Abstract
Background: The management of pain and comfort is a critical component of postpartum care for woman who have undergone normal vaginal delivery (NVD). Effective management strategies are essential to support the physical and emotional well-being of new mothers during the recovery period. Pain and discomfort following NVD can significantly impact a woman's overall health, recovery time, and satisfaction with the childbirth experience.
Objective:
To determine management of pain and comfort through nursing interventions among patients of normal vaginal deliveryMethodology: A Quasi-experimental design one-group pre and post study approach to evaluate the impact of nursing interventions on pain and comfort levels among post delivery woman. The independent variable was the nursing interventions, specifically fundal massage and leg lifting exercises, while the dependent variables were pain and comfort levels in post delivery patients. Pain was measured using a 0–10 numeric pain scale, and comfort was assessed through a scale with a range from 32 to 160, encompassing physical, psychospiritual, sociocultural, and environmental dimensions. Conducted at Tertiary Care Hospital the study targeted post delivery woman aged 18-40 who had experienced a full-term vaginal delivery within 12 hours and reported a pain level above 3. A purposive sampling technique was employed, with a sample size of 40 participants calculated based on established guidelines. The study excluded woman with mild pain, medical or obstetrical complications, postpartum complications, those who had cesarean sections or instrumental deliveries, and those who had delivered twins or lost their infants. Data was entered and analyzed on SPSS, Man whitney U test was used to compare results.
Results: The sample consisted of 40 participants, with a demographic profile predominantly of younger woman (50% aged 18-25) and a majority having normal vaginal delivery (57.5%). The results indicated a significant reduction in pain levels post-intervention, with severe pain decreasing from 77.5% to 15% and moderate pain increasing from 22.5% to 52.5%. Additionally, comfort levels improved significantly, with low comfort levels decreasing from 75% to 22.5%, and moderate comfort levels rising from 25% to 67.5%, while high comfort levels increased to 10%. Fundal height assessment post-intervention showed that 72.5% of woman had good involution comparison demonstrating the effectiveness of the nursing interventions in enhancing postpartum care p>0.05.
Conclusion: This study demonstrates that nursing interventions significantly improve both pain and comfort levels among postnatal woman. The findings indicate that
prior to intervention, the majority of participants experienced severe pain and low comfort levels, necessitating immediate action. Post intervention, there was a substantial reduction in pain and a marked improvement in comfort levels, with statistically significant differences evident in pre- and post intervention scores. These outcomes are consistent with global research trend highlighting the efficacy of targeted interventions in enhancing patient wellbeing. However, variations in results across different studies emphasize the need for individualized, holistic care approaches that integrate both pre and postoperative strategies to optimize patient outcomes.

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Copyright (c) 2025 Farzana Begum, Madiha Mukhtar, Sarfraz Masih (Author)