Management of Postpartum Pain

Eshkevari, Ladan; Trout, Kimberly K.; Damore, Jennifer

doi:10.1111/jmwh.12129

Cited by 34 publications

(33 citation statements)

References 58 publications

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“…Pharmacological methods like anti-inflammatory medicines and painkillers are prescribed by health professionals for pain relief, but these medications has side effects, such as gastrointestinal, bleeding and allergic reactions. 22 However, even though these side effects may occur, medicines are predominant for pain relief. 23 On the other hand, the medicine overuse can be managed with the use of non-pharmacological methods for pain relief.…”

Section: /12mentioning

confidence: 99%

Perineal Care and Outcomes in a Birth Center

Lopes

Leister

Riesco

2019

Texto contexto - enferm.

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Objective: to analyse the perineal outcomes in childbirth and post-partum perineal care in a freestanding birth centre. Method: a cross-sectional study, with data collection performed in the women’s birth records forms from Casa Angela, a freestanding birth centre, São Paulo, Brazil, in 2016-2017 (n=415). The following data was analysed: occurrence and perineal tear degree; maternal, neonatal and birth care-related variables; perineal suture prevalence; complications in wound healing and natural methods on perineal care. Data were subjected to descriptive, inferential and multiple analyses. Results: in 11.8% of women, the perineum was kept intact, 61.9% had spontaneous first-degree tear and 26.3% had second-degree tear. The variables related to the occurrence and higher spontaneous degree tears were maternal age and second period of childbirth >2 hours. The protective factors against the occurrence and higher degree tears were number of previous vaginal childbirths and maternal position different from vertical during childbirth. Perineal suture was performed in 16.0% and 70.6% of women with spontaneous first- and second-degree tears, respectively. The main perineal complications after birth were edema (53.6%) and pain (29.4%); and the perineal suture increased the chance for these complications (OR=2.5; 95%CI 1.5-4.3). Perineum icepack compress was used in 53.8% of women during post-partum period. Conclusion: maternal and health-care related factors were associated to the prevalence and degree of spontaneous perineal tear. First-degree spontaneous perineal tears were prevalent and sutured in a low number of women. There were more complications in the wound healing process when the perineal suture was performed, regardless the tear degree. The number of natural methods in post-partum perineal care was higher than the use of medicines.

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Section: /12mentioning

confidence: 99%

Perineal Care and Outcomes in a Birth Center

Lopes

Leister

Riesco

2019

Texto contexto - enferm.

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“…This study was approved by the New York Institute anti-inflammatory drugs (NSAIDs), opioids, and ice packs or heating pads. [1][2][3] Currently, NSAIDs are most commonly used for nonspecific postpartum pain control, and cold packs seem to aid with postpartum perineal pain. 3 However, these modalities are frequently not enough to mitigate the pain, and the discomfort often continues to cause significant distress.…”

Section: Methodsmentioning

confidence: 99%

Efficacy of Osteopathic Manipulative Treatment for Management of Postpartum Pain

Hastings¹,

McCallister²,

Curtis³

et al. 2016

Journal of Osteopathic Medicine

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“…The goal of practitioners is to use appropriate pharmacological methods and non-pharmacological comfort measures to successfully relieve pain while allowing the puerpera to stay awake and in a position to care for the newborn. 16 Concerning the perceived stress, 83.1% of postpartum women were classified as medium stress, a result that deserves attention from health professionals, especially nurses. It is known that there are a variety of circumstances that can be perceived as stressors, such as situations of sadness, distress, tension, anxiety, lack of hope, just as a single and excessive factor may be responsible for this reaction.…”

Section: -Positive Reassessmentmentioning

confidence: 99%

Evaluation of Pain, Stress and Coping in Puerperal Women After Cesarean Section / Avaliação da dor, Estresse e Coping em Puérperas no Pós-Operatório de Cesárea

Friedrich¹,

Guerreiro

Benetti

et al. 2019

R. pesq. cuid. fundam. online

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Objetivo: Avaliar dor, estresse percebido e coping em puérperas pós cesárea. Métodos: Estudo transversal, quantitativo, com 65 puérperas em um hospital geral. Foram incluídas puérperas no Pós Operatório de cesárea, com queixas e/ou sinais de dor nas últimas 24 horas. Coleta de dados de abril a julho de 2014, com Formulário de caracterização sociodemográfica/clínica, Questionário McGill de Dor, Escala de Estresse Percebido e Inventário de Estratégias de Coping. Foi realizada análise estatística. Projeto aprovado pelo Comitê de Ética e Pesquisa da Unijuí, CAAE nº 26726014.0.0000.5350. Resultados: 46,4% referiram dor severa; 64,6% dor “enjoada”. Dentre as puérperas, 83,1% foram classificadas em médio estresse e, a Reavaliação Positiva foi o fator de coping mais utilizado. Conclusão: Pelo procedimento cirúrgico a saúde biopsicossocial da puérpera pode ficar comprometida pela presença da dor, entretanto a utilização de estratégias de coping focadas no problema pode favorecer o enfrentamento dos estressores de forma positiva.

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Management of Postpartum Pain

Cited by 34 publications

References 58 publications

Perineal Care and Outcomes in a Birth Center

Perineal Care and Outcomes in a Birth Center

Efficacy of Osteopathic Manipulative Treatment for Management of Postpartum Pain

Evaluation of Pain, Stress and Coping in Puerperal Women After Cesarean Section / Avaliação da dor, Estresse e Coping em Puérperas no Pós-Operatório de Cesárea

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