PROBLEMS OF

THE PSYCHE increased glucose consumption

WAYS BY WHICH
RESPONSES TO
EXCESSIVE OR
PROLONGED STRESS
INTERFERE WITH LABOR
Pain perception
INCREASED reduces the
GLUCOSE energy supply
CONSUMPTI available to the
ON
contracting
uterus
Secretion of catecholamines (epinephrine &norepinephrine)
by the adrenal glands

stimulates beta receptors

Inhibits uterine contractions

diverts blood supply from the uterus & placenta to

skeletal muscles

Labor contractions & maternal pushing efforts are powers are working
against the resistance
less effective of tense abdominal &
pelvic muscles

Pain perception & pain tolerance

maternal anxiety & stress

General nursing measures to
assist the woman to relax
Making the environment
Establishing a comfortable by adjusting
trusting relationship temperature & light
with the woman &
her significant other.
Providing
accurate
informatio
Promoting n
physical comfort
such as Implementing non-pharmacologic &
cleanliness pharmacologic pain management
The end