scholarly journals Pain Intensity among Women with Post-Caesarean Section: A Descriptive Study

2019 ◽  
Author(s):  
Dewi Marfuah ◽  
Nunung Nurhayati ◽  
Astri Mutiar ◽  
Mimin Sumiati ◽  
Rani Mardiani
Keyword(s):  
Postoperative Pain ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Pain Intensity ◽  
Cesarean Delivery ◽  
Univariate Analysis ◽  
Descriptive Study ◽  
Pain Level ◽  
Operative Trauma ◽  
Mild Pain

Background: The frequency of Caesarean section increased from 5% to 15% across the world. According to statistics, it is highest in the U.S. or around 24%, and then in Canada about 20%, in Denmark about 13%, 10% in England, and it is lowest in Japan 7%. Post-cesarean section women experience pain due to operative trauma. Individual variability of postoperative pain is influenced by multiple factors, including sensitivity to pain, psychological factors, age, and genetics. Cesarean delivery patients have even more compelling reasons to achieve optimal postoperative pain relief than other surgical patients, but they also present unique challenges. Post cesarean delivery patients are at a higher risk for thromboembolic events, which may also be precipitated by immobility from inadequate pain control or excessive sedation from opioids. Objectives: This research aimed to describe pain intensity among women with post-cesarean Section. Methods: This research conducted at an obstetric ward in Hasan Sadikin Hospital, Bandung, West Java, Indonesia with 60 women with postcesarean section. Instrument used Visual Rating Scale (VAS) for pain measurement. A descriptive Study with Mean±SD for univariate analysis Result: Pain intensity among women with post-caesarian section were mild pain level with mean of pain level was 2.8. Women with mild pain level as much as 81,6%. Conclusions: As a nurse, can be considered as a nonpharmacological intervention to reduce the pain of cesarean section effectively and to decrease the number of medications and their side effects.

scholarly journals INTENSITAS NYERI PINGGANG DAN PINGGUL PADA IBU HAMIL YANG MELAKSANAKAN YOGA PRENATAL DI KOTA DENPASAR

2020 ◽  
Vol 2 (2) ◽  
pp. 69
Author(s):  
Ni Made Dwi Purnamayanti ◽  
Gusti Ayu Eka Utarini
Keyword(s):  
Pregnant Women ◽  
Pain Intensity ◽  
Descriptive Study ◽  
Effective Strategy ◽  
Third Trimester ◽  
Cross Sectional ◽  
Mild Pain ◽  
The Mean ◽  
Observational Descriptive Study

Nyeri pinggang dan panggul merupakan keluhan yang umum dirasakan oleh wanita hamil terutama pada akhir kehamilan. Olah raga termasuk yoga prenatal merupakan strategi yang efektif dan disarankan untuk mengatasi nyeri pinggang dan panggul. Penelitian ini bertujuan untuk mendapatkan gambaran intensitas nyeri pinggang dan panggul pada ibu hamil trimester III yang melaksanakan yoga prenatal di Kota Denpasar. Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross sectional terhadap 96 ibu hamil trimester III yang melaksanakan yoga prenatal di kota Denpasar. Didapatkan hasil rerata intensitas nyeri pinggang dan panggul yang dirasakan adalah 1.88 (SD ±2.202). Sebagian besar responden (41.7%) merasakan nyeri pada area tulang belakang disekitar lumbal hingga diatas sacrum.Intensitas nyeri pinggang dan pelvis pada ibu hamil trimester III di Kota Denpasar yang melaksanakan yoga prenatal tergolong nyeri intensitas ringan.Lumbopelvic pain are common complaints felt by pregnant women. Exercise, including prenatal yoga, is an effective strategy and is recommended for treating pregnancy-related lumbopelvic pain. The purpose of the syudi is to know the intensity of pregnancy-related lumbopelvic painamong woman who performe prenatal yoga in Denpasar. This study was an observational descriptive study with a cross sectional approach. The subjeck study was 96 third trimester pregnant women who performed prenatal yoga in Denpasar. The mean pain intensity was 1.88 (SD ± 2.202). Most respondents (41.7%) felt pain in the spinal area around the lumbar to above the sacrum. The intensity of pregnancy-related lumbopelvic pain among third trimester pregnant women in Denpasar who performe prenatal yoga is mild pain.

