Persistent Pain After Cesarean Delivery and Vaginal Delivery: A Prospective Study

Kainu, J.P.; Halmesmäki, Erja; Korttila, K.; Sarvela, P Johanna

doi:10.1097/01.aoa.0000521249.32738.1a

Cited by 13 publications

(16 citation statements)

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“…Aside from pain in specific body locations, many studies have evaluated risk factors for persistent general back pain, 10,13,21,23e25,27e30 persistent diffuse pain, or any pain after childbirth. 7,9,11,12,17,20,28,39,40,42,44,45 Persistent back pain has been extensively studied. Many potential risk factors have been evaluated.…”

Section: Other Persistent Pain Syndromes After Vaginal and Caesarean mentioning

confidence: 99%

Factors associated with persistent pain after childbirth: a narrative review

Komatsu

Ando

Flood

2020

British Journal of Anaesthesia

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A systematic literature search was performed to identify studies that reported risk factors for persistent pain after childbirth. Many studies have sought to identify risk factors for post-delivery pain in different populations, using different methodologies and different outcome variables. Studies of several different but interrelated post-partum pain syndromes have been conducted. Factors strongly and specifically associated with persistent incisional scar pain after Caesarean delivery include a coexisting persistent pain problem in another part of the body and severe acute postoperative pain. For persistent vaginal and perineal pain, operative vaginal delivery and the magnitude of perineal trauma have been consistently linked. History of pregnancy-related and pre-pregnancy back pain and heavier body weight are robust risk factors for persistent back pain after pregnancy. Unfortunately, limitations, particularly small samples and lack of a priori sample size calculation designed to detect specific effect sizes for risk of persistent pain outcomes, preclude definitive conclusions about many other predictors and the strength of outcome associations. In future studies, assessments of specific phenotypes using a rigorous analysis with appropriate predetermined sample sizes and validated instruments are needed to allow elucidation of stronger and reliable associations. Interventional studies targeting the most robustly associated, modifiable risk factors, such as acute post-partum pain, may lead to solutions for the prevention and treatment of these common problems that impact a large population.

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Section: Other Persistent Pain Syndromes After Vaginal and Caesarean mentioning

confidence: 99%

Factors associated with persistent pain after childbirth: a narrative review

Komatsu

Ando

Flood

2020

British Journal of Anaesthesia

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“…Trauma and repair of core stabilizing structures are also requisite with CS, CS is costly, and CS is associated with a higher incidence of postpartum pain. 11 Birth care teams that include nonmedical personnel, such as doulas, have been associated with reduced CS incidence. 4,12 In addition to reduced CS incidence and consistent with the outcomes in this case, there is evidence that birth teams with continuous labor support can optimize outcomes by improving support of physiological birth, 13 reducing the risk of having a low birth weight (LBW) infant, reducing birth complications for the mother and infant, increasing the incidence of breastfeeding initiation, 3 and improving cost efficiency.…”

Section: Discussionmentioning

confidence: 99%

An interprofessional approach to prevent recurrent obstetric anal sphincter injury (OASIS): A case report

Thurston

Stone

Mileski

et al. 2018

Clinical Case Reports

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“…Nyeri tersebut dapat berubah menjadi nyeri kronik hingga 3 bulan pada 25% pasien (Munro et al, 2017). Beberapa ibu pasca sectio caesarea mengalami nyeri hingga 1 tahun sebanyak 22% dan pasca melahirkan secara normal adalah 8% (Kainu et al, 2016).…”

Section: Pendahuluanunclassified

Studi Penggunaan Obat Analgesik pada Pasien Pasca Partus Pervaginal dan Sectio Caesarea di RSU Bunda Purwokerto

Juwita

Faradani

Wibowo

2019

Pharm. : j. farm. Indones.

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Persalinan dan pelahiran dapat menimbulkan nyeri. Penanganan nyeri harus dikontrol secara adekuat agar nyeri tersebut tidak berubah menjadi nyeri kronis, sehingga tidak berdampak negatif terhadap morbiditas dan mortalitas ibu hamil. Nyeri tersebut dapat ditangani dengan analgesik. Konsumsi obat tersebut dapat terdistribusi ke ASI yang mengganggu proses menyusui. Oleh karena itu penggunaannya perlu diperhatikan. Tujuan dari penelitian ini adalah untuk mengetahui penggunaan analgesik pada ibu pasca melahirkan yang meliputi penggunaan obat analgesik, intensitas nyeri pada pasien pasca melahirkan, dan efektivitas obat analgesik pada pasien pasca melahirkan di RSU Bunda Purwokerto periode Januari-Maret 2019. Penelitian ini merupakan penelitian noneksperimental dengan desain penelitian deskriptif observasional. Pengambilan data secara prospektif dengan sumber data penelitian yang digunakan yaitu hasil rekam medik dan penilaian nyeri menggunakan Visual Analog Scale. Teknik pengambilan sampel yang digunakan yaitu purposive sampling dengan jumlah sampel yang digunakan yaitu 50. Analisis hasil dalam bentuk persentase yang disajikan dalam bentuk tabel dan gambar. Hasil penelitian menunjukkan bahwa penggunaan obat analgesik yang paling banyak digunakan pada ibu pasca melahirkan normal yaitu asam mefenamat tablet dan pasca sectio caesarea yaitu ketoprofen suppositoriaI. Intensitas nyeri pada pasien pasca melahirkan berada di kategori nyeri sedang dan obat analgesik yang digunakan efektif untuk mengatasi nyeri pasca melahirkan.

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Persistent Pain After Cesarean Delivery and Vaginal Delivery: A Prospective Study

Cited by 13 publications

References 0 publications

Factors associated with persistent pain after childbirth: a narrative review

Factors associated with persistent pain after childbirth: a narrative review

An interprofessional approach to prevent recurrent obstetric anal sphincter injury (OASIS): A case report

Studi Penggunaan Obat Analgesik pada Pasien Pasca Partus Pervaginal dan Sectio Caesarea di RSU Bunda Purwokerto

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