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Evaluation of Pain before and after vaginal delivery


Purpose: The objective of this pilot study was to determine pain characteristics of pregnant women immediately before and after childbirth by vaginal delivery, to compare it with pain intensity reported by the physician.Methods: We evaluated 20 Brazilian women between Sep-Dec 2007 with the WHOQOL Bref, VAS, McGill Pain Questionnaire, and Anxiety Adapted Scale. We interviewed the obstetrician with the VAS about the patient´ pain. Data were analyzed with qui-square test.Results: Mean age was 22.35yo (SD=6.24, range of 15-39yo). It was necessary to use oxitocin in 15 (75%) of them, which had not correlation to anxiety degree. Higher intensity of pain (p=0.04) and higher anxiety index (p=0.02) were more common in women at the first pregnancy. Conclusions: Higher pain intensity was associated to higher anxiety levels (p=0.031). Around half of VAS scores of the obstetricians were lower than VAS scores of women, and probably pain at labor is underestimated and not controlled. Higher indexes of anxiety and pain were associated and were more frequent in women at the first pregnancy. (AU)

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(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
ALVES, B.; ZAKKA, T.; TEIXEIRA, M. J.; SIQUEIRA, J. T. T.; SIQUEIRA, S. R. D. T.. Evaluation of pain before and after vaginal delivery. CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY, v. 36, n. 4, p. 241-244, . (09/00193-8)

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