RELATIONSHIP BETWEEN PAIN INTENSITY WITH SLEEP QUALITY OF PATIENT POST CAESAREAN SECTION IN RS TK. II DUSTIRA CIMAHI YEAR 2017

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Hevy Amelia Noviyanti ◽  
Eny Kusmiran ◽  
Marlin Sutrisna
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Sleep Quality ◽  
Pain Intensity ◽  
Quality Measurement ◽  
Sampling Technique ◽  
Poor Sleep ◽  
Test Results ◽  
Cross Sectional

ABSTRACT Background. Cesarean section is an artificial birth, in which the fetus is born through an incision in the abdominal wall and uterine wall and the weight of the fetus is above 500 grams. Impacts that occur after caesarean section are pain and sleep disorders. Aim. To know the relation of pain intensity with sleep quality of mothers post cesarean section. Research methods. Using cross sectional approach. The sample of the study were 42 post-cesarean mothers taken by accidental sampling technique. The data was collected at RS TK. II Dustira Cimahi using Maternal Pain Questionnaire (MPQ) questionnaire for pain intensity measurement and The Sleep Sleep Quality Index (PSQI) for sleep quality measurement, in May 2017. Data analysis using Chi-Square test . Results. The highest intensity of pain occurred in the client after cesarean section with severe pain intensity with 22 respondents (52,4%) and uncomfortable there were 20 respondents (47,6%) and more than most client experience poor sleep quality that is 28 respondents ( 66.7%) but there are still clients who experienced good sleep quality 14 respondents (33.3%). The statistical test results obtained p significance number p = 0,000 thus p <α (0.000 <0.05), then H0 is rejected. Conclusion. There was a significant relationship between the intensity of pain and sleep quality in post-caesarean section patients. Keywords: Cesarean Section, Pain, Sleep Quality  

scholarly journals Quadratus Lumborum and Transversus Abdominis Plane Blocks and Their Impact on Acute and Chronic Pain in Patients after Cesarean Section: A Randomized Controlled Study

2021 ◽  
Vol 18 (7) ◽  
pp. 3500
Author(s):  
Michał Borys ◽  
Aleksandra Zamaro ◽  
Beata Horeczy ◽  
Ewa Gęszka ◽  
Marek Janiak ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Postoperative Pain ◽  
Cesarean Section ◽  
Pain Intensity ◽  
Hospital Discharge ◽  
Transversus Abdominis ◽  
Transversus Abdominis Plane ◽  
Randomized Controlled ◽  
Quadratus Lumborum ◽  
Persistent Postoperative Pain

Background: Severe postoperative pain is a significant problem after cesarean sections. Methods: This study was a randomized, controlled trial of 105 patients conducted in two hospitals. All patients were anesthetized spinally for elective cesarean section. Each participant was randomly allocated to one of three study groups: the quadratus lumborum block (QLB) group, the transversus abdominis plane block (TAPB) group, or the control (CON) group. The primary outcome of this study determined acute pain intensity on the visual analog scale (VAS). The secondary outcomes determined morphine consumption and chronic pain evaluation according to the Neuropathic Pain Symptom Inventory (NPSI) after hospital discharge. Results: At rest, the pain intensity was significantly higher in the CON group than in the QLB and TAPB groups at hours two and eight. Upon activity, the pain in the control subjects was more severe than in the QLB and TAPB groups in three and two of five measurements, respectively. Moreover, morphine consumption was significantly lower in the QLB (9 (5–10)) and TAPB (10 (6–14)) groups than in the CON (16 (11–19)) group. Persistent postoperative pain was significantly lower in the QLB group than in the CON group at months one and six following hospital discharge. Conclusions: Both the QLB and TAPB can improve pain management after cesarean delivery. Moreover, the QLB might reduce the severity of persistent postoperative pain months after cesarean section.

