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Women's Pain

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49 papers 25 to 100 followers
By Ron George Anesthesiologist with special interests in Obstetrics, Pain, and Global Health
https://www.readbyqxmd.com/read/27872022/comparing-the-prevalence-risk-factors-and-repercussions-of-postpartum-genito-pelvic-pain-and-dyspareunia
#1
REVIEW
Natalie O Rosen, Caroline Pukall
INTRODUCTION: Childbirth is a risk factor for developing genito-pelvic pain and/or dyspareunia during the postpartum period and potentially in the longer term. These two types of pain can occur simultaneously or sequentially and could be affected by different risk factors and have a range of repercussions to women's lives, including their sexual functioning. AIM: This study reviewed the available evidence to compare and contrast the prevalence, risk factors, and repercussions of postpartum genito-pelvic pain vs dyspareunia...
April 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27822105/the-danish-national-quality-database-for-births
#2
REVIEW
Charlotte Brix Andersson, Christina Flems, Ulrik Schiøler Kesmodel
AIM OF THE DATABASE: The aim of the Danish National Quality Database for Births (DNQDB) is to measure the quality of the care provided during birth through specific indicators. STUDY POPULATION: The database includes all hospital births in Denmark. MAIN VARIABLES: Anesthesia/pain relief, continuous support for women in the delivery room, lacerations (third and fourth degree), cesarean section, postpartum hemorrhage, establishment of skin-to-skin contact between the mother and the newborn infant, severe fetal hypoxia (proportion of live-born children with neonatal hypoxia), delivery of a healthy child after an uncomplicated birth, and anesthesia in case of cesarean section...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27443813/multifactorial-contributors-to-the-severity-of-chronic-pelvic%C3%A2-pain-in-women
#3
Ali Yosef, Catherine Allaire, Christina Williams, Abdel Ghaffar Ahmed, Tarek Al-Hussaini, Mohamad S Abdellah, Fontayne Wong, Sarka Lisonkova, Paul J Yong
BACKGROUND: Chronic pelvic pain affects ∼15% of women, and is associated with significant societal cost and impact on women's health. Identifying factors involved in chronic pelvic pain is challenging due to its multifactorial nature and confounding between potential factors. For example, while some women with endometriosis have chronic pelvic pain, there may be comorbid conditions that are implicated in the chronic pelvic pain rather than the endometriosis itself. OBJECTIVE: We sought to explore multifactorial variables independently associated with the severity of chronic pelvic pain in women...
December 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27500349/risk-factors-for-dyspareunia-after-first-childbirth
#4
Natasha R Alligood-Percoco, Kristen H Kjerulff, John T Repke
OBJECTIVE: To investigate risk factors for dyspareunia among primiparous women. METHODS: This was a planned secondary analysis using data from the 1- and 6-month postpartum interviews of a prospective study of women who delivered their first neonate in Pennsylvania, 2009-2011. Participants who had resumed sexual intercourse by the 6-month interview (N=2,748) constituted the analytic sample. Women reporting a big or medium problem with painful intercourse at 6 months were categorized as having dyspareunia...
September 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27235678/nurses-own-birth-experiences-influence-labor-support-attitudes-and-behaviors
#5
Ann P Aschenbrenner, Lisa Hanson, Teresa S Johnson, Sheryl T Kelber
OBJECTIVE: To describe the attitudes of intrapartum nurses about the importance of and intent to provide professional labor support (PLS); barriers to PLS, such as perceived subjective norms and perceived behavioral control; and relationships among attitudes, behaviors, and nurse and site characteristics. DESIGN: A cross-sectional, mixed-methods, descriptive design was guided by the Theory of Planned Behavior. SETTING: Three hospital sites in one region of a single Midwestern state...
