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Risk factors for persistent pain and its influence on maternal wellbeing after cesarean section
Karolinska Institutet / Sophiahemmet Högskola.
Sophiahemmet Högskola / Karolinska Institutet.ORCID iD: 0000-0003-2626-2335
Karolinska Institutet.
Karolinska Institutet.
2015 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 94, no 6, p. 622-628Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate the overall incidence and risk factors for persistent pain and its interference with daily life after cesarean section.

DESIGN: Prospective long-term follow-up study.

SETTING: Karolinska University Hospital, Stockholm, Sweden.

POPULATION: 260 healthy women who underwent elective cesarean section.

METHODS: Information on demographics, medical history, postoperative pain and analgesic requirements was collected. A questionnaire consisting of the Brief Pain Inventory was posted at 3, 6 and 12 months after surgery. Women rated pain intensity as well as interference with factors related to general function and quality of life.

MAIN OUTCOME MEASURES: The overall incidence and risk factors for persistent postoperative pain at three time points. Persistent pain was considered a secondary outcome.

RESULTS: At 3, 6 and 12 months 40%, 27% and 22% of patients, respectively, reported pain in one or more locations, in the surgical site as well as in other areas. A psychological indication, as well as a first cesarean section, increased the risk for pain at 3 months. Severe postoperative pain in the immediate postoperative period or undergoing a first cesarean section were significant independent risk factors for the development of persistent pain up to 6 months after cesarean section. Parameters related to quality of life were significantly impaired in women with persistent pain.

CONCLUSION: Several factors, including severe postoperative pain, were shown to influence the risk for persistent pain after cesarean section. Long-term pain markedly affected women's wellbeing. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
John Wiley & Sons, 2015. Vol. 94, no 6, p. 622-628
Keywords [en]
Cesarean section, Persistent pain, Postoperative pain, Quality of life, Risk factors
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:rkh:diva-2927DOI: 10.1111/aogs.12613PubMedID: 25714852OAI: oai:DiVA.org:rkh-2927DiVA, id: diva2:1326050
Available from: 2019-06-17 Created: 2019-06-17 Last updated: 2019-06-18Bibliographically approved

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