Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section. 2016

Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
Faculdade de Enfermagem, Universidade Federal de Goiás, Rua 227 Qd, 68, s/n, Setor Leste Universitário, Goiânia, GO, Brazil.

Background. Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women's ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued. Objective. To investigate the incidence and predicting factors of postoperative pain after cesarean section. Methods. A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain. Results. The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%-80.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22-2.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08-0.66) were significantly associated with moderate-severe postoperative pain report. Conclusion. The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain.

UI MeSH Term Description Entries
D010147 Pain Measurement Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies. Analgesia Tests,Analogue Pain Scale,Formalin Test,McGill Pain Questionnaire,Nociception Tests,Pain Assessment,Pain Intensity,Pain Severity,Tourniquet Pain Test,Visual Analogue Pain Scale,Analog Pain Scale,Assessment, Pain,McGill Pain Scale,Visual Analog Pain Scale,Analgesia Test,Analog Pain Scales,Analogue Pain Scales,Formalin Tests,Intensity, Pain,Measurement, Pain,Nociception Test,Pain Assessments,Pain Intensities,Pain Measurements,Pain Questionnaire, McGill,Pain Scale, Analog,Pain Scale, Analogue,Pain Scale, McGill,Pain Severities,Pain Test, Tourniquet,Questionnaire, McGill Pain,Scale, Analog Pain,Scale, Analogue Pain,Scale, McGill Pain,Severity, Pain,Test, Analgesia,Test, Formalin,Test, Nociception,Test, Tourniquet Pain,Tests, Nociception,Tourniquet Pain Tests
D010149 Pain, Postoperative Pain during the period after surgery. Acute Post-operative Pain,Acute Postoperative Pain,Chronic Post-operative Pain,Chronic Post-surgical Pain,Chronic Postoperative Pain,Chronic Postsurgical Pain,Pain, Post-operative,Persistent Postsurgical Pain,Post-operative Pain,Post-operative Pain, Acute,Post-operative Pain, Chronic,Post-surgical Pain,Postoperative Pain, Acute,Postoperative Pain, Chronic,Postsurgical Pain,Postoperative Pain,Acute Post operative Pain,Chronic Post operative Pain,Chronic Post surgical Pain,Chronic Postsurgical Pains,Pain, Acute Post-operative,Pain, Acute Postoperative,Pain, Chronic Post-operative,Pain, Chronic Post-surgical,Pain, Chronic Postoperative,Pain, Chronic Postsurgical,Pain, Persistent Postsurgical,Pain, Post operative,Pain, Post-surgical,Pain, Postsurgical,Post operative Pain,Post operative Pain, Acute,Post operative Pain, Chronic,Post surgical Pain,Post-operative Pains,Post-surgical Pain, Chronic,Postsurgical Pain, Chronic,Postsurgical Pain, Persistent
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D001938 Brazil A country located on the eastern coast of South America, located between Colombia and Peru, that borders the Atlantic Ocean. It is bordered on the north by Venezuela, Guyana, Suriname, and French Guiana, on the south by Uruguay, and on the west by Argentina. The capital is Brasilia.
D002585 Cesarean Section Extraction of the FETUS by means of abdominal HYSTEROTOMY. Abdominal Delivery,Delivery, Abdominal,C-Section (OB),Caesarean Section,Postcesarean Section,Abdominal Deliveries,C Section (OB),C-Sections (OB),Caesarean Sections,Cesarean Sections,Deliveries, Abdominal
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000700 Analgesics Compounds capable of relieving pain without the loss of CONSCIOUSNESS. Analgesic,Anodynes,Antinociceptive Agents,Analgesic Agents,Analgesic Drugs,Agents, Analgesic,Agents, Antinociceptive,Drugs, Analgesic

Related Publications

Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
November 2012, International orthopaedics,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
August 1999, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
January 2017, Transfusion,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
January 2014, International anesthesiology clinics,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
March 2019, Pain medicine (Malden, Mass.),
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
September 1986, Akusherstvo i ginekologiia,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
November 1979, Ginekologia polska,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
March 1988, Anesthesiology,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
November 2021, Expert opinion on drug safety,
Natalia de Carvalho Borges, and Lilian Varanda Pereira, and Louise Amália de Moura, and Thuany Cavalcante Silva, and Charlise Fortunato Pedroso
January 2023, Drug design, development and therapy,
Copied contents to your clipboard!