Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia
Introduction: Caesarean section (CS) rate has increased considerably during the past years, accounting for 15% to 25% of births. During post-CS period, moderate to severe postoperative pain is a regularly reported problem. Ideally, the intensity of postoperative pain should be predicted so as to...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2017-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/10630/25364_CE(RA1)_F(SS)_PF1_(MJ_PY)_PFA(VJ_AP).pdf |
| _version_ | 1818554989051641856 |
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| author | Hanan Hussein Jasim Syed Azhar Bin Syed Sulaiman Amer Hayat Khan Usha A/P S.Rajah |
| author_facet | Hanan Hussein Jasim Syed Azhar Bin Syed Sulaiman Amer Hayat Khan Usha A/P S.Rajah |
| author_sort | Hanan Hussein Jasim |
| collection | DOAJ |
| description | Introduction: Caesarean section (CS) rate has increased
considerably during the past years, accounting for 15% to
25% of births. During post-CS period, moderate to severe
postoperative pain is a regularly reported problem. Ideally, the
intensity of postoperative pain should be predicted so as to
customize analgesia.
Aim: To document the CS rate, assess the pain intensity and
preoperative factors that may predict post caesarean pain
among women in the Obstetric unit of a Hospital Pulau Pinang
in Malaysia.
Materials and Methods: A retrospective chart review of 400
caesarean deliveries was conducted between January 2013
and June 2014. The study encompassed patient’s demographic
data and obstetrics data. The overall pain scores since the time
of surgery (2, 4, 8, 12, 24 and 48 hours postoperatively at rest
and while moving) were assessed by visual analogue scale
(VAS). The data were analyzed by using SPSS software (version
21.0 for Windows).
Results: The results demonstrate that within a 48 hours
postoperative period, the average pain at rest and while moving
was 0.40±0.013 and 0.83±0.017 (VAS score), respectively.
Logistic regression identified that a higher BMI (≥30) (OR 1.056;
95% CI=1.003 to 1.113, p=0.04), an increase in operation time
(> 60 minutes) (OR 1.009; 95% CI=1.000 to 1.018, p=0.049),
Single women (OR 11.597; 95% CI=1.382 to 97.320, p=0.024),
blood group type O (OR 1.857; 95% CI=0.543 to 2.040, p =
0.001) and general anesthesia (OR 3.689; 95% CI=1.653 to
8.232, p=0.001) were found to be independent predictors for
postcaesarean pain intensity.
Conclusion: This study concluded that CS rate is 28% among
women in the obstetric unit of a Hospital Pulau Pinang and the
pain experienced by the study participants was mild. Moreover,
the predictive factors for pain intensity may aid in identifying
patients at greater risk for postoperative pain. This study
concluded that the predictive methods proposed may aid in
identifying patients at greater risk for postoperative pain. |
| first_indexed | 2024-12-12T09:47:21Z |
| format | Article |
| id | doaj.art-3bd1796b21f04e48b924b1a4f15582f5 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-12T09:47:21Z |
| publishDate | 2017-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-3bd1796b21f04e48b924b1a4f15582f52022-12-22T00:28:22ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-09-01119IC07IC1110.7860/JCDR/2017/25364.10630Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of MalaysiaHanan Hussein Jasim0Syed Azhar Bin Syed Sulaiman1Amer Hayat Khan2Usha A/P S.Rajah3Student, Department of Clinical Pharmacy, School of Pharmaceutical Sciences, University Science, Penang, Pulau Pinang, Malaysia.Professor, Department of Clinical Pharmacy, School of Pharmaceutical Sciences, University Science, Penang, Pulau Pinang, Malaysia.Lecturer, Department of Clinical Pharmacy, School of Pharmaceutical Sciences, University Science, Penang, Pulau Pinang, Malaysia.Pain Management Specialist, Department of Anesthesia, Hospital Pulau Pinang, Penang, Pulau Pinang, Malaysia.Introduction: Caesarean section (CS) rate has increased considerably during the past years, accounting for 15% to 25% of births. During post-CS period, moderate to severe postoperative pain is a regularly reported problem. Ideally, the intensity of postoperative pain should be predicted so as to customize analgesia. Aim: To document the CS rate, assess the pain intensity and preoperative factors that may predict post caesarean pain among women in the Obstetric unit of a Hospital Pulau Pinang in Malaysia. Materials and Methods: A retrospective chart review of 400 caesarean deliveries was conducted between January 2013 and June 2014. The study encompassed patient’s demographic data and obstetrics data. The overall pain scores since the time of surgery (2, 4, 8, 12, 24 and 48 hours postoperatively at rest and while moving) were assessed by visual analogue scale (VAS). The data were analyzed by using SPSS software (version 21.0 for Windows). Results: The results demonstrate that within a 48 hours postoperative period, the average pain at rest and while moving was 0.40±0.013 and 0.83±0.017 (VAS score), respectively. Logistic regression identified that a higher BMI (≥30) (OR 1.056; 95% CI=1.003 to 1.113, p=0.04), an increase in operation time (> 60 minutes) (OR 1.009; 95% CI=1.000 to 1.018, p=0.049), Single women (OR 11.597; 95% CI=1.382 to 97.320, p=0.024), blood group type O (OR 1.857; 95% CI=0.543 to 2.040, p = 0.001) and general anesthesia (OR 3.689; 95% CI=1.653 to 8.232, p=0.001) were found to be independent predictors for postcaesarean pain intensity. Conclusion: This study concluded that CS rate is 28% among women in the obstetric unit of a Hospital Pulau Pinang and the pain experienced by the study participants was mild. Moreover, the predictive factors for pain intensity may aid in identifying patients at greater risk for postoperative pain. This study concluded that the predictive methods proposed may aid in identifying patients at greater risk for postoperative pain.https://jcdr.net/articles/PDF/10630/25364_CE(RA1)_F(SS)_PF1_(MJ_PY)_PFA(VJ_AP).pdfcaesarean sectionpostoperative pain assessmentvisual analogue scale |
| spellingShingle | Hanan Hussein Jasim Syed Azhar Bin Syed Sulaiman Amer Hayat Khan Usha A/P S.Rajah Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia Journal of Clinical and Diagnostic Research caesarean section postoperative pain assessment visual analogue scale |
| title | Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia |
| title_full | Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia |
| title_fullStr | Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia |
| title_full_unstemmed | Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia |
| title_short | Factors Affecting Post Caesarean Pain Intensity among Women in the Northern Peninsular of Malaysia |
| title_sort | factors affecting post caesarean pain intensity among women in the northern peninsular of malaysia |
| topic | caesarean section postoperative pain assessment visual analogue scale |
| url | https://jcdr.net/articles/PDF/10630/25364_CE(RA1)_F(SS)_PF1_(MJ_PY)_PFA(VJ_AP).pdf |
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