Research Article
Volume 3 Issue 4 - 2021
Labor According to P.N.E.I: The Woman’s Emotions
Rita Pulpito1, Giusy Flavia Prussiano2, Filomena Stile1* and Raffaele Tinelli3
1Midwife at the Depasrtment of Obstetrics and Gynecology, “Valle d’Itria” Hospital, Martina Franca, Piazza Francesco da Paola and Professor at the University of Bari “Aldo Moro”, Italy
2Midwife at the Department of Obstetrics and Gynecology, “Valle d’Itria” Hospital, Martina Franca, Italy
2Department of Obstetrics and Gynecology, “Valle d’Itria” Hospital, Martina Franca, Italy
*Corresponding Author: Filomena Stile, Midwife at the Department of Obstetrics and Gynecology, “Valle d’Itria” Hospital, Martina Franca, Piazza Francesco da Paola and Professor at the University of Bari “Aldo Moro”, Italy.
Received: March 01, 2021; Published: March 30, 2021


Background: The extreme medicalisation takes health professionals in charge to administer invasive and useless action, which cause a disturbed environment or even to assume wrong behaviours during labor, which provoke a slow down or an arrest of it. The interest is to detect how, extrinsic factors may influence the women, experiencing a labor, both clinically and emotionally.

Methods: A multicentric observational study with random sample done on 515 women, who delivered in hospital/home during 2016-17, who received a questionnaire after delivery.

Findings: Data analysis shows labor started spontaneously (51.7%), while it has been induced (48.3%). A different perception of contractions, followed by different medical actions: amniorexi (2.9%), Augmentation (19.4%), advice to eat/drink (12.6%), shower (12%). Regarding vaginal examination, during labor, 45.6% of the women had 1-3 ones. Furthermore, the study has shown they felt freedom of movements (89%) and, assisted “one to one” does influence relevantly their own feeling (40.2%). In regards to emotional sensations, positive emotions as trust (n = 315), comfort (n = 256) and affection (n = 228), are mostly represented, probably due to a regular labor. Infact, a positive opinion has been expressed in 44.8%

Conclusion: Some helpful practices can influence the labor. This underlines the need to go back to a physiology of the women needs according to a neuroendocrine perspective. It is necessary to encourage the change, reducing the excess of medicalisation through individual obstetric treatment and adopting a "woman centred" model.

Keywords: Psycho-Neuro-Endocrine-Immunology; Labor; Environment; Midwife; Emotions


  1. Bottaccioli F. “Psiconeuroendocrinoimmunologia. I fondamenti scientifici delle relazioni mente-corpo. Le basi razionali della medicina integrate”. Red Edizioni (2005).
  2. Katlein F and LottiTM. “Psycho-Neuro-Endocrine-Immunology: A Psychobiological Concept”. Advancesin Experimental Medicine and Biology 996 (2017): 123-134.
  3. Buckley SJ. “Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care”. National Partnership for Women and Families (2015).
  4. Buckley SJ., et al. “Executive Summary of Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care”.
  5. Molina PE. “Endocrine physiology”. Lange medical book (2013).
  6. Pazandeh F., et al. “Women’s experiences of routine care during labour and childbirth and the influence of medicalisation: A qualitative study from Iran”. Midwifery 53 (2017): 63-70.
  7. Gu C., et al. “Pregnant women's clinical characteristics, intrapartum interventions, and duration of labour in urban China: a multi-center cross-sectional study”. BMC Pregnancy Childbirth1 (2020): 386.
  8. Jha P., et al. “Cashless childbirth, but at a cost: A grounded theory study on quality of intrapartum care in public health facilities in India”. Midwifery 39 (2016): 78-86.
  9. Bohren MA., et al. “Continuous support for women during childbirth; (Review)”. Cochrane Database of Systematic Reviews 7 (2017): CD003766.
  10. Kobayashi S., et al. “Assessment and support during early labour for improving birth outcomes; (Review)”. Cochrane Database of Systematic Reviews 4 (2017): CD011516.
  11. Ayoubi S., et al. “A questionnaire to assess women’s perception of respectful maternity care (WPRMC): Development and psychometric properties”. Midwifery 80 (2020): 102573.
  12. Intrapartum care: care of healthy women and their babies during childbirth” Issued: December 2014 NICE clinical guideline 190 guidance (2020).
  13. Wangn Sun S and Huang S. “Effects of Epidural Labor Analgesia With Low Concentrations of Local Anesthetics on Obstetric Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials”. Anesthesia and Analgesia 5 (2017): 1571-1580.
  14. Pinas A and Chandraharan E. “Continuous cardiotocography during labour: Analysis, classification and management. Review”. Best Practice and Research Clinical Obstetrics and Gynaecology 30 (2016): 33-47.
  15. “Clinical Practice Guideline lntrapartum Fetal Hearth Rate Monitoring”. Royal College of Obstetricians and Gynecologists (2014).
  16. Devane D., et al. “Cardiotocography versus intermittent auscultation of fetal heart on admission to labour ward for assessment of fetal wellbeing”. The Cochrane Database of Systematic Reviews1 (2017): CD005122.
  17. Ayres-De-Campos D., et al. “FIGO Intrapartum Fetal Monitoring Expert Consensus Panel FIGO consensus guidelines on intrapartum fetal monitoring: Cardiotocography Practice Guideline”. International Journal of Gynecology and Obstetrics 1 (2015): 13-24.
  18. SNLG/ISS. “Linea guida “Taglio cesareo: una scelta appropriata e consapevole”. Seconda Parte. Gennaio (2012).
  19. “La pratica ostetrica nella prospettiva europea e italiana” (2014).
  20. Smith CA., et al. “Massage, reflexology and other manual methods for pain management in labour”. The Cochrane Database of Systematic Reviews (2018).
  21. Lawrence A., et al. “Maternal positions and mobility during first stage labour”. Review The Cochrane Database of Systematic Reviews 2 (2009): CD003934.
  22. Gizzo S., et al. “Women's choice of positions during labour: return to the past or a modern way to give birth? A cohort study in Italy”. BioMed Research International (2014): 638093.
  23. World Health Organization, WHO recommendations: intrapartum care for a positive childbirth experience (2018).
  24. Cluett ER., et al. “Immersion in water during labour and birth”. The Cochrane Database of Systematic Reviews5 (2018): CD000111.
  25. Maude RM and Kim M. “Getting into the water: a prospective observational study of water immersion for labour and birth at a New Zealand District Health Board”. BMC Pregnancy and Childbirth (2020).
  26. Hildingsson I., et al. “Women's experiences of induction of labour--findings from a Swedish regional study”. Australian and New Zealand Journal of Obstetrics and Gynaecology 2 (2011): 151-157.
  27. Lent M. “The medical and legal risks of the electronic fetal monitor”. The Stanford Law Review 4 (1999): 807-837.
  28. Sartwelle TP. “Electronic Fetal Monitoring: A Defense Lawyer's View”. Reviews in Obstetrics and Gynecology 3-4 (2012): e121-125.
  29. Page L. “Clinical interventions and outcomes of One-to-One midwifery practice”. International Journal of Medicine and Public Health (1999).
  30. Sandall J., et al. “Midwife-led continuity models versus other models of care for childbearing women (Review) (2013).
Citation: Filomena Stile., et al. “Labor According to P.N.E.I: The Woman’s Emotions”. EC Nursing and Healthcare 3.4 (2021): 113-126.

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