scholarly journals A RARE CASE OF SMALL BOWEL OBSTRUCTION POST CAESAREAN SECTION

2020 ◽  
pp. 66-67
Author(s):  
Surya Subhashi Tadala ◽  
Valsa Diana. G
Keyword(s):  
Small Bowel ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Small Bowel Obstruction ◽  
Cesarean Delivery ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
Rectus Sheath ◽  
Population Based ◽  
Cesarean Deliveries

• Small bowel obstruction, is a rare complication following cesarean section, due to herniation of bowel through the rectus sheath. • This is a case of uncomplicated primary cesarean section. The incidence of small bowel obstruction after caesarean section is very low. • In a population-based cohort study, the risk of small bowel obstruction among women with a cesarean delivery was 16.3/10,000 person-years versus 6.4/10,000 person-years in women without caesarean delivery (odds ratio [OR] 2.54, 95% CI 2.15-3.00); and an increasing number of cesarean deliveries was associated with an increasing risk of small bowel obstruction (OR 1.61, 95% CI 1.46-1.78, per additional cesarean delivery)(1).

Impact of Surgical Intervention and Postoperative Pain on Electrical Skin Resistance at Acupuncture Points: An Exploratory Study

2012 ◽  
Vol 30 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Sybille Kramer ◽  
Daniela Zaps ◽  
Dieter F Kutz ◽  
Bernhard Wiegele ◽  
Florian P Kolb ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pain Intensity ◽  
Surgical Intervention ◽  
Skin Resistance ◽  
Current Data ◽  
Acupuncture Points ◽  
Operative Trauma ◽  
Healthy Control ◽  
Surrounding Skin ◽  
Electrical Skin

Objectives One theory about acupuncture suggests that pathological processes can cause measurable changes in electrical skin resistance (ESR) at acupuncture points (APs). Although the theory has yet to be proven, ESR measurements (ESRMs) form a frequently used part of contemporary acupuncture. The aim of this study was to test the so-called ‘electrical responsiveness’ of APs in the setting of a defined operative trauma. Methods ESRMs (n=424) were performed at the APs and surrounding skin of GB34 and ST38 in 163 participants using an impedance meter array developed for the purpose of ESRMs. For each group the percentage of measurements with a significantly different ESR between the APs and the surrounding skin was calculated and compared with each other. Measurements of four groups were compared: healthy control subjects (n=30) and patients after ophthalmic (n=29), hip (n=42) and shoulder (n=30) surgery. The influence of postoperative pain intensity was also assessed. Results Group comparison showed no significant differences for ST38. The ESRMs at GB34 had a significantly higher percentage of measurements with an increased ESR after ophthalmic (23.2%) and hip (22.2%) surgery, but not after shoulder surgery (7.5%). Subgroup analysis showed that an increase in pain intensity tended to lead to a decrease in the number of APs with ESR changes. Conclusion These results suggest that reactive changes in ESR at APs might exist. Pain and alertness seem to have an impact on ESR at APs. However, the current data do not allow for conclusions to be drawn concerning the clinical use of ESRMs.

scholarly journals PERBANDINGAN PERSALINAN SEKSIO SESAREA DAN PERVAGINAM PADA WANITA HAMIL DENGAN OBESITAS

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Adelia S. Ekwendi ◽  
Maya E. Mewengkang ◽  
Frank M. M. Wagey
Keyword(s):  
Body Weight ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Descriptive Study ◽  
Age Group ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Vaginal Deliveries

