在产后三个月内,二度围撕裂和围疼痛的严重程度:前性队列研究
Jeanette Risløkken1, Marthe Dalevoll Macedo1, Kari Bø2
1University of Oslo, Faculty of Medicine, Division Akershus University Hospital, Oslo, Norway; Akershus University Hospital, Department of Obstetrics and Gynecology, Lørenskog, Norway.
Midwifery
|February 6, 2024
概括
患有更严重的二度围撕裂 (2C) 的女性经历了更高的疼痛,并在分娩后使用了更多的药物. 较不严重的眼 (2A) 与前三个月的下部疼痛和药物使用有关.
科学领域:
- 产科和妇科 产科和妇科
- 围产期护理 围产期护理
- 妇女健康研究 妇女健康研究
背景情况:
- 二度围撕裂是常见的产后并发症.
- 在组织创伤的程度上存在显著的差异.
- 了解围疼痛与撕裂严重程度的关系至关重要.
研究的目的:
- 根据产后前三个月的第二度撕裂严重程度来评估围疼痛的差异.
- 分析疼痛药物的使用和母乳养模式与撕裂严重程度的关系.
主要方法:
- 观察性队列研究,包括无双和多双的女性.
- 根据周围骨损伤的百分比,将二级撕裂分为子类别 (2A,2B,2C).
- 通过电话采访和电子问卷来评估疼痛,药物使用和母乳养.
主要成果:
- 与2A眼相比,有2C眼的女性报告了明显更高的疼痛评分.
- 在患有2C眼的女性中,与2A眼相比,观察到疼痛药物的使用增加.
- 在第二级撕裂子类别中,没有发现母乳养模式的显著差异.
结论:
- 更严重的二度围撕裂 (2C) 与产后围疼痛增加相关.
- 更高的止痛药使用与更严重的眼有关.
- 撕裂的严重程度是产后疼痛管理的一个关键因素.
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