Insomnia before and after childbirth: The risk of developing postpartum pain—A longitudinal population-based study

Sivertsen, Børge; Petrie, Keith J.; Skogen, Jens Christoffer; Hysing, Mari; Eberhard‐Gran, Malin

doi:10.1016/j.ejogrb.2017.01.020

Cited by 26 publications

(13 citation statements)

References 34 publications

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“…We anticipated that meloxicam treatment would increase activity postcalving regardless of calving difficulty; however, our results oppose our original hypothesis. In human studies, women who had chronic insomnia after childbirth reported higher levels of bodily pain (Sivertsen et al, 2017), and NSAID therapy administered within 24 h of childbirth helped alleviate this pain (Hedayati et al, 2003). It is possible that in the present study administration of meloxicam to dystocic animals reduced activity by alleviating inflammation, allowing the cow to rest more easily, similar to Barrier et al (2014), where meloxicam administration increased lying time after caesarean sections in beef cattle.…”

Section: Effect Of Treatment On Behavioral Responsesmentioning

confidence: 65%

Meloxicam administration either prior to or after parturition: Effects on behavior, health, and production in dairy cows

Swartz

Schramm

Bewley³

et al. 2018

Journal of Dairy Science

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Parturition is often a stressful period, when the incidence of disease is high after calving, which has been associated with an uncontrolled inflammatory response. Therefore, the objective of this study was to test the effect of the administration of a nonsteroidal anti-inflammatory drug (meloxicam) on the behavior, health, and production of peripartum cows. Meloxicam was dosed at 1 mg/kg of body weight, and an empty gel capsule served as a placebo. Both were administered orally with a balling gun. Dairy cows and heifers were randomly assigned to 1 of 3 treatment groups: (1) meloxicam administration before calving, with a placebo administered after calving (MEL-PRE, n = 60), (2) placebo administered before calving, and meloxicam administered after calving (MEL-POST, n = 69), and (3) a placebo administered before calving and after calving (CTL, n = 65). To identify imminent calving events, a vaginal thermometer was inserted approximately 2 wk before the expected calving date and a drop in temperature was used to identify cows close to calving. Calving events were monitored via video cameras, and the amount of time that elapsed between the appearance of the amniotic sac at the vulva until delivery of the calf was used to determine calving difficulty score. Eutocic calving events were defined as cows that calved in ≤70 min, and dystocia was defined as cows that took longer than 70 min to calve. Milk yield and components were measured for the first 15 wk of lactation and accelerometers were used to record activity and lying behaviors. The effects of treatment, breed, parity, calving difficulty, and, when applicable, a repeated measure, along with interaction terms, were analyzed in mixed models. Regardless of the time of administration, dystocic cattle that received meloxicam were less active than dystocic CTL. Dystocic animals displayed more lying bouts on the day of calving and then displayed fewer lying bouts and were less active during the days following calving. No effect of treatment was noted on any health outcomes. Eutocic MEL-PRE animals produced 6.8 kg/d more milk than eutocic CTL. Regardless of calving difficulty, MEL-PRE animals produced more milk fat, protein, and lactose (kg/d) than CTL. In conclusion, meloxicam administration before calving appears promising in increasing milk yield in eutocic cows.

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Section: Effect Of Treatment On Behavioral Responsesmentioning

confidence: 65%

Meloxicam administration either prior to or after parturition: Effects on behavior, health, and production in dairy cows

Swartz

Schramm

Bewley³

et al. 2018

Journal of Dairy Science

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“…The physiological factors include genetics, injury and health status. The psychosocial factors include early life factors, 24 female in gender, 20 25 poor sleep, 26–30 distressed mood (depression, anxiety), 31 psychosocial environment (social suffering setting 32 ), perceived stress, 33 religion and self-efficacy (SE). 34 35 The analysis of risk factors of pain among the rural residents in China is required for target people who are at a greater risk and planning and facilitating treatment across rural areas in China.…”

