PERINEAL PAIN RELIEF THERAPIES AFTER POSTPARTUM

ABSTRACT Objective: identifying therapies for treating perineal pain after vaginal birth and to verify indication, technique and duration of local cooling. Method: an exploratory study (survey) conducted in 32 public maternity hospitals in the city of São Paulo (Brazil). A nurse or midwife who provided direct care to the woman was interviewed in each maternity ward. We investigated: institutional characterization, professional qualification, pain relief method, criterion for administration of therapies, indication, contraindication, method, local cooling technique and interval. A descriptive analysis was also carried out. Results: pharmacological and non-pharmacological methods were used for perineal pain relief, despite the use of non-pharmacological therapies not having protocols in these institutions. Among the pharmacological-based methods, analgesics and anti-inflammatories were the most common. Local cooling was the most used non-pharmacological method, and its main indication was perineal edema. Application time and local cooling interval ranged from 10-30 min and 3-8 h, respectively. Ice cubes in latex gloves were the main cooling technique. Conclusion: drug therapies predominated for control of perineal pain. Considering the advantages of non-pharmacological therapies, it is necessary to develop protocols to ensure their safe and effective use in maternity care.

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LABOR ANALGESIA IN KIEV (UKRAINE)

Pain anesthesia and intensive care ◽

10.25284/2519-2078.2(95).2021.238306 ◽

2021 ◽

pp. 39-46

Author(s):

I. Kuchyn ◽

D. Govsieiev ◽

K. Bielka ◽

A. Romanenko

Keyword(s):

Pain Relief ◽

Epidural Analgesia ◽

Local Level ◽

The United States ◽

Labor Analgesia ◽

Labor Pain ◽

Maternity Hospitals ◽

Quality Of Medical Care ◽

Pharmacological Method ◽

The Uk

The problem of a labor pain is becoming very important for health care because insufficient analgesia for women during childbirth affects the quality of medical care. The complexity of the use in the system and approaches to providing care to citizens in Ukraine, and at the local level – the interaction of the obstetrician with the women, anaesthetist and also the technical capabilities of public maternity hospitals [1]. For the last decade, epidural analgesia has been the «golden» method in labor analgesia. We searched numerous meta-analyzes about pain management during labor and delivery in the United States, they prefer epidural analgesia in 80-90% of women, while in the UK - 36% [2, 3]. Statistics from around the world indicate a relationship between pain relief and income levels, so in high-income countries, (HICs) women are more likely to be anesthetized during childbirth than in South Africa or Asia [4]. Although childbirth is a physiological and natural process, it needs pain relief. Nowadays a woman’s desire is a sufficient indication for labor analgesia, and this is her right [5]. The problem is to choose a pharmacological and / or non-pharmacological method of analgesia for a particular woman, which will be best for the parturient. It should be noted that there is a separate group of women who choose to give birth at home to reduce the «aggression» of medical staff against women and her child, but they have a higher incidence of complications and increased mortality [6]. «Homebirth» in maternity hospitals helps to solve this problem. A comprehensive questionnaire was created among seven state maternity hospitals in Kyiv to identify the current situation with the provision of maternity care and to analyze the main issues of labor analgesia in Kyiv.

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The Psychoprophylactic Method of Painless Childbirth in Socialist Czechoslovakia: from State Propaganda to Activism of Enthusiasts

Medical History ◽

10.1017/mdh.2016.59 ◽

2016 ◽

Vol 60 (4) ◽

pp. 534-556 ◽

Cited By ~ 3

Author(s):

Ema Hrešanová

Keyword(s):

