Background: Perineal pain is present, after birth, in almost all (95-100%) women who have experienced perineal trauma. It has been shown that women with spontaneous vaginal delivery and minimal or absent perineal trauma will have better recoveries: less pain, more tonic perineal muscles, improved sexual function and lower rates of depression. Objectives: The purpose was to prospectively assess the prevalence of perineal pain in a population of women with vaginal birth at term and physiological single newborn. Methods: Pain assessment was performed using two subjective scales: the Verbal Numeric Scale (VNS) of 11 points and the Verbal Rating Score (VRS) of 4 points. Data collection period ran from the first postnatal day until 6 months after delivery, with two intermediate measurements at 1 and 7 weeks after birth. Results: 451 women were enrolled: 239 primiparous and 212 multiparous, with a response rate of 92% at 6 months. The prevalence of pain was found 88.2% in the first day postpartum, 62.3% one week after birth, 8.0% at seven weeks and 0.7% at six months. With regard to the resumption of sexual activity at 6 months postpartum, a dyspareunia rate of 27% was observed in the Episiotomy group (OR 5.72, p<0.001). Comment: The study found that an increase in the extent of trauma is associated with the highest scores in the self-assessment of perceived pain, with long term persistent symptoms. Furthermore, the presence of an episiotomy is a conditioning factor for the sexual function after childbirth (OR 0.43, p <0.001)

Persico, G., Vergani, P., Cestaro, C., Grandolfo, M., Nespoli, A. (2013). Assessment of Postpartum Perineal Pain after Vaginal Delivery: Prevalence, Severity and Determinants. Prospective Observational Study. MINERVA GINECOLOGICA, 65(6), 669-678.

Assessment of Postpartum Perineal Pain after Vaginal Delivery: Prevalence, Severity and Determinants. Prospective Observational Study

PERSICO, GIUSEPPINA;VERGANI, PATRIZIA;NESPOLI, ANTONELLA
2013

Abstract

Background: Perineal pain is present, after birth, in almost all (95-100%) women who have experienced perineal trauma. It has been shown that women with spontaneous vaginal delivery and minimal or absent perineal trauma will have better recoveries: less pain, more tonic perineal muscles, improved sexual function and lower rates of depression. Objectives: The purpose was to prospectively assess the prevalence of perineal pain in a population of women with vaginal birth at term and physiological single newborn. Methods: Pain assessment was performed using two subjective scales: the Verbal Numeric Scale (VNS) of 11 points and the Verbal Rating Score (VRS) of 4 points. Data collection period ran from the first postnatal day until 6 months after delivery, with two intermediate measurements at 1 and 7 weeks after birth. Results: 451 women were enrolled: 239 primiparous and 212 multiparous, with a response rate of 92% at 6 months. The prevalence of pain was found 88.2% in the first day postpartum, 62.3% one week after birth, 8.0% at seven weeks and 0.7% at six months. With regard to the resumption of sexual activity at 6 months postpartum, a dyspareunia rate of 27% was observed in the Episiotomy group (OR 5.72, p<0.001). Comment: The study found that an increase in the extent of trauma is associated with the highest scores in the self-assessment of perceived pain, with long term persistent symptoms. Furthermore, the presence of an episiotomy is a conditioning factor for the sexual function after childbirth (OR 0.43, p <0.001)
Articolo in rivista - Articolo scientifico
Perineal Pain, Postpartum care, Practice Management, Sexual function
English
669
678
10
Persico, G., Vergani, P., Cestaro, C., Grandolfo, M., Nespoli, A. (2013). Assessment of Postpartum Perineal Pain after Vaginal Delivery: Prevalence, Severity and Determinants. Prospective Observational Study. MINERVA GINECOLOGICA, 65(6), 669-678.
Persico, G; Vergani, P; Cestaro, C; Grandolfo, M; Nespoli, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/49697
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