collection
https://read.qxmd.com/read/26614601/physical-exercise-and-pelvic-girdle-pain-in-pregnancy-a-nested-case-control-study-within-the-danish-national-birth-cohort
#21
JOURNAL ARTICLE
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://read.qxmd.com/read/26637088/obstetrical-anal-sphincter-injuries-oasis-prevention-recognition-and-repair
#22
JOURNAL ARTICLE
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
https://read.qxmd.com/read/26614603/pregnant-women-s-expectations-about-pain-intensity-during-childbirth-and-their-attitudes-towards-pain-management-findings-from-an-icelandic-national-study
#23
JOURNAL ARTICLE
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
https://read.qxmd.com/read/26493469/the-effect-of-labor-and-delivery-on-white-blood-cell-count
#24
JOURNAL ARTICLE
Nissim Arbib, Amir Aviram, Rinat Gabbay Ben-Ziv, Orly Sneh, Yariv Yogev, Eran Hadar
OBJECTIVE: To explore post-partum white blood cell (WBC) count, and possible factors affecting it. STUDY DESIGN: Retrospective cohort analysis of 12 079 healthy women, delivering a singleton term fetus with an uncomplicated course of labor, delivery and puerperium. All women delivered in a single tertiary, university-affiliated medical center from 2009 to 2014. Student's t-test, Mann-Whitney's U-test, χ(2) test and ANOVA were used to compare between variables...
September 2016: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/26467855/consultation-about-sexual-health-issues-in-the-year-after-childbirth-a-cohort-study
#25
JOURNAL ARTICLE
Ellie McDonald, Hannah Woolhouse, Stephanie J Brown
BACKGROUND: Postnatal sexual health remains underresearched. The main aims of this study were to investigate the prevalence of postnatal sexual health issues, and the extent to which primary care practitioners routinely inquire about sexual health issues. METHOD: 1,507 first time mothers were recruited in early pregnancy and followed up at 3, 6, and 12 months postpartum. Sexual health issues were assessed at every follow-up using a checklist. RESULTS: Eighty-nine percent of women reported sexual health issues in the first 3 months postpartum...
December 2015: Birth
https://read.qxmd.com/read/26516553/using-qualitative-methods-to-access-the-pain-experience
#26
JOURNAL ARTICLE
Janice M Morse
Qualitative methods provide us with techniques to access the pain experience of patients in ways that provide explanation for apparent contradictions and idiosyncrasies that are difficult to access. In this article, I review three such strategies and the application of qualitative research to practice: (1) the analysis of the ways participants speak about agonizing pain using narrative inquiry, (2) comparisons of childbirth pain in two cultural groups using ethnography and (3) present a qualitative theory, the Praxis Theory of Suffering...
February 2015: British Journal of Pain
https://read.qxmd.com/read/26252171/transversus-abdominis-plane-block-versus-surgical-site-infiltration-for-pain-management-after-open-total-abdominal-hysterectomy
#27
RANDOMIZED CONTROLLED TRIAL
Irina Gasanova, John Alexander, Babatunde Ogunnaike, Cherine Hamid, David Rogers, Abu Minhajuddin, Girish P Joshi
BACKGROUND: Surgical site infiltration and transversus abdominis plane (TAP) blocks are commonly used to improve pain relief after lower abdominal surgery. This randomized, observer-blinded study was designed to compare the analgesic efficacy of TAP blocks with surgical site infiltration in patients undergoing open total abdominal hysterectomy via a Pfannenstiel incision. METHODS: Patients were randomized to receive either bilateral ultrasound-guided TAP blocks using bupivacaine 0...
November 2015: Anesthesia and Analgesia
https://read.qxmd.com/read/26091046/national-partnership-for-maternal-safety-consensus-bundle-on-obstetric-hemorrhage
#28
JOURNAL ARTICLE
Elliott K Main, Dena Goffman, Barbara M Scavone, Lisa Kane Low, Debra Bingham, Patricia L Fontaine, Jed B Gorlin, David C Lagrew, Barbara S Levy
Hemorrhage is the most frequent cause of severe maternal morbidity and preventable maternal mortality and therefore is an ideal topic for the initial national maternity patient safety bundle. These safety bundles outline critical clinical practices that should be implemented in every maternity unit. They are developed by multidisciplinary work groups of the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care. The safety bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and System Learning...