Pain Relief ◽

Scientific Method ◽

Communist Regime ◽

The West ◽

Medical Journals ◽

History Of ◽

English Speaking ◽

The 1960S ◽

Pharmacological Method ◽

Insight Into

This paper explores the history of the ‘psychoprophylactic method of painless childbirth’ in socialist Czechoslovakia, in particular, in the Czech and Moravian regions of the country, showing that it substantially differs from the course that the method took in other countries. This non-pharmacological method of pain relief originated in the USSR and became well known as the Lamaze method in western English-speaking countries. Use of the method in Czechoslovakia, however, followed a very different path from both the West, where its use was refined mainly outside the biomedical frame, and the USSR, where it ceased to be pursued as a scientific method in the 1950s after Stalin’s death. The method was imported to Czechoslovakia in the early 1950s and it was politically promoted as Soviet science’s gift to women. In the 1960s the method became widespread in practice but research on it diminished and, in the 1970s, its use declined too. However, in the 1980s, in the last decade of the Communist regime, the method resurfaced in the pages of Czechoslovak medical journals and underwent an exciting renaissance, having been reintroduced by a few enthusiastic individuals, most of them women. This article explores the background to the renewed interest in the method while providing insight into the wider social and political context that shaped socialist maternity and birth care in different periods.

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Gloves Perforations in Minor Oral Surgical Procedures: A Comparison of Latex and Nitrile Gloves

Journal of The Pakistan Dental Association ◽

10.25301/jpda.302.103 ◽

2021 ◽

Vol 30 (02) ◽

pp. 103-106

Author(s):

Ajeet Kumar ◽

◽

Naveed Iqbal ◽

Javaria Farooq ◽

Saad Uddin Siddiqui

Keyword(s):

Local Anesthesia ◽

Surgical Procedures ◽

Statistical Significance ◽

Descriptive Analysis ◽

P Value ◽

Dominant Hand ◽

Chi Square ◽

Oral Surgical Procedures ◽

Latex Gloves ◽

Chi Square Test

OBJECTIVE: This study was performed to compare incidence of perforations in Latex and Nitrile examination gloves during Minor Oral surgical procedures performed under local anesthesia. METHODOLOGY: 100 pairs of latex and 100 pairs of Nitrile examination gloves where used to perform 200 minor oral surgical procedures under local anesthesia. After completion of every minor oral surgical procedure each gloves was examined by Water Inflation method to observe presence or absence of Perforations. A data sheet was used to collect data including type of Gloves used (Latex or Nitrile) presence of perforations, sites of perforations and nature of minor oral surgical procedures. Data was entered and analyzed using SPSS version 20. Descriptive analysis was conducted to calculate frequency and percentages of Number and sites of perforations for both Nitrile and latex examination gloves. Chi Square test was used to find out statistical significance of difference of perforations rate between Nitrile and Latex gloves. P value of < 0.05 was considered significant. RESULTS: Out of 200 latex gloves 23 (11.5) had 29 perforations whereas out of total 200 Nitrile gloves 28 (14%) had 22 perforations. Nitrile gloves had a statistically significant higher rate of perforations as compared to Latex gloves. (P value 0.043). For both Nitrile and Latex gloves left non dominant hand had highest frequency of perforations Latex 18 (81.81%) perforations and Nitrile 18(62.06%). Index finger and thumb were most frequent sites of perforations in both Latex and Nitrile gloves. CONCLUSION: Gloves perforations were more common in Nitrile examination gloves however total number of perforations was more in Latex examination gloves.

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The Difference Of Pain Labour Level With Counter Pressure And Abdominal Lifting On Primigravida In Active Phase of First Stage Labor

Journal of Midwifery ◽

10.25077/jom.3.2.45-52.2018 ◽

2018 ◽

Vol 3 (2) ◽

pp. 45

Author(s):

Tuti Oktriani ◽

Ermawati Ermawati ◽

Hafni Bachtiar

Keyword(s):

