Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section
Background. Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women’s ability to care for their babies, to effectively breastfeed, and to sati...
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| Veröffentlicht in: | Pain research & management 2016-01, Vol.2016 (2016), p.1-6 |
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| creator | Silva, Thuany Cavalcante Moura, Louise Amália de Pereira, Lilian Varanda Borges, Natalia de Carvalho Pedroso, Charlise Fortunato |
| description | Background. Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women’s ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued. Objective. To investigate the incidence and predicting factors of postoperative pain after cesarean section. Methods. A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain. Results. The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%–80.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22–2.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08–0.66) were significantly associated with moderate-severe postoperative pain report. Conclusion. The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain. |
| doi_str_mv | 10.1155/2016/5783817 |
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Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women’s ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued. Objective. To investigate the incidence and predicting factors of postoperative pain after cesarean section. Methods. A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain. Results. The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%–80.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22–2.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08–0.66) were significantly associated with moderate-severe postoperative pain report. Conclusion. The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain.</description><identifier>ISSN: 1203-6765</identifier><identifier>EISSN: 1918-1523</identifier><identifier>DOI: 10.1155/2016/5783817</identifier><identifier>PMID: 27956847</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adolescent ; Adult ; Analgesics ; Analgesics - therapeutic use ; Analysis of Variance ; Anxiety ; Anxiety - etiology ; Brazil ; Breast feeding ; Cesarean section ; Cesarean Section - adverse effects ; Classification ; Cohort Studies ; Education ; Female ; Hospitals ; Humans ; Incidence ; Mental depression ; Morphine ; Narcotics ; Pain ; Pain Measurement ; Pain, Postoperative ; Pain, Postoperative - complications ; Pain, Postoperative - diagnosis ; Pain, Postoperative - drug therapy ; Pain, Postoperative - epidemiology ; Perceptions ; Postoperative period ; Predictive Value of Tests ; Womens health ; Young Adult</subject><ispartof>Pain research & management, 2016-01, Vol.2016 (2016), p.1-6</ispartof><rights>Copyright © 2016 Natalia de Carvalho Borges et al.</rights><rights>COPYRIGHT 2016 John Wiley & Sons, Inc.</rights><rights>Copyright © 2016 Natalia de Carvalho Borges et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2016 Natalia de Carvalho Borges et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c771t-b98774bbee8105fd51a8744a64be0cb63507103a21a253a92f56ac661354a1923</citedby><cites>FETCH-LOGICAL-c771t-b98774bbee8105fd51a8744a64be0cb63507103a21a253a92f56ac661354a1923</cites><orcidid>0000-0002-1371-0066 ; 0000-0003-4604-0238 ; 0000-0002-9636-2975</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121467/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121467/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,877,885,2101,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27956847$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>White, Fletcher A.</contributor><creatorcontrib>Silva, Thuany Cavalcante</creatorcontrib><creatorcontrib>Moura, Louise Amália de</creatorcontrib><creatorcontrib>Pereira, Lilian Varanda</creatorcontrib><creatorcontrib>Borges, Natalia de Carvalho</creatorcontrib><creatorcontrib>Pedroso, Charlise Fortunato</creatorcontrib><title>Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section</title><title>Pain research & management</title><addtitle>Pain Res Manag</addtitle><description>Background. Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women’s ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued. Objective. To investigate the incidence and predicting factors of postoperative pain after cesarean section. Methods. A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain. Results. The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%–80.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22–2.