Acute postcesarean pain is associated with in-hospital exclusive breastfeeding, length of stay and post-partum depression

Babazade, Rovnat; Vadhera, Rakesh; Krishnamurthy, Parthasarathy; Varma, Ashwin; Doulatram, Gulshan; Saade, George R.; Turan, Alparslan

doi:10.1016/j.jclinane.2019.109697

Cited by 29 publications

(29 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This approach allows breaking down the total effect of factors on PPD development into direct and indirect effects. The result indicated that postpartum pain sensitivity not only directly contributed to mothers having EPDS scores ≥ 10 points, consistent with a previous study [ 41 ], but also indirectly influenced the incidence by decreasing breastfeeding rates. This relationship might arise because mothers experiencing increased postpartum pain sensitivity were more likely to refuse to breastfeed because of pain perception when their babies sucked their breast.…”

Section: Discussionsupporting

confidence: 91%

Association of Postpartum Pain Sensitivity and Postpartum Depression: A Prospective Observational Study

Chen

et al. 2021

Pain Ther

View full text Add to dashboard Cite

Introduction: Postpartum depression (PPD) is a severe psychiatric disorder that negatively affects postnatal mothers worldwide. The aim of the study is to investigate the association between postpartum pain sensitivity and PPD as well as to identify the other potential risk factors for PPD and their interconnections.Methods: The current study was a prospective observational clinical study that enrolled 210 singleton pregnant women in a tertiary referral hospital from January to December 2020. Postpartum pain sensitivity was assessed by the Mandarin Chinese version of the Pain Sensitivity Questionnaire (PSQ), and PSQ-C-total and PSQ-C-minor scores were collected. PPD was screened by self-reporting Edinburgh Postnatal Depression Scale (EPDS), and EPDS total score was recorded. The association between postpartum pain sensitivity and PPD, as well as the risk factors and their interconnections, was analyzed by using a combination of stratified, bivariate, correlation, receiver-operating Yu Chen and Xin Ye contributed equally to this work.

show abstract

Section: Discussionsupporting

confidence: 91%

Association of Postpartum Pain Sensitivity and Postpartum Depression: A Prospective Observational Study

Chen

et al. 2021

Pain Ther

View full text Add to dashboard Cite

show abstract

“…Pain can increase the discomfort of BF. Each 1‐point increase in the average score of postoperative pain resulted in a 21% reduction in EBF (Babazade et al., 2019). Increasing evidence suggest that early skin‐to‐skin contact is good for improving BF outcomes after caesarean delivery, but it is still something uncommon in clinical practice (Stevens, 2018).…”

Section: Discussionmentioning

confidence: 99%

Factors influencing exclusive breastfeeding for 6 months postpartum: A systematic review

Tang

Wacharasin

2022

Int J of Nursing Knowl

View full text Add to dashboard Cite

Purpose: This systematic review aims to identify factors influencing exclusive breastfeeding (EBF) up to 6 months. Methods:The databases including PubMed, MEDLINE, CINAHL, Scopus, EMBASE, CNKI, and WANFANG were searched to retrieve studies. Quantitative research were extracted and the preferred reporting items for systematic reviews were followed. Critical appraisal checklists of Joanna Briggs Institute were used to evaluate the quality of the included studies.Findings: A total of 16 papers were eligible for this systematic review, comprising five cohort studies and 11 cross-sectional studies. Moderate to strong evidence supported that 6-month exclusive breastfeeding is affected by maternal working status, breastfeeding knowledge, delivery mode, parity, perception of insufficient human milk, mothers' infant feeding attitude, breastfeeding self-efficacy, and intention.Conclusions: Factors influencing EBF up to 6 months postpartum play a key role in promoting mothers' health and reducing diseases in their infants. Implications for nursing practice:Interventions based on related factors should be developed and taken into practice to assist mothers in exclusive breastfeeding for up to 6 months. Additional studies from different countries in different populations with high quality are needed to provide more reliable and richer findings.

show abstract

“…Nonetheless, the pain undoubtedly affects breastfeeding, and anesthesia directly affects sensory and affective pain characteristics. Babazade et al [ 6 ] found significant breastfeeding deterioration, with an increase in post-cesarean pain. An increase in pain scores after the procedure was associated with a slight reduction in breastfeeding quality.…”

Section: Discussionmentioning

confidence: 99%

“…Acute pain after a cesarean section leads to a delayed recovery of patients, as well as a longer hospital stay [ 6 ]. In addition, acute pain after a cesarean section is associated with a higher risk of developing chronic pain [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study

et al. 2022

View full text Add to dashboard Cite

Background and Objectives: Pain during and after the procedure remains the leading concern among women undergoing cesarean section. Numerous studies have concluded that the type of anesthesia used during a cesarean section undoubtedly affects the intensity and experience of pain after the operation. Materials and Methods: This prospective cohort study was conducted at the Clinic for Gynecology and Obstetrics, Clinical Center “Dragisa Misovic—Dedinje”, Belgrade, Serbia. Patients at term pregnancy (37–42 weeks of gestation) with an ASA I score who delivered under general (GEA) or regional anesthesia (RA) by cesarean section were included in the study. Following the procedure, we assessed pain using the Serbian McGill questionnaire (SF–MPQ), Visual Analogue Scale (VAS) and the pain attributes questionnaire at pre-established time intervals of 2, 12, and 24 h after the procedure. Additionally, time to patient’s functional recovery was noted. We also recorded the time to the first independent mobilization, first oral intake, and lactation establishment. Results: GEA was performed for 284 deliveries while RA was performed for 249. GEA had significantly higher postoperative sensory and affective pain levels within intervals of 2, 12, and 24 h after cesarean section. GEA had significantly higher postoperative VAS pain levels. On pain attribute scale intensity, GEA had significantly higher postoperative pain levels within all intervals. Patients who received RA had a shorter time to first oral food intake, first independent mobilization, and faster lactation onset in contrast to GEA. Conclusions: The application of RA presented superior postoperative pain relief, resulting in earlier mobilization, shorter time to first oral food intake, and faster lactation onset in contrast to GEA.

show abstract

Acute postcesarean pain is associated with in-hospital exclusive breastfeeding, length of stay and post-partum depression

Cited by 29 publications

References 23 publications

Association of Postpartum Pain Sensitivity and Postpartum Depression: A Prospective Observational Study

Association of Postpartum Pain Sensitivity and Postpartum Depression: A Prospective Observational Study

Factors influencing exclusive breastfeeding for 6 months postpartum: A systematic review

Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study

Contact Info

Product

Resources

About