July 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/27179378/cross-cultural-development-and-psychometric-evaluation-of-a-measure-to-assess-fear-of-childbirth-prior-to-pregnancy
#6
Kathrin Stoll, Yvonne Hauck, Soo Downe, Joyce Edmonds, Mechthild M Gross, Anne Malott, Patricia McNiven, Emma Swift, Gillian Thomson, Wendy A Hall
BACKGROUND: Assessment of childbirth fear, in advance of pregnancy, and early identification of modifiable factors contributing to fear can inform public health initiatives and/or school-based educational programming for the next generation of maternity care consumers. We developed and evaluated a short fear of birth scale that incorporates the most common dimensions of fear reported by men and women prior to pregnancy, fear of: labour pain, being out of control and unable to cope with labour and birth, complications, and irreversible physical damage...
June 2016: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/26958466/unlearning-chronic-pain-a-randomized-controlled-trial-to-investigate-changes-in-intrinsic-brain-connectivity-following-cognitive-behavioral-therapy
#7
Marina Shpaner, Clare Kelly, Greg Lieberman, Hayley Perelman, Marcia Davis, Francis J Keefe, Magdalena R Naylor
Chronic pain is a complex physiological and psychological phenomenon. Implicit learning mechanisms contribute to the development of chronic pain and to persistent changes in the central nervous system. We hypothesized that these central abnormalities can be remedied with Cognitive Behavioral Therapy (CBT). Specifically, since regions of the anterior Default Mode Network (DMN) are centrally involved in emotional regulation via connections with limbic regions, such as the amygdala, remediation of maladaptive behavioral and cognitive patterns as a result of CBT for chronic pain would manifest itself as a change in the intrinsic functional connectivity (iFC) between these prefrontal and limbic regions...
2014: NeuroImage: Clinical
https://www.readbyqxmd.com/read/27163836/toward-identifying-moderators-of-associations-between-presurgery-emotional-distress-and-postoperative-pain-outcomes-a-meta-analysis-of-longitudinal-studies
#8
REVIEW
Todd Jackson, Panpan Tian, Yang Wang, Tony Iezzi, Wenyi Xie
UNLABELLED: Presurgery emotional distress has had variable associations with outcomes of surgery in past narrative reviews. This meta-analysis was designed to evaluate the overall strengths of relations between presurgical emotional distress and key postsurgical pain outcomes (ie, pain intensity, analgesic use, functional impairment) and to identify moderators that might explain effect size heterogeneity between studies. PubMed, Web of Science, PsychINFO, Google Scholar, and Science Direct databases were searched to identify studies subjected to meta-analysis...
August 2016: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/27112425/long-term-impacts-of-vaginal-birth-with-mediolateral-episiotomy-on-sexual-and-pelvic-dysfunction-and-perineal-pain
#9
Bülent Doğan, İsmet Gün, Özkan Özdamar, Ali Yılmaz, Murat Muhçu
OBJECTIVE: To investigate whether spontaneous vaginal birth with mediolateral episiotomy has any long-term impact on urinary and/or fecal incontinence, sexual dysfunction and perineal pain in primiparous women. METHODS: This matched case-control study included 150 women between 25 and 35 years old who had a singleton childbirth at least five years previously. Patients were grouped as; women who had a spontaneous vaginal delivery with mediolateral episiotomy (Group 1), an elective cesarean delivery (Group 2), and who had no delivery (Group 3)...
April 25, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27038559/women-s-experience-of-childbirth-a-five-year-follow-up-of-the-randomised-controlled-trial-ready-for-child-trial
#10
Rikke Damkjær Maimburg, Michael Væth, Hannah Dahlen
BACKGROUND: Few studies have assessed the long term perspective of women's childbirth experience as well as studying women's individual birth experience over time. AIM: To compare the long term perspective of the birth experience in nulliparous women attending a structured antenatal programme to that of women allocated to standard care. Moreover, to study changes in the woman's perception of birth and explore the birth characteristics in women reporting a less positive birth experience after five years compared to their reported experience shortly after birth...
