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
Scientifica
Perineal Pain, Postpartum care, Practice Management, Sexual function
English
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: http://hdl.handle.net/10281/49697
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