Perineal pain measurement in the immediate vaginal postpartum period

Mathias, Ana Eliza Rios de Araújo; Pitangui, Ana Carolina Rodarti; Vasconcelos, Amanda Mariáh Araújo; Silva, Suellen Souza; Rodrigues, Paloma dos Santos; Dias, Thaís Guimarães

doi:10.5935/1806-0013.20150054

Cited by 9 publications

(12 citation statements)

References 17 publications

(21 reference statements)

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“…In a study conducted in a hospital and maternity hospital in Pernambuco and Bahia, the rates of perineal trauma after vaginal delivery were 50.3%, considered high, and the frequency of episiotomies was 23.1% (1) . In a study carried out in the United Kingdom, it was estimated that 70% of women would suffer some kind of perineal tearing after a vaginal delivery (24) .…”

Section: Discussionmentioning

confidence: 99%

“…Perineal tears are common in women who have vaginal deliveries and their occurrence may be related to various factors, such as maternal gynecological and obstetric characteristics, obstetric interventions during labor and delivery, and fetus-related aspects. Such injuries cause increased blood loss, the need for sutures and postpartum pain, and are characterized by trauma in the mucosa and/or muscle of the perineum during detachment of the cephalic pole, as a result of an episiotomy or spontaneous tear (1) .…”

Section: Introductionmentioning

confidence: 99%

“…An episiotomy is a surgical incision in the perineal region performed during detachment of the fetal head, to prevent extensive vaginal tears, and involves incision of muscles of the perineal body, mucosa and skin. However, it can result in deep injuries with a higher degree of severity compared to spontaneous tears (1) . It is considered a controversial procedure, since it involves aspects that extend beyond the field of obstetrics, raising the issue of women's right of choice regarding their bodies.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study

Souza

Farias

Ribeiro

et al. 2020

Rev. esc. enferm. USP

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Objective: Identify the associations between perineal outcome in primiparas and interventions during labor and delivery, newborn weight and APGAR score. Method: Document-based, correlational, retrospective, quantitative study conducted in a tertiary maternity hospital in the state of Ceará, between July 2017 and January 2018. The independent variables were labor induction, amniotomy, non-pharmaceutical methods for relieving pain, forceps, episiotomy, Kristeller maneuver, position in the expulsion stage, shoulder dystocia, and newborn weight and APGAR score, and the dependent variable was perineal outcome. Pearson's chi-square test and Fisher's exact test were used. Results: A total of 226 normal-risk primiparas who had a vaginal delivery. An association was found between horizontal position in the expulsion stage and episiotomy, and between not performing an episiotomy and perineal tearing. The other variables (labor, delivery and neonatal) did not have any effect on perineal tearing. Conclusion: Interventions, with the exception of episiotomies, did not have an influence on the occurrence of perineal trauma, but they do need to be carefully assessed. Deliveries in a horizontal position were associated with a higher likelihood of performing an episiotomy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study

Souza

Farias

Ribeiro

et al. 2020

Rev. esc. enferm. USP

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“…Given this scenario, the need for early multidisciplinary interventions directed to women's health and, especially, the relief of pain during the puerperium is confirmed. 14 Furthermore, in the same study that used the McGill questionnaire, 70% of the interviewees cited the descriptors that relate to PRI Sensitivo, the highest score being the pain in "pinching", while in PRI Affective, 70.8%, characterize the "nauseous" pain. 13 In the present study, similar results were found: 64.6% scored "nauseous" pain with higher score and 63.1% "painful and sensitive" pain, respectively.…”

Section: -Positive Reassessmentmentioning

confidence: 98%

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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“…In the immediate puerperium, abdominal and pelvic pain are prevalent conditions among women 1,2 . A cohort study of 1,288 women who underwent cesarean section and vaginal birth 2 , identified a prevalence of pain of 10.9% in the first 36 hours after birth. The literature shows that women who underwent cesarean section reported 2.4 more complaints of pain compared to women undergoing vaginal birth 3 .…”

Section: Introductionmentioning

confidence: 99%

Non-pharmacological therapies for postpartum analgesia: a systematic review

Dutra

Araujo

Micussi

2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Abdominal and pelvic pain is a prevalent condition among women in the immediate postpartum period. Non-pharmacological therapies are of great importance for the treatment of this condition since they do not cause systemic side effects, such as drowsiness, irritability, and changes in the composition of breast milk. This article aims to identify and evaluate the efficacy of non-pharmacological analgesic therapies used in the immediate puerperium in abdominal-pelvic pain. CONTENTS: Searches were carried out in the main databases from September to October 2017 using the following descriptors "treatment" AND "pain" AND "postpartum"; "Treatment" AND "pain" AND "postpartum" AND "analgesics" AND "non-pharmacological". Controlled and randomized clinical trials published between January 2007 and August 2017, in Portuguese, English, and Spanish were included. Of the 1737 studies found in the databases, 42 were selected by the title. According to the eligibility criteria, 13 studies were included. The total sample size of the studies ranged from 21 to 266. In the intervention groups, the sample ranged from 11 to 126 women who underwent cryotherapy, transcutaneous electrical stimulation, LASER, acupuncture and ear acupressure. CONCLUSION: Interventional practices such as transcutaneous electrical nervous stimulation and cryotherapy presented significant data relevant to the reduction of abdominal and pelvic pain. The techniques of acupuncture and ear acupressure still present inconclusive data. Despite the relief of perineal pain, laser therapy showed no statistically significant effect on pain relief when compared to the placebo group.

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Perineal pain measurement in the immediate vaginal postpartum period

Cited by 9 publications

References 17 publications

Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study

Factors related to perineal outcome after vaginal delivery in primiparas: a cross-sectional study

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

Non-pharmacological therapies for postpartum analgesia: a systematic review

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