Pain Relief ◽

Active Phase ◽

Pharmacologic Therapy ◽

P Value ◽

Gate Control Theory ◽

Counter Pressure ◽

Post Test ◽

Gate Control ◽

The Difference ◽

Pharmacological Method

Nowadays many methods are offered to reduce pain in labor, both pharmacological (using drugs) and non pharmacological methods. If possible the choice of non-pharmacologic therapy for the management of pain in pregnancy and labor should be considered before using analgesic drugs. One of an effective non-pharmacological method to reduce pain is with massage. The basis of this theory is the gate control theory proposed by Melzak and Wall (Lliadou, 2009).This study aimed to analyze diference of pain relief on active phase of labour with Counter Pressure and abdominal Lifting. This was an experimental with pre test and post test design. The samples were 42 women on their active phase of labor, 21 women for counter Pressure technic and 21 women for Abdominal Lifting technic. Counter Pressure technic decreased pain of labor with a P-value 0.015 (p<0.05) and abdominal lifting technic significantly decreased pain of labour with a P-value 0.001. Abdominal lifting technic (P 0,001) more effective than counter pressure technic (P 0,015) for pain relief in active phase of labour.

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Looking Beyond Caseload Numbers for Long-Term Home-Care Case Managers

Care Management Journals ◽

10.1891/1521-0987.3.1.2 ◽

2001 ◽

Vol 3 (1) ◽

pp. 2-7 ◽

Cited By ~ 4

Author(s):

Elizabeth Diem ◽

Denise Alcock ◽

Elaine Gallagher ◽

Douglas Angus ◽

Jennifer Medves

Keyword(s):

Home Care ◽

Care Management ◽

Case Managers ◽

Outcome Studies ◽

Direct Care ◽

A Value ◽

Indirect Care ◽

Management Functions ◽

Effective Use

Determining the best use of case managers’ time is difficult both because of the great variability in the factors and the lack of outcome studies. In place of the outcome studies, the responses to focus group questions of 89 experienced case managers from across Canada were used to indicate a value for case management functions in the areas of direct care, indirect care management, and program management. The case managers identified greater value for direct care with clients and families who are new to home care or who have complex problems in comparison to clients in more stable or manageable situations. Case managers were frustrated by the lack of agency and community policies and resources to allow case managers to properly support people in their homes. The case managers valued addressing problems on a program or community basis rather than the usual case-by-case. Although preliminary, the approach could be useful in assessing the efficient and effective use of a scarce resource, case managers’ time.

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Sacrococcygeal Rhizotomy for Perineal Pain

Neurosurgery ◽

10.1227/00006123-198611000-00012 ◽

1986 ◽

Vol 19 (5) ◽

pp. 789-793 ◽

Cited By ~ 23

Author(s):

C. Saris Stephen ◽

M. Silver Jon ◽

F. S. Vieira Jose ◽

S. Nashold Blaine

Keyword(s):

Chronic Pain ◽

Pain Relief ◽

Perineal Pain ◽

Nonmalignant Pain ◽

Good Pain Relief

Abstract Chronic pain in the perineum is a difficult neurosurgical problem. This article evaluates the effectiveness of sacrococcygeal rhizotomy in 28 patients who had cancer-related pain or coccydynia, underwent rhizotomy, and were followed for an average of 3 years. Good pain relief was obtained in 53% (10 of 19 patients) with malignant pain, as opposed to 22% (2 of 9 patients) with nonmalignant pain. Sacral rhizotomy is a reasonable treatment for cancer-related perineal pain, but it is ineffective for coccydynia and other benign perineal pain problems.

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Paracetamol vs dexketoprofen for perineal pain relief after episiotomy or perineal tear

Journal of Obstetrics and Gynaecology ◽

10.3109/01443615.2013.828026 ◽

2013 ◽

Vol 34 (1) ◽

pp. 25-28 ◽

Cited By ~ 5

Author(s):

A. Akil ◽

O. Api ◽

Y. Bektas ◽

A. Onan Yilmaz ◽

S. Yalti ◽

...