Section: Introductionmentioning

confidence: 99%

Different predictors of pain severity across age and gender of a Chinese rural population: a cross-sectional survey

et al. 2018

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ObjectivesTo investigate a 4-week period of pain prevalence and the risk factors of experiencing pain among a rural Chinese population sample. To explore the psychosocial and health condition predictors of pain severity and the interactions of age and gender with these factors in real-life situations among the general adult population in China.MethodsData were collected from a random multistage sample of 2052 participants (response rate=95%) in the rural areas of Liuyang, China. Visual analogue scale was used to assess participants’ pain experienced and a series of internationally validated instruments to assess their sociodemographic characteristics, self-reported health status, depression symptoms, anxiety symptoms, sleep quality, self-efficacy and perceived stress.ResultsThe pain prevalence over the 4-week period in rural China was 66.18% (62.84% for men and 68.82% for women). A logistic regression model revealed that being female (adjusted OR=1.58, 95% CI 1.24 to 2.02), age (adjusted OR=1.03, 95% CI 1.02 to 1.05), depressive symptoms (adjusted OR=1.07, 95% CI 1.02 to 1.13) and medium-quality sleep (adjusted OR=2.14, 95% CI 1.26 to 3.64) were significant risk factors for experiencing pain. General linear model analyses revealed that (1) pain severity of rural Chinese was related to self-rated physical health and social health; (2) the interactions of age, gender with employment status, depression symptoms, perceived stress and physical health were significant. Simple effect testing revealed that in different age groups, gender interacted with employment status, depression symptoms, perceived stress and physical health differently.ConclusionsImproving physical and social health could be effective in reducing the severity of pain and the treatment of pain should be designed specifically for different ages and genders among the general population.

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“…We calculated the odds ratios (ORs) and 95% confidence intervals (95% CIs) to quantify this association. We adjusted for the following confounding variables: age, BMI, parity, and history of LBPP before pregnancy [15,16]. We used the statistical software EZR (version 3.4.1) [17] with the statistical significance set at an alpha level of 0.05.…”

Section: Discussionmentioning

confidence: 99%

Association between sleep disturbance and low back and pelvic pain in 4-month postpartum women: A cross-sectional study

Horibe

Matsuda³

et al. 2021

Eur Spine J

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Purpose Persistent low back and pelvic pain (LBPP) is a postpartum-specific health problem. Sleep disturbances' association with persistent LBPP is not yet clear. We aimed to examine the cross-sectional association between sleep disturbance and persistent LBPP at 4 months postpartum. Methods We enrolled 120 women with LBPP during pregnancy (mean age, 31.8; standard deviation, 4.9 years). The primary outcome was persistent LBPP. We assessed LBPP severity at 4 months postpartum using the Numerical Rating Scale (NRS), where women with an NRS score of ≥ 4 at 4 months postpartum were allocated to the persistent LBPP group. We assessed sleep disturbance at 4 months postpartum using the Japanese version of the Pittsburgh Sleep Quality Index with a total score of ≥ 6 indicating sleep disturbance. Moreover, we performed univariate and multiple logistic regression analyses to examine the cross-sectional association of sleep disturbance with persistent LBPP. The relevant confounding variables were age, body mass index, parity, and history of LBPP before pregnancy. Results Among the 120 women, 45 women had persistent LBPP (37.5%) with 32 (71.1%) of them reporting sleep disturbance. There was a significant association of sleep disturbance with persistent LBPP (odds ratio [OR], 2.81; 95% confidence interval [95% CI], 1.28-6.19), which remained after adjustments for confounding variables (OR, 2.98; 95% CI, 1.31-6.75). ConclusionOur findings indicate that sleep disturbance is associated with persistent LBPP at 4 months postpartum; therefore, it should be taken into consideration in postpartum women with persistent LBPP.

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Insomnia before and after childbirth: The risk of developing postpartum pain—A longitudinal population-based study

Cited by 26 publications

References 34 publications

Meloxicam administration either prior to or after parturition: Effects on behavior, health, and production in dairy cows

Meloxicam administration either prior to or after parturition: Effects on behavior, health, and production in dairy cows

Different predictors of pain severity across age and gender of a Chinese rural population: a cross-sectional survey

Association between sleep disturbance and low back and pelvic pain in 4-month postpartum women: A cross-sectional study

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