Abstract: Obesity is a problem throughout the world and is commonly found among women in the region of Southeast Asia. Obesity in pregnant women increases the risk of complications associated with an increasing incidence of caesarean section and a decreasing incidence of vaginal delivery. This study aimed to determine the comparison of caesarean section and vaginal delivery in pregnant women with obesity. This was a descriptive study with a cross-sectional approach. This study used data of the patients’ medical record. Samples were all pregnant women with obesity (BMI ≥30 kg/m2) at the end of pregnancy who underwent caesarean sections and vaginal deliveries in Prof. Dr. R. D. Kandou Hospital Manado from January 2014 until October 2015. The data were processed by using the Microsoft Excel. The results showed that the number of pregnant women with obesity was 926 and of pregnant women who underwent caesarean section was 50.22%. Pregnant women with obesity in the age group over 30 years, nutritional status obese II and III, and body weight over 85 kg were more frequent in undergoing the cesarean section. Conclusion: The higher BMI, body weight, and age of a pregnant woman, the higher risk of undergoing cesarean section compared to vaginal delivery. Keywords: BMI, obesity, caesarean section, vaginal delivery   Abstrak: Obesitas merupakan masalah yang mendunia dan paling banyak dialami oleh wanita di wilayah Asia-Tenggara. Obesitas pada wanita hamil meningkatkan risiko terjadinya komplikasi yang berhubungan dengan peningkatan angka kejadian persalinan seksio sesarea dan penurunan kejadian persalinan pervaginam. Penelitian ini bertujuan untuk mengetahui perbandingan persalinan seksio sesarea dan pervaginam pada wanita hamil dengan obesitas. Penelitian ini menggunakan metode deskriptif dengan pendekatan potong lintang. Penelitian dilakukan dengan melihat catatan rekam medis pasien. Sampel penelitian ialah seluruh wanita hamil dengan obesitas (IMT ≥ 30 kg/m2) pada akhir kehamilan yang menjalani persalinan seksio sesarea dan pervaginam di RSUP Prof. Dr. R. D. Kandou Manado dari bulan Januari 2014 sampai Oktober 2015. Data yang diperoleh diolah dengan menggunakan Microsoft excel. Hasil penelitian menunjukkan bahwa jumlah wanita hamil dengan obesitas 926 orang dan yang menjalani seksio sesarea sebanyak 50,22%. Wanita hamil dengan obesitas pada kelompok umur di atas 30 tahun, status gizi obes II dan III, serta kelompok berat badan lebih dari 85 kg lebih banyak menjalani persalinan seksio sesarea. Simpulan: Semakin meningkat IMT, berat badan, dan usia seorang wanita hamil, maka semakin tinggi risiko menjalani persalinan seksio sesarea dibandingkan pervaginam. Kata kunci: IMT, obesitas, seksio sesarea, persalinan pervaginam

scholarly journals CESAREAN DELIVERY

2016 ◽  
Vol 23 (09) ◽  
pp. 026-1032
Author(s):  
Meshwari Beesham ◽  
Neeta Sham ◽  
Pushpa Chetandas
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Abdominal Distension ◽  
Objective Evaluation ◽  
University Hospital ◽  
Elective Cesarean Section ◽  
Bowel Sound ◽  
Early Feeding ◽  
Feeding Group

In obstetrics, the rate of caesarean section has consistently expanded globally.Generally, after caesarean section the solid food has been stopped to women for 1st 24 hoursso that it could avoid gastro intestinal complications. Mostly in all the cesarean section caseswas operated by regional anesthesia where in little intestinal manipulation and short operativetime. The aim of this study is to know that the gastrointestinal effect on early feeding versusdelayed feeding after uncomplicated cesarean section and the better practice as well asadvocated in future. Objective: Evaluation of the gastro intestinal effects with early feedingis better than delayed feeding after cesarean delivery. Study Design: Randomized controlledclinical trial. Setting: Obstetrics & Gynaecological Department, Liaquat University Hospital,and Hyderabad. Period: January 2012 to January 2013. Methodology: A total number of352 women uncomplicated emergency or elective cesarean section under spinal anesthesiawas included in this study. Consenting women were randomly assigned into two groups suchas early feeding group and delayed feeding group. Any complaint about anorexia, nausea,vomiting, abdominal discomfort and abdominal distention on physical examination was noted.Results: Rate of ileus, anorexia was significantly low in early feeding groups as compare todelayed feeding group while rate of vomiting and abdominal distension were not significantbetween groups. Average time of first bowel sound and time of passage of flatus and passageof stool were significant between groups. Conclusion: In conclusion, early feeding fastens therecovery and lowers complication rate.

Sign in / Sign up

Export Citation Format

Share Document