Keyword(s):

Pain Relief ◽

Perineal Pain ◽

Perineal Tear

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The Effect of Olive Oil and Honey Combination on Episiotomy Wound Healing and Pain Relief: A Randomized Clinical Trial

Current Women s Health Reviews ◽

10.2174/1573404816666200123111718 ◽

2020 ◽

Vol 16 (2) ◽

pp. 145-151

Author(s):

Arezoo Shayan ◽

Hadis Sourinezhad ◽

Fariba Barzegar ◽

Hassan Ahmadinia ◽

Zahra Masoumi ◽

...

Keyword(s):

Clinical Trial ◽

Wound Healing ◽

Pain Relief ◽

Pain Intensity ◽

Olive Oil ◽

Randomized Clinical Trial ◽

Intervention Group ◽

Perineal Pain ◽

Control Group ◽

Primiparous Women

Background: Episiotomy is one of the most common surgical procedures in the world that is associated with perineal pain and can be exposed to infection, or might be healed with delay. Objective: The aim of this study was to investigate the effects of honey-olive oil combination on episiotomy wound healing and pain relief in primiparous women. Methods: This single-blind, parallel randomized clinical trial (IRCT20120215009014N208) was conducted on 80 primiparous women. They were allocated randomly to each of the groups through random allocation rule: 40 in honey-olive oil group and 40 in the control group. Every 12 hours and for 14 days, the treatment group used about 1 inch of the cream on the wound area. Pain intensity and wound healing were measured by REEDA Scale and Visual Analogue Scale on days 7, 10, and 14 in both groups. The statistical analyst was not informed about the allocation of the groups. A significant level of 0.05 was considered. Results: There was a significant difference between healing score and pain intensity between the two groups on 7th, 10th and 14th postpartum days (p <0.05). Wound healing occurred much faster (Scores on days 7,10, and 14 were 11.25±2.13, 7.47±1.96 and 4.95±1.53 in the control group and 4.45±1.25, 2.32±.69 and 10±.30 in the intervention group, p <0.05). Moreover, pain intensity was significantly relieved in those who used Honey and olive oil cream (the scores were 5.6750±1.43, 3.3500±1.52, 2.2250±1.34 in the control group and 1.9750±1.52, .2250±.57, .0250±.15 in the intervention group, p<0.05). Conclusion: Using honey and olive oil combination improves episiotomy wound healing and also relieves its’ associated pain.

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Students’ Perceptions and Attitudes about the Use of YouTube in Learning French Language

University of Sharjah Journal for Humanities and Social Sciences ◽

10.36394/jhss/18/1b/13 ◽

2021 ◽

Vol 18 (1B) ◽

pp. 25-52

Author(s):

Marian Al-Jallad

Keyword(s):

Language Acquisition ◽

Language Learning ◽

Undergraduate Students ◽

Descriptive Analysis ◽

French Language ◽

Perceptions And Attitudes ◽

Complete Study ◽

Youtube Videos ◽

Effective Use ◽

The University

Abstract: The present study aims to study the University of Sharjah students’ perceptions and attitudes about the use of YouTube in learning French language. It also attempts to shed light on the UOS students’ preferred types of YouTube videos and their usefulness in learning French language. A purposive questionnaire was designed and sent out to 69 undergraduate students from different disciplines who were enrolled in the French language course. The findings of this study showed that there is a significant trend in the overall use of YouTube for French language learning by the UOS students from different disciplines, constituting 64% of the respondents. The study also demonstrated that videos available on YouTube can be useful for language learning purposes. 49% of the respondents reported improvement in their French language skills (Grammar, Vocabulary, and Pronunciation) and 57% of the respondents believed that YouTube videos enable them to complete study tasks more quickly. Videos of Automobiles, pets & animals, sports and news were among the most preferred categories of videos watched by the respondents. The data was analyzed based on descriptive analysis using the SPSS Software. The findings of this study can further motivate university language educators to make effective use of YouTube videos in classroom to reinforce the students’ language acquisition skills. Keywords: YouTube, Perceptions, UOS, Attitudes, French Language, Acquisition.

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