Investigating the association factors of acute postpartum pain: a cohort study
Abstract Background Labor pain intensity is known to predict persistent postpartum pain, whereas acute postpartum pain may interfere with maternal postpartum physical, mental, and emotional well-being. Nevertheless, there is little research studying the association between labor pain intensity and a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-023-02214-w |
| _version_ | 1797769375165448192 |
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| author | Chin Wen Tan Nicole Y-Kit Tan Rehena Sultana Hon Sen Tan Ban Leong Sng |
| author_facet | Chin Wen Tan Nicole Y-Kit Tan Rehena Sultana Hon Sen Tan Ban Leong Sng |
| author_sort | Chin Wen Tan |
| collection | DOAJ |
| description | Abstract Background Labor pain intensity is known to predict persistent postpartum pain, whereas acute postpartum pain may interfere with maternal postpartum physical, mental, and emotional well-being. Nevertheless, there is little research studying the association between labor pain intensity and acute postpartum pain. This study investigated the associations between labor pain intensity and psychological factors with acute postpartum pain. Methods We included women with American Society of Anesthesiologists (ASA) physical status II, having ≥ 36 gestational weeks and a singleton pregnancy. We investigated the association between labor pain intensity (primary exposure) and high acute postpartum pain at 0 to 24 h after delivery (Numeric Rating Scale (NRS) ≥ 3 of 10; primary outcome). Pre-delivery questionnaires including Angle Labor Pain Questionnaire (A-LPQ), Pain Catastrophizing Scale (PCS), Fear Avoidance Components Scale (FACS) and State Trait Anxiety Inventory (STAI) were administered. Demographic, pain, obstetric and neonatal characteristics were also collected accordingly. Results Of the 880 women studied, 121 (13.8%) had high acute postpartum pain at 0 to 24 h after delivery. A-LPQ total, PCS, FACS and STAI scores were not significantly associated with acute postpartum pain. Greater A-LPQ subscale on birthing pain (adjusted odds ratio (aOR) 1.03, 95% CI 1.01–1.05, p = 0.0008), increased blood loss during delivery (for every 10ml change; aOR 1.01, 95% CI 1.00–1.03, p = 0.0148), presence of shoulder dystocia (aOR 10.06, 95% CI 2.28–44.36, p = 0.0023), and use of pethidine for labor analgesia (aOR 1.74, 95% CI 1.07–2.84, p = 0.0271) were independently associated with high acute postpartum pain. “Sometimes” having nausea during menstruation before current pregnancy (aOR 0.34, 95% CI 0.16–0.72, p = 0.0045) was found to be independently associated with reduced risk of high acute postpartum pain. Conclusions Pre-delivery pain factor together with obstetric complications (shoulder dystocia, blood loss during delivery) were independently associated with high acute postpartum pain. Trial registration This study was registered on clinicaltrials.gov registry (NCT03167905) on 30/05/2017. |
| first_indexed | 2024-03-12T21:07:04Z |
| format | Article |
| id | doaj.art-865866c5adb94dfdb3eeb76421027e12 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-03-12T21:07:04Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-865866c5adb94dfdb3eeb76421027e122023-07-30T11:23:22ZengBMCBMC Anesthesiology1471-22532023-07-0123111010.1186/s12871-023-02214-wInvestigating the association factors of acute postpartum pain: a cohort studyChin Wen Tan0Nicole Y-Kit Tan1Rehena Sultana2Hon Sen Tan3Ban Leong Sng4Department of Women’s Anesthesia, KK Women’s and Children’s HospitalDuke-NUS Medical SchoolCenter for Quantitative Medicine, Duke-NUS Medical SchoolDepartment of Women’s Anesthesia, KK Women’s and Children’s HospitalDepartment of Women’s Anesthesia, KK Women’s and Children’s HospitalAbstract Background Labor pain intensity is known to predict persistent postpartum pain, whereas acute postpartum pain may interfere with maternal postpartum physical, mental, and emotional well-being. Nevertheless, there is little research studying the association between labor pain intensity and acute postpartum pain. This study investigated the associations between labor pain intensity and psychological factors with acute postpartum pain. Methods We included women with American Society of Anesthesiologists (ASA) physical status II, having ≥ 36 gestational weeks and a singleton pregnancy. We investigated the association between labor pain intensity (primary exposure) and high acute postpartum pain at 0 to 24 h after delivery (Numeric Rating Scale (NRS) ≥ 3 of 10; primary outcome). Pre-delivery questionnaires including Angle Labor Pain Questionnaire (A-LPQ), Pain Catastrophizing Scale (PCS), Fear Avoidance Components Scale (FACS) and State Trait Anxiety Inventory (STAI) were administered. Demographic, pain, obstetric and neonatal characteristics were also collected accordingly. Results Of the 880 women studied, 121 (13.8%) had high acute postpartum pain at 0 to 24 h after delivery. A-LPQ total, PCS, FACS and STAI scores were not significantly associated with acute postpartum pain. Greater A-LPQ subscale on birthing pain (adjusted odds ratio (aOR) 1.03, 95% CI 1.01–1.05, p = 0.0008), increased blood loss during delivery (for every 10ml change; aOR 1.01, 95% CI 1.00–1.03, p = 0.0148), presence of shoulder dystocia (aOR 10.06, 95% CI 2.28–44.36, p = 0.0023), and use of pethidine for labor analgesia (aOR 1.74, 95% CI 1.07–2.84, p = 0.0271) were independently associated with high acute postpartum pain. “Sometimes” having nausea during menstruation before current pregnancy (aOR 0.34, 95% CI 0.16–0.72, p = 0.0045) was found to be independently associated with reduced risk of high acute postpartum pain. Conclusions Pre-delivery pain factor together with obstetric complications (shoulder dystocia, blood loss during delivery) were independently associated with high acute postpartum pain. Trial registration This study was registered on clinicaltrials.gov registry (NCT03167905) on 30/05/2017.https://doi.org/10.1186/s12871-023-02214-wLabor painPostpartum painLabor analgesia |
| spellingShingle | Chin Wen Tan Nicole Y-Kit Tan Rehena Sultana Hon Sen Tan Ban Leong Sng Investigating the association factors of acute postpartum pain: a cohort study BMC Anesthesiology Labor pain Postpartum pain Labor analgesia |
| title | Investigating the association factors of acute postpartum pain: a cohort study |
| title_full | Investigating the association factors of acute postpartum pain: a cohort study |
| title_fullStr | Investigating the association factors of acute postpartum pain: a cohort study |
| title_full_unstemmed | Investigating the association factors of acute postpartum pain: a cohort study |
| title_short | Investigating the association factors of acute postpartum pain: a cohort study |
| title_sort | investigating the association factors of acute postpartum pain a cohort study |
| topic | Labor pain Postpartum pain Labor analgesia |
| url | https://doi.org/10.1186/s12871-023-02214-w |
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