Multidimensional evaluation of pain during early and late labor: a comparison of nulliparous and multiparous women

Abstract

65 patients in our series developed PDPH (PDPH-rate 0.38%). The need for BP occurred in 82% of patients and in 15% a repeat BP was required. The interval between regional block and onset of PDPH was 32 Ϯ 20 hours. Caffeine was not successful in treating PDPH and in 1 patient caused seizures. Conclusion: In our teaching unit, using predominantly CSE, PDPH and DT occur with a similar incidence as reported in the literature (1,2,3). Contrary to some evidence, intrathecal catheters do not protect against PDPH or BP in our series. The incidence of BP and repeat BP in the present study confirms previous data.

Multidimensional evaluation of pain during early and late labor: a comparison of nulliparous and multiparous women

“…6 We used a modified version of the SF-MPQ that included the 23 most frequently chosen words (pain descriptors) to describe labor pain (see Appendix). 7 In accordance with the original methods described by Melzack 8 to limit the unreliability of responses, all parturients were interviewed by trained investigators and were asked to answer the SF-MPQ immediately after a uterine contraction. The pain descriptors from the Italian translation of the McGill Pain Questionnaire were used.…”