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08–0.66) were significantly associated with moderate-severe postoperative pain report. Conclusion. The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analgesics</subject><subject>Analgesics - therapeutic use</subject><subject>Analysis of Variance</subject><subject>Anxiety</subject><subject>Anxiety - etiology</subject><subject>Brazil</subject><subject>Breast feeding</subject><subject>Cesarean section</subject><subject>Cesarean Section - adverse effects</subject><subject>Classification</subject><subject>Cohort Studies</subject><subject>Education</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Mental depression</subject><subject>Morphine</subject><subject>Narcotics</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative</subject><subject>Pain, Postoperative - complications</subject><subject>Pain, Postoperative - diagnosis</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Perceptions</subject><subject>Postoperative period</subject><subject>Predictive Value of Tests</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1203-6765</issn><issn>1918-1523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkkuP0zAQgCMEYpeFG2cUCQkhQXc9dvzIBamqeKy0iEXA2Zokk9ZVGhc7KeLf49Cyu0UckA9-ffPZHk-WPQV2DiDlBWegLqQ2woC-l51CCWYGkov7acyZmCmt5En2KMY1YwUYJh5mJ1yXUplCn2afrwM1rh58iHnrQ_7RNxRwoHzw-RfaUaB8Xo9pfu3j4LfTntulGbo-x3agkC8oYiDsE14PzvePswctdpGeHPqz7Nu7t18XH2ZXn95fLuZXs1prGGZVabQuqorIAJNtIwGNLgpURUWsrpSQTAMTyAG5FFjyViqslQIhC4SSi7Pscu9tPK7tNrgNhp_Wo7O_F3xYWgyDqzuyum04awCBcSgaBsY0JZa6FLoFUYFMrjd713asNtTU1A8BuyPp8U7vVnbpd1ZCMiqdBC8PguC_jxQHu3Gxpq7DnvwYLRjJlSq5UQl9_he69mPoU6oSVaiiZJrDLbXE9ADXtz6dW09SO58yk0TF5Dr_B5VaQxtX-55al9aPAl7cCVgRdsMq-m6cPi4eg6_3YB18jIHam2QAs1Pd2anu7KHuEv7sbgJv4D-FloBXe2Dl-gZ_uP_UUWKoxVs6sel24hdDxuU3</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Silva, Thuany Cavalcante</creator><creator>Moura, Louise Amália de</creator><creator>Pereira, Lilian Varanda</creator><creator>Borges, Natalia de Carvalho</creator><creator>Pedroso, Charlise Fortunato</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M3G</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1371-0066</orcidid><orcidid>https://orcid.org/0000-0003-4604-0238</orcidid><orcidid>https://orcid.org/0000-0002-9636-2975</orcidid></search><sort><creationdate>20160101</creationdate><title>Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section</title><author>Silva, Thuany Cavalcante ; Moura, Louise Amália de ; Pereira, Lilian Varanda ; Borges, Natalia de Carvalho ; Pedroso, Charlise Fortunato</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c771t-b98774bbee8105fd51a8744a64be0cb63507103a21a253a92f56ac661354a1923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analgesics</topic><topic>Analgesics - therapeutic use</topic><topic>Analysis of Variance</topic><topic>Anxiety</topic><topic>Anxiety - etiology</topic><topic>Brazil</topic><topic>Breast feeding</topic><topic>Cesarean section</topic><topic>Cesarean Section - adverse effects</topic><topic>Classification</topic><topic>Cohort Studies</topic><topic>Education</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Mental depression</topic><topic>Morphine</topic><topic>Narcotics</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative</topic><topic>Pain, Postoperative - complications</topic><topic>Pain, Postoperative - diagnosis</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Perceptions</topic><topic>Postoperative period</topic><topic>Predictive Value of Tests</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva, Thuany Cavalcante</creatorcontrib><creatorcontrib>Moura, Louise Amália de</creatorcontrib><creatorcontrib>Pereira, Lilian Varanda</creatorcontrib><creatorcontrib>Borges, Natalia de Carvalho</creatorcontrib><creatorcontrib>Pedroso, Charlise Fortunato</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Pain research & management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva, Thuany Cavalcante</au><au>Moura, Louise Amália de</au><au>Pereira, Lilian Varanda</au><au>Borges, Natalia de Carvalho</au><au>Pedroso, Charlise Fortunato</au><au>White, Fletcher A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section</atitle><jtitle>Pain research & management</jtitle><addtitle>Pain Res Manag</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>2016</volume><issue>2016</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>1203-6765</issn><eissn>1918-1523</eissn><abstract>Background. Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women’s ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued. Objective. To investigate the incidence and predicting factors of postoperative pain after cesarean section. Methods. A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain. Results. The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%–80.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22–2.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08–0.66) were significantly associated with moderate-severe postoperative pain report. Conclusion. The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>27956847</pmid><doi>10.1155/2016/5783817</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1371-0066</orcidid><orcidid>https://orcid.org/0000-0003-4604-0238</orcidid><orcidid>https://orcid.org/0000-0002-9636-2975</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Analgesics Analgesics - therapeutic use Analysis of Variance Anxiety Anxiety - etiology Brazil Breast feeding Cesarean section Cesarean Section - adverse effects Classification Cohort Studies Education Female Hospitals Humans Incidence Mental depression Morphine Narcotics Pain Pain Measurement Pain, Postoperative Pain, Postoperative - complications Pain, Postoperative - diagnosis Pain, Postoperative - drug therapy Pain, Postoperative - epidemiology Perceptions Postoperative period Predictive Value of Tests Womens health Young Adult |
| title | Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section |
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