March 30, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27020073/birth-experiences-in-adult-women-with-a-history-of-childhood-sexual-abuse
#11
Brigitte Leeners, Gisela Görres, Emina Block, Michael Pascal Hengartner
OBJECTIVE: Although childhood sexual abuse (CSA) may seriously impair childbirth experiences, few systematic evaluations on associations, mediating influences, risk and protective factors are available. As such information is mandatory to improve obstetric care, the present study aimed to provide such data. METHODS: The study compared childbirth experiences from 85 women after CSA and at least one pregnancy resulting in a life birth with those from 170 control women matched for nationality, personal age and children's age...
April 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/26915304/birth-plans-what-matters-for-birth-experience-satisfaction
#12
Jenny Y Mei, Yalda Afshar, Kimberly D Gregory, Sarah J Kilpatrick, Tania F Esakoff
BACKGROUND: To categorize individual birth plan requests and determine if number of requests and request fulfillment is associated with birth experience satisfaction. METHODS: This is a sub-analysis of a prospective cohort study of 302 women with singleton pregnancies with and without birth plans. Women with a hard copy of their birth plans who completed a postdelivery satisfaction survey were included in this study. We described the number and type of birth plan requests and associated the number of requests and request fulfillment with overall satisfaction, expectations met, and sense of control...
June 2016: Birth
https://www.readbyqxmd.com/read/26804583/differences-in-pain-coping-between-black-and-white-americans-a%C3%A2-meta-analysis
#13
REVIEW
Samantha M Meints, Megan M Miller, Adam T Hirsh
UNLABELLED: Compared with white individuals, black individuals experience greater pain across clinical and experimental modalities. These race differences may be due to differences in pain-related coping. Several studies examined the relationship between race and pain coping; however, no meta-analytic review has summarized this relationship or attempted to account for differences across studies. The goal of this meta-analytic review was to quantify race differences in the overall use of pain coping strategies as well as specific coping strategies...
June 2016: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/26739796/a-systematic-review-and-metaanalysis-of-energy-intake-and-weight-gain-in-pregnancy
#14
REVIEW
Hiba Jebeile, Jovana Mijatovic, Jimmy Chun Yu Louie, Tania Prvan, Jennie C Brand-Miller
BACKGROUND: Gestational weight gain within the recommended range produces optimal pregnancy outcomes, yet many women exceed the guidelines. Official recommendations to increase energy intake by ∼ 1000 kJ/day in pregnancy may be excessive. OBJECTIVE: To determine by metaanalysis of relevant studies whether greater increments in energy intake from early to late pregnancy corresponded to greater or excessive gestational weight gain. DATA SOURCES: We systematically searched electronic databases for observational and intervention studies published from 1990 to the present...
April 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26721039/interrupted-versus-continuous-sutures-for-repair-of-episiotomy-or-2n-degree-perineal-tears
#15
RANDOMIZED CONTROLLED TRIAL
Rakhshanda Aslam, Shazia Amir Khan, Zain ul Amir, Fouzia Amir
BACKGROUND: Performing an episiotomy is generally reserved for complicated childbirths, in cases of foetal distress, or when tearing of tissues with serious consequences are foreseen. In addition to the extent of the trauma, the surgical skill, repair after childbirth can have an important effect on the magnitude and degree of morbidity experienced by women after repair. The best technique for this repair would be that which produces less pain in the short and long term. The study was done with an objective to compare the frequency and severity of pain (slight/severe) by using interrupted and continuous methods for repair of episiotomy or second degree perineal tears...
July 2015: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/26588694/pelvic-pain-after-childbirth-a-longitudinal-population-study
#16
Elisabeth Krefting Bjelland, Katrine Mari Owe, Ronnie Pingel, Per Kristiansson, Siri Vangen, Malin Eberhard-Gran
In this longitudinal population study, the aims were to study associations of mode of delivery with new onset of pelvic pain and changes in pelvic pain scores up to 7 to 18 months after childbirth. We included 20,248 participants enrolled in the Norwegian Mother and Child Cohort Study (1999-2008) without preexisting pelvic pain in pregnancy. Data were obtained by 4 self-administered questionnaires and linked to the Medical Birth Registry of Norway. A total of 4.5% of the women reported new onset of pelvic pain 0 to 3 months postpartum...
