Incidence, severity, and determinants of uterine contraction pain after vaginal delivery: a prospective observational study

Fang, Xiaoting; Yan, Huan; Tao, Yiyi; Song, Yue-Hua; Du, Weijia; Liu, Z.; Xu, Zhendong

doi:10.1016/j.ijoa.2021.102961

Cited by 9 publications

(4 citation statements)

References 25 publications

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“…The information gathered in the second survey included satisfaction with anesthesia, EPDS score, pain caused by uterine contraction, and surgical scar. Postpartum pain was defined by an NRS score of ≥ 3 ( 17 , 18 ).…”

Section: Methodsmentioning

confidence: 99%

Risk factors for postpartum depression in women undergoing elective cesarean section: A prospective cohort study

et al. 2022

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BackgroundPostpartum depression (PPD) has adverse effects on maternal and child health. Cesarean section (CS) is suggested to be associated with PPD, but no study has examined the risk factors for PPD in women who underwent CS. Therefore, this study aimed to investigate this association.MethodsA prospective observational study was conducted between December 2020 and September 2021. In total, 590 women who underwent elective CS participated in this study. Data were collected using a questionnaire through a face-to-face interview at three time points: 32nd week of gestation, 2 days postpartum, and 6 weeks postpartum. PPD was defined by an Edinburgh Postnatal Depression Scale (EPDS) score of ≥ 11 at 6 weeks postpartum. Multivariate logistic regression analysis was performed to identify the risk factors for PPD.ResultsAmong the 590 women, 25.4% had PPD (142/590). After adjustment for the confounding factors, high antenatal self-rating anxiety scale score (OR = 1.10, 95% CI = 1.04–1.16), PPD symptoms (EPDS ≥ 11) at 2 days postpartum (OR = 6.17, 95% CI = 1.35–28.31), and pain at 6 weeks postpartum (OR = 2.14, 95% CI = 1.24–3.69) were independently associated with PPD.ConclusionPrenatal anxiety, PPD symptoms occurring at an early postoperative stage, and pain at 6 weeks postpartum may be associated with an increased risk of PPD among women who undergo CS.

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Section: Methodsmentioning

confidence: 99%

Risk factors for postpartum depression in women undergoing elective cesarean section: A prospective cohort study

et al. 2022

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“…Typically, this discomfort persists for 3–4 days, although it can occasionally extend up to a week postdelivery 3 . It was reported that 47% of women experienced postpartum uterus pain within 6–48 h after delivery 6 . Pourmaleky et al stated that 77% of women experience postpartum pain 7 .…”

Section: Introductionmentioning

confidence: 99%

“…3 It was reported that 47% of women experienced postpartum uterus pain within 6-48 h after delivery. 6 Pourmaleky et al stated that 77% of women experience postpartum pain. 7 Pain stands out as one of the most prevalent and distressing sensory and psychological ordeals.…”

mentioning

confidence: 99%

The comparison of effectiveness of acupressure on Spleen 6 and Hugo points on the severity of postpartum pain: A randomized clinical trial

Maleki,

Heydarpour,

Nikrai

et al. 2024

Health Science Reports

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Background and aimsPostpartum pain poses a significant challenge for new mothers. Various nonpharmacological methods are employed to manage postpartum pain. This study aimed to compare the effectiveness of acupressure on Spleen 6 and Hugo points on the severity of postpartum pain.MethodsIn this parallel randomized trial study, 68 eligible primiparous women who had vaginal deliveries and experienced postpartum pain at Farabi Hospital in Malekan (a city in East Azarbaijan Province in Iran) were selected according to inclusion/exclusion criteria and then allocated to the Hugo (n = 34) and Spleen 6 (n = 34) acupressure groups using a randomized block design (six blocks). The data collection process took place from November 2022 to April 2023. The participants were blinded; however, the analysts and investigators were not blinded. Acupressure interventions were applied bilaterally for 20 min, consisting of 10 s of pressure followed by 2 s of rest. Pain intensity was assessed using a visual pain scale before, immediately after, and 1 h after the intervention. In total, 68 participants fulfilled the study. Data were analyzed using Statistical Package for the Social Sciences version 25 with chi‐square, Mann–Whitney, and Friedman tests.ResultsBoth groups exhibited a statistically significant reduction in postpartum pain intensity across all periods (p < 0.001). Although there was a significant difference in pain intensity between the groups before the intervention (p = 0.039), this distinction was not observed immediately and 1 h after the intervention (p ≥ 0.05). Both Hugo and Spleen's 6 acupressure interventions reduced postpartum pain intensity. No significant adverse events or side effects were observed.ConclusionAcupressure on Spleen 6 and Hugo points helped decrease the severity of postpartum pain in primiparous women who had vaginal deliveries. Healthcare providers are encouraged to consider acupressure for postpartum pain management.

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“…Severe pain in the lower abdomen caused by strong contractions of the uterus during delivery is known as uterine contraction pain [1] and occurs 1 to 2 days after delivery of the fetus and placenta, and the pain usually disappears after 2 to 3 consecutive days. [2] Uterine contraction pain is one of the common postpartum complications, [3] and most women can be tolerated, but due to breastfeeding the baby is caused by reflex contractions increase, [4] accompanied by sweating, nausea and vomiting, reduced milk, etc. resulting in poor rest and sleep, and the postpartum life of the mother is affected by the prolonged period of time.…”

Section: Introductionmentioning

confidence: 99%

Moxibustion for uterine contraction pain: A protocol for systematic review and meta-analysis

Zhao

Liu²,

Zhang

et al. 2022

Medicine

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Background: Uterine contraction pain is a common postpartum condition that often plagues mothers and can interfere with feeding and normal life for young children. Many investigations have demonstrated that moxibustion has certain advantages in the treatment of uterine contraction pain, but the effectiveness, safety, and advantages of various methods have not been confirmed by high-quality meta-analyses. This study will conduct a systematic review and meta-analysis to evaluate the safety and effectiveness in moxibustion, in order to provide a reference for further clinical treatment for uterine contraction pain.

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Incidence, severity, and determinants of uterine contraction pain after vaginal delivery: a prospective observational study

Cited by 9 publications

References 25 publications

Risk factors for postpartum depression in women undergoing elective cesarean section: A prospective cohort study

Risk factors for postpartum depression in women undergoing elective cesarean section: A prospective cohort study

The comparison of effectiveness of acupressure on Spleen 6 and Hugo points on the severity of postpartum pain: A randomized clinical trial

Moxibustion for uterine contraction pain: A protocol for systematic review and meta-analysis

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