July 2015: Anesthesia and Analgesia
https://read.qxmd.com/read/26061307/epidural-analgesia-with-bupivacaine-and-fentanyl-versus-ropivacaine-and-fentanyl-for-pain-relief-in-labor-a-meta-analysis
#29
COMPARATIVE STUDY
Shanbin Guo, Bo Li, Chengjie Gao, Yue Tian
The aim of this study was to compare the efficacy and safety of the combinational use of bupivacaine and fentanyl versus ropivacaine and fentanyl in epidural analgesia for labor. Multiple electronic databases were searched by using appropriate MeSH terms, and keywords for original research papers published before October 2014. Meta-analyses were based on mean differences between the groups as well as odds ratios. Statistical heterogeneity was tested by I² index. Fifteen randomized controlled trials, recruiting 2097 parturient mothers overall, were selected for the meta-analyses...
June 2015: Medicine (Baltimore)
https://read.qxmd.com/read/26073456/patient-satisfaction-between-remifentanil-patient-controlled-analgesia-and-epidural-analgesia-for-labor-pain
#30
COMPARATIVE STUDY
Sascha Frauenfelder, Rita van Rijn, Celine M Radder, Myrtille C de Vries, Lea M Dijksman, Marc B Godfried
INTRODUCTION: The aim of this study was to compare patient satisfaction between remifentanil patient-controlled analgesia (RPCA) and epidural analgesia (EA) for labor pain. MATERIAL AND METHODS: This prospective cohort study was carried out on primiparous women requesting analgesia for labor at a Teaching Hospital, Amsterdam, the Netherlands. Women self-selected the analgesia of choice (RPCA n = 166 and EA n = 124) and were asked to complete the Woman's Views of Birth Labour Satisfaction Questionnaire (WOMBSLQ), within 24 h (T0), 3 months (T3) and 6 months (T6) after birth...
September 2015: Acta Obstetricia et Gynecologica Scandinavica
https://read.qxmd.com/read/26032446/severe-pain-during-local-infiltration-for-spinal-anaesthesia-predicts-post-caesarean-pain
#31
JOURNAL ARTICLE
S Orbach-Zinger, A Aviram, S Fireman, T Kadechenko, Z Klein, N Mazarib, A Artiuch, A Reuveni, A Ioscovich, L A Eidelman, R Landau
BACKGROUND: Quantitative sensory testing (QST) measures response to painful stimuli and has been used to predict post-caesarean pain. Pain reported upon intravenous cannulation was shown to predict epidural analgesic use and pain intensity during labour. We hypothesized that pain intensity reported by women upon local anaesthesia injection (ILA) for spinal anaesthesia may predict acute pain after caesarean delivery (CD). METHODS: In a prospective observational trial, 229 women undergoing elective CD under spinal anaesthesia were enrolled...
October 2015: European Journal of Pain: EJP
https://read.qxmd.com/read/25899177/does-pain-vary-across-the-menstrual-cycle-a-review
#32
REVIEW
S Iacovides, I Avidon, F C Baker
Reproductive hormones are implicated in moderating pain. Animal studies support both pronociceptive and antinociceptive actions of oestradiol and progesterone suggesting that the net effect of these hormones on pain is complex and likely depends on the interaction between hormones and the extent of fluctuation rather than absolute hormone levels. Several clinical pain conditions show variation in symptom severity across the menstrual cycle. Though, there is still no consensus on whether the menstrual cycle influences experimental pain sensitivity in healthy individuals...
November 2015: European Journal of Pain: EJP
https://read.qxmd.com/read/25887465/research-design-considerations-for-chronic-pain-prevention-clinical-trials-immpact-recommendations
#33
REVIEW
Jennifer S Gewandter, Robert H Dworkin, Dennis C Turk, John T Farrar, Roger B Fillingim, Ian Gilron, John D Markman, Anne Louise Oaklander, Michael J Polydefkis, Srinivasa N Raja, James P Robinson, Clifford J Woolf, Dan Ziegler, Michael A Ashburn, Laurie B Burke, Penney Cowan, Steven Z George, Veeraindar Goli, Ole X Graff, Smriti Iyengar, Gary W Jay, Joel Katz, Henrik Kehlet, Rachel A Kitt, Ernest A Kopecky, Richard Malamut, Michael P McDermott, Pamela Palmer, Bob A Rappaport, Christine Rauschkolb, Ilona Steigerwald, Jeffrey Tobias, Gary A Walco
Although certain risk factors can identify individuals who are most likely to develop chronic pain, few interventions to prevent chronic pain have been identified. To facilitate the identification of preventive interventions, an IMMPACT meeting was convened to discuss research design considerations for clinical trials investigating the prevention of chronic pain. We present general design considerations for prevention trials in populations that are at relatively high risk for developing chronic pain. Specific design considerations included subject identification, timing and duration of treatment, outcomes, timing of assessment, and adjusting for risk factors in the analyses...
