Neuropathic pain in pregnant Turkish women with lumbopelvic pain and its impact on health-related quality of life

Eser, Filiz; Nebioğlu, Saniye; Aliyeva, Aygün; Kılıçarslan, Ayşegül; Atalay, Cemal; Özcanli, Gizem; Erten, Şükran; Uysal, Funda Elmas

doi:10.5152/eurjrheum.2017.16088

Cited by 5 publications

(7 citation statements)

References 27 publications

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“…In addition, a numerical rating scale (0 being no pain, and 10 being worst pain imaginable) is used to measure the labor pain intensity. The SF-MPQ-2 has shown good correlation with the standard form and has been validated in obstetric population where pain evaluation is often restricted by time distress during the labor process; 15,18 ii) pain catastrophizing scale (PCS), a validated self-reported questionnaire to evaluate negative thought processes that one may have with https://doi.org/10.2147/JPR.S331703…”

Section: Recruitmentmentioning

confidence: 99%

“…13 Neuropathic pain is "pain caused by a primary lesion or dysfunction in the nervous system", often described as pain of "burning, electric shock-like, prickling, or itching sensations or numbness". 14,15 A recent development of short-form McGill pain questionnaire-2 (SF-MPQ-2) includes the qualities of both neuropathic and non-neuropathic pain and has since proven usefulness in patients with acute pain and cesarean delivery. [16][17][18] However, the evidence for its use in assessing labor pain should be further explored.…”

Section: Introductionmentioning

confidence: 99%

“…Other pain scales that have been used to diagnose neuropathic pain in obstetric population include the Douleur Neuropathique 4 (DN4) questionnaire and the Leeds assessment of neuropathic symptoms and signs (LANNS) questionnaire, but they are also not originally designed to specify the pain characteristics in laboring women. 15,36,37 Therefore, an instrument specifically designed to evaluate the neuropathic component of early labor pain would be useful. This study is also limited by the primary study design on including only healthy nulliparous women.…”

mentioning

confidence: 99%

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Association of Pain Catastrophizing and Depressive States with Multidimensional Early Labor Pain Assessment in Nulliparous Women Having Epidural Analgesia – A Secondary Analysis

Sim¹,

Tan²,

Yeam³

et al. 2021

JPR

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Background: Labor pain is a variable and complex experience with both sensory and affective components. Pain catastrophizing tendencies are predictive of increased distress during labor. Likewise, pain severity has important associations with increased depressive symptoms in mothers, with consequences on perinatal and infant outcomes. Hence, we investigated the association between increased early labor pain with both pre-delivery pain catastrophizing and depressive states. Methods: We recruited nulliparous women who had requested labor epidural analgesia. Predelivery questionnaires including short-form McGill pain questionnaire-2 (SF-MPQ-2), pain catastrophizing scale (PCS), and Edinburgh postnatal depression score (EPDS) were administered. Results: A total of 712 women completed the pre-delivery questionnaires. There was a significant association between SF-MPQ-2 neuropathic subscale and EPDS ≥ 10 (unadjusted OR 1.74, 95% CI 1.11-2.73, p = 0.0161), as well as PCS ≥ 25 (unadjusted OR 1.55, 95% CI 1.06-2.26, p = 0.0244). SF-MPQ-2 sensory intermittent subscale and EPDS ≥ 10 (unadjusted OR 2.02, 95% CI 1.34-3.03, p = 0.0007), and PCS ≥ 25 (unadjusted OR 1.59, 95% CI 1.14-2.23, p = 0.0069) also showed significant association. Conclusion: Increased sensory intermittent and neuropathic subsets of early labor pain are significantly correlated with increased pre-delivery pain catastrophizing and depressive states in nulliparous women. This positive association may be useful for pre-delivery risk stratification for early interventions towards a more holistic care management.

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Section: Recruitmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Association of Pain Catastrophizing and Depressive States with Multidimensional Early Labor Pain Assessment in Nulliparous Women Having Epidural Analgesia – A Secondary Analysis

Sim¹,

Tan²,

Yeam³

et al. 2021

JPR

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“… 11 Neuropathic pain has been reported during the peripartum and postpartum periods, and could reduce functional status and health-related quality of life in pregnant women. 12 Interestingly, both depression and anxiety are well-known co-morbidities with neuropathic pain, especially in chronic pain patients. A recent animal study showed that neuropathic pain state may promote adaptations in gene expressions responsible for anxiety and depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Association of Childbirth Pain with Postnatal Depressive and Anxiety Disorders in Nulliparous Parturients: A Prospective Study

Tan¹,

Tan²,

Sultana³

et al. 2021

NDT

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Purpose There is limited knowledge on the relationship between postnatal depression and childbirth pain characteristics associated with childbirth. We investigated whether the characteristics of childbirth pain, as assessed by Short-form-McGill Pain Questionnaire-2 (SF-MPQ-2), were associated with postnatal anxiety and depressive disorders. Patients and Methods Nulliparous parturients who received labor epidural analgesia (LEA) and delivered in our institution were invited to have a Mini-International Neuropsychiatric Interview (MINI) assessment following their 5–9 weeks post-delivery follow-up phone survey of a larger study. Parturients’ demographics, pre-delivery questionnaires on pain and psychological vulnerabilities, LEA data, maternal and neonatal outcomes, postnatal follow-up survey on pain and psychological vulnerabilities, pain and breastfeeding were collected accordingly. The primary outcome was the binary variable (yes/no) of the presence of postnatal depression and/or anxiety disorders based on the post-delivery MINI assessment. Results Among the 107 parturients who participated in the post-delivery MINI assessment, a total of 40 (42.5%) patients were found to have postnatal anxiety and depressive disorders. A greater pre-delivery SF-MPQ-2 neuropathic pain mean subscale score (adjusted odds ratio (OR) 1.32, 95% CI 1.00–1.73, p=0.0482) and greater post-delivery Edinburgh Postnatal Depression Scale (EPDS) at 5–9 weeks post-delivery (adjusted OR 1.30, 95% CI 1.13–1.50, p=0.0002) were independently associated with the presence of postnatal anxiety and/or depressive disorders (receiver operating characteristic (ROC) = 0.7489). Conclusion Patients with greater pre-delivery neuropathic pain and higher EPDS scores at 5–9 weeks post-delivery are more likely to have postnatal depression and/or anxiety disorders, suggesting possible associations between pain and psychological vulnerability in the development of postnatal mental disorders.

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“…1,2 Consequently, this condition leads to problems-related pregnancy, including low back pain, pelvic girdle pain, sleep disturbance, and mental health problem and during pregnancy. [9][10][11][12][13][14][15] Around 50-70% of pregnant women reported low back pain (LBP) during pregnancy [2][3][4][5] and it was found that their problems start more often in the second trimester (43,23%) 6 and third trimester of pregnancy. 1 LBP during pregnancy is assumed as a reasonable condition worldwide.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

Fatmarizka

Ramadanty

Khasanah

2021

Journal of Public Health for Tropical and Coastal Region

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Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved.

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Neuropathic pain in pregnant Turkish women with lumbopelvic pain and its impact on health-related quality of life

Cited by 5 publications

References 27 publications

Association of Pain Catastrophizing and Depressive States with Multidimensional Early Labor Pain Assessment in Nulliparous Women Having Epidural Analgesia – A Secondary Analysis

Association of Pain Catastrophizing and Depressive States with Multidimensional Early Labor Pain Assessment in Nulliparous Women Having Epidural Analgesia – A Secondary Analysis

Association of Childbirth Pain with Postnatal Depressive and Anxiety Disorders in Nulliparous Parturients: A Prospective Study

Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

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