirability of pregnancy, and coach's helpfulness predicted sensory pain. Duration of labor, depression, and outcome expectancy that childbirth education would facilitate medication-free childbirth predicted affective pain. Physician-anticipated complications, induced labor, and motivation to be medication-free predicted pain intensity. Grade level predicted satisfaction. The results also demonstrated differences between primiparae and multiparae in the pattern of variables that explained pain and satisfaction as well as the temporal sensitivity of pain predictors. We discuss the implications of our findings for research and practice.

childbirth pain maternal satisfaction predictors 


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  1. Beck, N. C., Siegel, L. J., Davidson, N. P., Kormeier, S., Breitenstein, A., and Hall, D. G. (1980). The prediction of pregnancy outcome: Maternal preparation, anxiety and attitudinal sets. J. Psychosom. Res. 24: 343–351.Google Scholar
  2. Brewin, C., and Bradley, C. (1982). Perceived control and the experience of childbirth. Br. J. Clin. Psychol. 21: 263–269.Google Scholar
  3. Cogan, R., Perkowski, S., and Anderson, A. A. (1988). Memories of labor and birth: Reliability of postpartum questionnaire reports. Percept. Motor Skills 67: 75–79.Google Scholar
  4. Drew, N. C., Salmon, P., and Webb, L. (1989). Mothers', midwives' and obstetricians' views on the features of obstetric care which influence satisfaction with childbirth. Br. J. Obstet. Gynecol. 96: 1084–1088.Google Scholar
  5. Faure, E. A. M. (1991). The pain of parturition. Semin. Perinatol. 15: 342–347.Google Scholar
  6. Katz, J., and Melzack, R. (1992). Measurement of pain. Curr. Concepts Acute Pain Control 10: 229–246.Google Scholar
  7. Kohn, P. M., and MacDonald, J. E. (1992). The survey of recent life experiences: A decontaminated hassles scale for adults. J. Behav. Med. 15: 221–236.Google Scholar
  8. Lowe, N. K. (1987). Individual variation in childbirth pain. J. Psychosom. Obstet. Gynecol. 7: 183–192.Google Scholar
  9. Lowe, N. K. (1989). Explaining the pain of active labor: The importance of maternal confidence. Res. Nurs. Health 12: 237–245.Google Scholar
  10. Manning, M. M., and Wright, T. L. (1983). Self-efficacy expectancies, outcome expectancies, and the persistence of pain control in childbirth. J. Personal. Social Psychol. 45: 421–431.Google Scholar
  11. Melzack, R. (1987). The short-form McGill Pain Questionnaire. Pain 30: 191.Google Scholar
  12. Melzack, R., Kinch, R., Dobkin, P., Lebrun, M., and Taenzer, P. (1984). Severity of labor pain: Influence of physical as well as psychologic variables. Can. Med. J. 130: 579–584.Google Scholar
  13. Melzack, R., Taenzer, P., Feldman, P., and Kinch, R. (1981). Labor is still painful after prepared childbirth. Can. Med. J. 125: 357–363.Google Scholar
  14. Morgan, B. M., Bulpitt, C. J., Clifton, P., and Lewis, P. J. (1982). Analgesia and satisfaction in childbirth (The Queen Charlotte' 1000 mother survey). Lancet 2(8302): 808–811.Google Scholar
  15. Niven, C. (1985). How helpful is the presence of the husband at childbirth? J. Reprod. Infant Psychol. 3: 45–53.Google Scholar
  16. Niven, C., and Gijsbers, K. (1984a). Obstetric and non-obstetric factors related to labor pain. J. Reprod. Infant Psychol. 2: 61–78.Google Scholar
  17. Niven, C., and Gijsbers, K. (1984b). A study of labor pain using the McGill Pain Questionnaire. Social Sci. Med. 19: 1347–1351.Google Scholar
  18. Norr, K. L., Block, C. R., Charles, A., Meyering, S., and Meyers, E. (1977). Explaining pain and enjoyment in childbirth. J. Health Social Behav. 18: 260–275.Google Scholar
  19. Quine, L., Rutter, D. R., and Gowen, S. (1993). Women's satisfaction with the quality of the birth experience: A prospective study of social and psychological predictors. J. Reprod. Infant Psychol. 11: 107–113.Google Scholar
  20. Reading, A. E., and Cox, D. N. (1985). Psychosocial predictors of labor pain. Pain 22: 309–315.Google Scholar
  21. Scott-Palmer, J., and Skevington, S. M. (1981). Pain during childbirth and menstruation: A study of locus of control. J. Psychosom. Res. 25: 151–155.Google Scholar
  22. Stevens, M. J. (1993–1994). Predictors of responses to acute pain. Imaginat. Cognit. Personal. 13: 311–321.Google Scholar
  23. Varner, M. (1992). The Peripartum Stress Scale, Unpublished manuscript, University of Iowa, Iowa City.Google Scholar
  24. Wallston, B. S., Walston, K. A., Kaplan, G. D., and Maides, S. A. (1976). Development and validation of the Health Locus of Control (HLC) scale. J. Consult. Clin. Psychol. 44: 580–585.Google Scholar

Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Dawn Dannenbring
    • 1
  • Michael J. Stevens
    • 1
  • Alvin E. House
    • 2
  1. 1.DeWitt County Mental Health CenterClinton
  2. 2.Department of PsychologyIllinois State UniversityNormal

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