July 2015: Pain
https://read.qxmd.com/read/25806400/a-randomized-controlled-trial-comparing-two-multimodal-analgesic-techniques-in-patients-predicted-to-have-severe-pain-after-cesarean-delivery
#34
RANDOMIZED CONTROLLED TRIAL
Jessica L Booth, Lynnette C Harris, James C Eisenach, Peter H Pan
BACKGROUND: Improved pain control after cesarean delivery remains a challenging objective. Poorly treated acute pain following delivery is associated with an increased risk of chronic pain and depression. This study was conducted to determine whether the addition of systemic acetaminophen and an increased dose of intrathecal morphine would further reduce acute pain. The primary outcome was pain intensity with movement at 24 hours postoperatively. Secondary measures included persistent pain and depression at 8 weeks...
April 2016: Anesthesia and Analgesia
https://read.qxmd.com/read/25811260/what-s-new-in-obstetric-anesthesia-the-2014-gerard-w-ostheimer-lecture
#35
REVIEW
Lisa Leffert
No abstract text is available yet for this article.
May 2015: Anesthesia and Analgesia
https://read.qxmd.com/read/25783720/the-impact-of-first-birth-obstetric-anal-sphincter-injury-on-the-subsequent-birth-a-population-based-linkage-study
#36
JOURNAL ARTICLE
Amanda J Ampt, Christine L Roberts, Jonathan M Morris, Jane B Ford
BACKGROUND: With rising obstetric anal sphincter injury (OASI) rates, the number of women at risk of OASI recurrence is in turn increasing. Decisions regarding mode of subsequent birth following an OASI are complex, and depend on a variety of factors. We sought to identify the risk factors for OASI recurrence from first and subsequent births, and to investigate the effect of OASI birth factors on planned caesarean for the second birth. METHODS: Using two linked population datasets from New South Wales, Australia, we selected women giving birth between 2001 and 2011 with a first birth OASI and a subsequent birth...
December 2015: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/25736867/childhood-adversities-and-adult-onset-chronic-pain-results-from-the-world-mental-health-survey-japan
#37
JOURNAL ARTICLE
A Stickley, A Koyanagi, N Kawakami
BACKGROUND: Childhood adversities (CAs) have been associated with adult-onset chronic pain. However, to date, most single country studies on this association have been undertaken in Western countries. This study examined the association in Japan where information is scarce. METHODS: Data were drawn from the World Mental Health Survey Japan, a population-based cross-sectional survey undertaken in 11 areas of Japan in 2002-2006. We analyzed data from adults aged ≥20 years who provided information on CAs occurring before age 18 years and chronic pain (n = 1740)...
November 2015: European Journal of Pain: EJP
https://read.qxmd.com/read/23445092/ondansetron-in-pregnancy-and-risk-of-adverse-fetal-outcomes
#38
JOURNAL ARTICLE
Björn Pasternak, Henrik Svanström, Anders Hviid
BACKGROUND: Ondansetron is frequently used to treat nausea and vomiting during pregnancy, but the safety of this drug for the fetus has not been well studied. METHODS: We investigated the risk of adverse fetal outcomes associated with ondansetron administered during pregnancy. From a historical cohort of 608,385 pregnancies in Denmark, women who were exposed to ondansetron and those who were not exposed were included, in a 1:4 ratio, in propensity-score-matched analyses of spontaneous abortion (1849 exposed women vs...
February 28, 2013: New England Journal of Medicine
https://read.qxmd.com/read/25730211/pelvic-floor-recovery-after-childbirth
#39
EDITORIAL
Ingrid Nygaard
No abstract text is available yet for this article.
March 2015: Obstetrics and Gynecology
https://read.qxmd.com/read/24820004/women-s-experiences-of-labour-pain-and-the-role-of-the-mind-an-exploratory-study
#40
JOURNAL ARTICLE
Laura Y Whitburn, Lester E Jones, Mary-Ann Davey, Rhonda Small
OBJECTIVE: labour pain is unique and complex. In order to develop a more sophisticated understanding of labour pain this exploratory study aimed to examine women's experiences of labour pain within the perspective of modern pain science. An improved understanding of labour pain will assist in informing and enhancing pain management approaches. DESIGN: a qualitative study was performed using phenomenology as the theoretical framework. Data were collected from telephone interviews...
September 2014: Midwifery
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