(Medistate Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye)
(Adana Şehir Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Adana, Türkiye)
Yıl: 2021Cilt: 4Sayı: 1ISSN: 2636-8579Sayfa Aralığı: 1 - 6İngilizce

101 0
Characteristics of post cesarean section pain
Aim: The aim of this study was to analyze the characteristics of postoperative pain in patients undergoing cesarean delivery for elective orurgent reasons.Material and Method: This study is an observational descriptive cross-sectional analysis involving 78 patients who underwent cesareandelivery. Visual pain scale (VAS) scores of 78 patients were evaluated in the first 6 hours and the patients were asked about the characteristicdescriptions of the pain.Results: Mean VAS scores in the first 6 hours postoperatively were 5.56±1.31. Body localizations where the patients feel pain were 7.7% inthe incision site, 14.1% under the umbilicus, 23.1% in the whole abdominal region, 50% on the right side of the incision, 1.3% on the leftside of the incision and 3.8% on both sides of the incision. There was no statistically significant difference between the location of pain andthe number of cesarean sections (p>0.05). There was a statistically significant relationship between the postoperative mobilization hours andthe patients’ satisfaction scores (p<0.05).Conclusion: Treatment of the post-cesarean pain is very important for the recovery process of the mother and the development of the earlybond between the mother and the infant. If the post-cesarean delivery pain is identified, evaluated and its characteristics are determined,appropriate interventions can be made to reduce or eliminate the pain.
DergiAraştırma MakalesiErişime Açık
  • 1. Yanıkkerem UE, Kitapçıoğlu G, Karadeniz G. Women’s view of birth methods, experience and satisfaction. Fırat Sağlık Hizmetleri Derg 2010; 5: 107-23.
  • 2. Yanıkkerem UE, Göker A, Nicole Piro N. Women’s opinions about mode of delivery and satisfaction with hospital care after cesarean delivery. Selçuk Tıp Derg 2013; 29: 75-81.
  • 3. Çapık A, Sakar T, Yıldırım N, Karabacak K, Korkut M. Determining the satisfaction levels of the mothers according to their mode of birth. Anadolu Hemşirelik ve Sağlık Bilimleri Derg 2016; 19: 92-9.
  • 4. Pınar G, Doğan N, Algıer L, Kaya N, Çakmak F. Factors that affecting mothers’ postnatal comfort. Dicle Tıp Derg 2015; 36: 184-190.
  • 5. Brown AK, Christo PJ, Wu CL. Strategies for postoperative pain management. Best Pract Res Clin Anaesthesiol 2004; 18: 703-17.
  • 6. Shea RA, Brooks JA, Dayhoff NE, Keck J. Pain intensity and postoperative pulmonary complications among the elderly after abdominal surgery. Heart & Lung: J Acute Crit Care 2002; 31: 440-9.
  • 7. Wang H-L, Keck JF. Foot and hand massage as an intervention for postoperative pain. Pain Manag Nurs 2004; 5: 59-65.
  • 8. Huang SY, Sheu SJ, Tai CJ, Chiang CP, Chien LY. Decisionmaking process for choosing an elective cesarean delivery among primiparas in Taiwan. Matern Child Health J 2013; 17: 842–51.
  • 9. Henriksen L, Grimsrud E, Schei B, Lukasse M. Factors related to a negative birth experience - A mixed methods study. Midwifery 2017; 51: 33-9.
  • 10. Villar J, Valladares E, Wojdyla D, et al. Cesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America. Lancet 2006; 367:1819-29.
  • 11. Eyi EGY, Mollamahmutoglu L. An analysis of the high cesarean delivery rates in Turkey by Robson classification. J Matern Fetal Neonatal Med 2019; 1: 1-11.
  • 12. Güngör I, Kızılkaya Beji N. Development and psychometric testing of the scales for measuring maternal satisfaction in normal and cesarean birth. Midwifery 2012; 28: 348-5.
  • 13. Saunders WB. Cesarean Delivery, High Risk Pregnancy. 2nd ed. Harcourt Publishers Limited. 1999; 1: 10-2.
  • 14. Klopfenstein CE, Herrmann F, Mamie C, Van Gessel E, Forster A. Pain intensity and pain relief after surgery. Acta Anaesthesiol Scand 2000; 44: 58-62.
  • 15. D’Arcy YM. Pain management: Evidence-based tools and techniques for nursing professionals: marblehead, MA: Hcpro Incorporated 2007; 2: 164.
  • 16. Duncan GH, Bushnell MC, Lavigne GJ. Comparison of verbal and visual analogue scales for measuring the intensity and unpleasantness of experimental pain. Pain 1989; 37: 295-303.
  • 17. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986; 27: 117-26.
  • 18. D’Arcy YM. Pain assessment in medical-legal aspects of pain and suffering. Lawyers & Judges Publishing Company. 2003.
  • 19. Olofsson CI, Legeby MH, Nygards EB, Ostman KM. Diclofenac in the treatment of pain after cesarean delivery. An opioid-saving strategy. Eur J Obstet Gynecol Reprod Biol 2000; 88: 143-6.
  • 20. Valente SM. Hypnosis for pain management. J Psychosoc Nurs Ment Health Serv 2006; 44: 22-30.
  • 21. Coll MA, Jemel RM, Mead D. Postoperative pain assesment tools in day surgery: literature review. J Adv Nurs 2004; 46: 2.
  • 22. Ngan Kee W, Khaw K, Wong E. Randomised double-blind comparison of morphine vs. a morphine–alfentanil combination for patient controlled analgesia. Anaesthesia 1999; 54: 629-33.
  • 23. Vijayan R, Delilkan A. First years’s experience with an acute pain service–University Hospital Kuala Lumpur. Med J Malaysia 1994; 49: 385-400.
  • 24. Taenzer P, Melzack R, Jeans ME. Influence of psychological factors on postoperative pain, mood and analgesic requirements. Pain 1986; 24: 331-42.
  • 25. Boyle P, Parbrook GD. The interrelation of personality and postoperative factors. Br J Anaesth 1977; 49: 259-64.
  • 26. Chung F, Ritchie E, Su J. Postoperative pain in ambulatory surgery. Anesth Analg 1997; 85: 808-16.
  • 27. Fecho K, Miller NR, Merritt SA, et al. Acute and persistent postoperative pain after breast surgery. Pain Med 2009; 10: 708- 15.
  • 28. Kessous R, Weintraub AY, Wiznitzer A, et al. Spinal versus general anesthesia in cesarean deliverys: the effects on postoperative pain perception. Arch Gynecol Obstet 2012; 286: 75-9.
  • 29. Gonano C, Leitgeb U, Sitzwohl C, Ihra G, Weinstabl C, Kettner SC. Spinal versus general anesthesia for orthopedic surgery: Anesthesia drug and supply costs. Anesth Analg 2006; 102: 524-9.
  • 30. SousaI L, Pitangui ACR, Gomes FA, Nakano AMS, Ferreira CHJ. Measurement and characteristics of post-cesarean delivery pain and the relationship to limitation of physical activities. Acta Paul Enferm 2009; 22: 6.
  • 31. Astepe BS. The relationship between preoperative anxiety level and postoperative pain in patients with cesarean delivery. Kocaeli Med J 2018; 7: 64-9.
  • 32. Niven C. How helpful is the presence of the husband at childbirth? J Reprod Infant Psychol 1985; 3: 45-53.
  • 33. Granot M, Lowenstein L, Yarnitsky D, Tamir A, Zimmer EZ. Postcesarean delivery pain prediction by preoperative experimental pain assessment. Anesthesiology 2003; 98: 142-226.

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.