DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162981

Nature and characteristics of after pain among postnatal mothers admitted in a tertiary care hospital in South India

Smitha P. Namboothiri, Lekha V iswanath

Abstract


Background: All postnatal mothers experience pain in some form or the another. Crampy pain in the abdomen known as after pain is a determinant of the uterine involution which is more evident clinically in the first four days postpartum. The present study emerged with a view to study the nature and characteristics of after pain among postnatal mothers at a tertiary care hospital in South India.

Methods: A prospective survey design was used for the study. Quota sampling was used to select 100 postnatal mothers, 50 mothers who had caesarean section and 50 mothers who had vaginal delivery. The mothers were enrolled for the study consecutively in 12-24 hours postpartum till the required sample size was obtained in both the groups. A demographic proforma was designed to collect the background information. The characteristics of after pain were assessed using numerical pain rating scale every 24 hours in the first three postpartum days.

Results: The mean scores of pain on the first three postpartum days among mothers after vaginal delivery were 2.84, 2.1 and 0.84 respectively and for mothers after caesarean section were 1.6, 1.66 and 0.74 respectively. The scores were greatest on the first postpartum day. No association was found between after pain and variables like mode of delivery and age of the mother. It was found that after pain had an association with with parity on the first and third postpartum days.

Conclusions: Since after pain is an indicator of uterine involution, strict protocols should be established in maternity care units for a comprehensive assessment of after pain.

Keywords


Nature, Characteristics, After pain, Postnatal mother

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References


Petrenko N. Postpartum physiology. Nursing care of the Postpartum Woman. Transition to parenthood, 2012. Available at: http://intranet.tdmu.edu.ua/data/kafedra/internal/ginecology2/classes_stud/en/nurse/bsn/ptn/4/Nursing%20Care%20of%20Childbearing%20Family_Practicum/20.%20Postpartum%20physiology.%20Nursing%20care%20of%20the%20Postpartum%20Woman.htm. Accessed on 6 June 2016.

Sampson KR, Creehan PA. Perinatal nursing. Lippincott Williams; 2nd ed. New York. 2009:445-502.

Negishi H, Kishida T, Yamada H, Hirayama E, Mikuni M, Fujimoto S. Changes in uterine size after vaginal delivery and cesarean section determined by vaginal sonography in the puerperium. Arch Gynaecol Obstet.1999;263(1-2):13-6.

Olayemi O, Omigbodun AA, Obajimi MO, Odukogbe AA, Agunloye AM, Aimakhu CO, et al. Ultrasound assessment of the effect of parity on postpartum uterine involution. J Obstet Gynaecol. 2002;22(4):381-4.

Kurmanavicius JFS, Zimmermann R, von Mandach U. Puerperal symphysis fundus distance: normal values. J Perinat Med. 2010;38(2):173-7.

Lothian JA. The birth of a breastfeeding baby and mother. J Perinat Educ. 2005;14(1):42-5.

Tafazoli M, Khadem M. Assessment of factors affecting after pain in multiparous women delivered at Mashhad 17-Shahrivar Hospital, Mashhad, Iran J Mid W Hea. 2014;2(1):60-5.

Eisenach JC, Pan PH, Smiley R, Home PL, Landau R, Houle TT. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression pain. 2008;140(1):87-94.

Holbrook JH, Haselton MG, Schetter CD, Glynn LM. Does breastfeeding offer protection against maternal depressive symptomatology?A prospective study from pregnancy to 2 years after birth. Arch Womens Ment Health. 2013;16(5):10.

Chowdhury R, Sinha B, Sankar MJ, Taneja S, Bhandari N, Rollins N, et al. Breastfeeding and maternal health outcomes: a systematic review and meta-analysis. Acta Padiatr. 2015;104(Suppl 467):96-113.

Jangsten E, Strand R, de Freitas EDG, Hellstrom AL, Johansson A, Bergstrom S. Women’s perceptions of pain and discomfort after childbirth in Angola. Afr J Reprod Health. 2005;9(3):148-58

Stainton MC, Edwards S, Jones B, Switonski C. The Nature of Maternal Postnatal Pain. J Perinat Educ. Spring. 1999;8(2):1-10.

Holdcroft A, Snidvongs S, Cason A, Doré CJ, Berkley KJ. Pain and uterine contractions during breast feeding in the immediate post-partum period increase with parity. Pain. 2003;104(3):589-96.

Lowdermilk. Perry. Maternity Nusing. Elsevier. 7th ed. NY. 2008:455-56.

Murray SS. McKinney ES. Foundations of Maternal-Newborn Nursing. 4th ed. NY. 2001:395.

Dimitrov A, Nikolov A, Nashar S, Mikhova M, Pavlova E, Krŭsteva K. Puerperal uterine involution according to the method of delivery. Akush Ginecol. 2007;46(9):14-8.

Wen L, Hilton G, Carvalho B. The impact of breastfeeding on postpartum pain after vaginal and cesarean delivery. J Clin anesth .2015;27(1):33-8.

Murray A, Holdcroft A, Incidence and intensity of Postpartum lower Abdominal pain. BMJ. 1989;1:298.

Galli D, Groce P, Chiapparini I, Dedé A. Ultrasonic evaluation of the uterus during puerperium. Minerva Gynaecol.1993;45(10):473-8.

Olds. London. Ladewig. Maternal newborn nursing. Prentice Hall. 6th ed: 911

Declercq E, Cunningham DK, Johnson C, Sakala C. Mothers' reports of postpartum pain associated with vaginal and cesarean deliveries: results of a national survey. Birth. 2008;35(1):16-24.