Tiffany Zhu, Verrazzano Class of 2026, completed major in Nursing
When I first began my capstone project, I knew I was interested in researching maternal health. During my clinical experiences on labor and delivery, I witnessed a laboring client undergo an epidural procedure. The physical discomfort of the procedure and the anxiety she experienced made me wonder if there are alternative ways of alleviating pain for patients undergoing labor. This led me to explore nonpharmacological pain relief strategies and their impact on pain perception, maternal satisfaction, and psychological outcomes during vaginal birth.
Through this project I learned that nonpharmacological
methods, such as labor support, hydrotherapy, breathing techniques, music,
massage, acupressure, use of birthing balls, and TENS (electric impulses on the
lower back), can reduce anxiety and stress, increase feelings of empowerment,
and significantly improve overall birth satisfaction. Nonpharmacological pain
management offers much more than simply reducing pain intensity while also
shaping the emotional experience of childbirth.
One of the most difficult parts of this project was simply
getting started, but once I began putting my thoughts on paper, the ideas
started to flow more naturally. Organizing the discussion section was also
particularly challenging because some studies reported mixed outcomes regarding
pain intensity and I had to analyze why those differences existed, such as
study design, sample population, and individual variation in pain perception.
Despite the challenges, this project strengthened my understanding of evidence-based
practice and its direct impact on patient care. I also became more aware of the
systemic barriers that may limit the use of nonpharmacological methods, such as
staffing shortages, limited resources, and institutional routines that
prioritize medical interventions.
If I were to expand
this research further, I would explore the cultural dimensions of pain
perception as this project did not deeply examine specific ethnic groups and
cultural backgrounds, although pain tolerance may differ among them. Examining
these factors could provide a more holistic understanding of pain management. I
also hope this project will raise awareness of the overmedicalization of
childbirth and encourage institutions to expand access to comprehensive
antepartum childbirth, consider integrating birthing centers within hospital
settings, and address healthcare providers' implicit biases toward
nonpharmacological pain methods.