March 2016: Pain
https://www.readbyqxmd.com/read/26612732/a-systematic-review-of-randomised-controlled-trials-on-the-effectiveness-of-exercise-programs-on-lumbo-pelvic-pain-among-postnatal-women
#17
REVIEW
Pei-Ching Tseng, Shuby Puthussery, Yannis Pappas, Meei-Ling Gau
BACKGROUND: A substantial number of women tend to be affected by Lumbo Pelvic Pain (LPP) following child birth. Physical exercise is indicated as a beneficial method to relieve LPP, but individual studies appear to suggest mixed findings about its effectiveness. This systematic review aimed to synthesise evidence from randomised controlled trials on the effectiveness of exercise on LPP among postnatal women to inform policy, practice and future research. METHODS: A systematic review was conducted of all randomised controlled trials published between January 1990 and July 2014, identified through a comprehensive search of following databases: PubMed, PEDro, Embase, Cinahl, Medline, SPORTDiscus, Cochrane Pregnancy and Childbirth Group's Trials Register, and electronic libraries of authors'institutions...
2015: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26614601/physical-exercise-and-pelvic-girdle-pain-in-pregnancy-a-nested-case-control-study-within-the-danish-national-birth-cohort
#18
Linda Kahr Andersen, Mette Backhausen, Hanne Kristine Hegaard, Mette Juhl
OBJECTIVE: Pelvic girdle pain is a frequent cause of sick leave among pregnant women in Denmark. Studies regarding prevention of pelvic girdle pain are sparse. The aim of this study was to examine the association between physical exercise and pelvic girdle pain in pregnancy. STUDY DESIGN: A nested case-control study within the Danish National Birth Cohort (n = 5304). METHODS: This study used self-reported data on pelvic girdle pain obtained from an interview six months after childbirth...
December 2015: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/26637088/obstetrical-anal-sphincter-injuries-oasis-prevention-recognition-and-repair
#19
Marie-Andrée Harvey, Marianne Pierce, Jens-Erik W Alter, Queena Chou, Phaedra Diamond, Annette Epp, Roxana Geoffrion, Marie-Andrée Harvey, Annick Larochelle, Kenny Maslow, Grace Neustaedter, Dante Pascali, Marianne Pierce, Jane Schulz, David Wilkie, Abdul Sultan, Ranee Thakar
OBJECTIVE: To review the evidence relating to obstetrical anal sphincter injuries (OASIS) with respect to diagnosis, repair techniques and outcomes. To formulate recommendations as to patient counselling regarding route of delivery for subsequent pregnancy after OASIS. OPTIONS: Obstetrical care providers caring for women with OASIS have the option of repairing the anal sphincter using end-to-end or overlapping techniques. They may also be involved in counselling women with prior OASIS regarding the route of delivery for future pregnancies...
December 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26614603/pregnant-women-s-expectations-about-pain-intensity-during-childbirth-and-their-attitudes-towards-pain-management-findings-from-an-icelandic-national-study
#20
Sigfridur Inga Karlsdottir, Herdis Sveinsdottir, Olof Asta Olafsdottir, Hildur Kristjansdottir
BACKGROUND: Pregnant women expect childbirth to be painful. However, little is known about their expectations of the intensity of pain in childbirth (EIPC) and their attitudes to pain management. METHOD: The design was a cross-sectional survey, with self-reported questionnaires used to collect data from low-risk pregnant women (N = 1111) early in pregnancy at 26 of the largest primary health care centres in Iceland. This consecutive national sample was stratified by residency...
December 2015: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
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