Is there association between the discomforts of the immediate postpartum period and type of delivery? An observational study

Main Article Content

Thalita Rodrigues Christovam Pereira
Fábio Tadeu Montesano
Pryscilla Dieguez Ferreira
Andrea Simões Minozzi
Ana Carolina Sartorato Beleza

Abstract

Introduction: The type of delivery may be a determining factor for the development of discomfort in the immediate postpartum period. Objective: To identify the discomfort related by women in the immediate postpartum period and to compare them among those submitted to vaginal delivery and cesarean. Methods: Cross‑sectional analytical study developed in a public maternity hospital with medical records that contained information of physical therapy evaluation of postpartum women attended from February to November 2011. Results: A total of 346 records were included in this study. Immediate postpartum complaints: abdominal pain (31.5%), edema (19.1%), low back pain (18.2%), neck pain (9.8%) and discomfort in the lower limbs (5.8%). Cesarean was the mode of delivery that caused greater discomfort related to the presence of abdominal pain (p=0.001), neck pain (p=0.017) and edema (p=0.017). Conclusion: The findings suggest that women who undergo cesarean are vulnerable to greater morbidity compared to vaginal delivery during the immediate postpartum period.

Downloads

Download data is not yet available.

Article Details

How to Cite
Pereira, T. R. C., Montesano, F. T., Ferreira, P. D., Minozzi, A. S., & Beleza, A. C. S. (2017). Is there association between the discomforts of the immediate postpartum period and type of delivery? An observational study. ABCS Health Sciences, 42(2). https://doi.org/10.7322/abcshs.v42i2.1007
Section
Original Articles

References

Haran C, Van Driel M, Mitchell BL, Brocribb WE. Clinical guidelines for postpartum women and infants in primary care – a systematic review. BMC Pregnancy Childbirth. 2014;14:51. http://dx.doi.org/10.1186/1471-2393-14-51

Lavand’homme P. Chronic pain after childbirth. Curr Opin Anesthesiol. 2013;26(3):273-7. http://dx.doi.org/10.1097/ACO.0b013e328360c57b

Vanderkuik RC, Tunçalp Ö, Chou D, Say L. Framing maternal morbidity: WHO scoping exercise. BMC Pregnancy Childbirth. 2013;13:213. http://dx.doi.org/10.1186/1471-2393-13-213

Eisenach J, Pan P, Smiley RM, Lavand’homme P, Landau R, Houle TT. Resolution of pain after childbirth. Anesthesiol. 2013;118(1):143‑51. http://dx.doi.org/10.1097/ALN.0b013e318278ccfd

Wen L, Hilton G, Carvalho B. The impact of breastfeeding on postpartum pain after vaginal and cesarean delivery. J Clin Anesth. 2015;27(1):33-8. http://dx.doi.org/10.1016/j.jclinane.2014.06.010

Hardy-Fairbanks AJ, Lauria MR, Mackenzie T, McCarthy Jr. M. Intensity and unpleasantness of pain following vaginal and cesarean delivery: a prospective evaluation. Birth. 2013;40(2):125‑33. http://dx.doi.org/10.1111/birt.12039

Sperstad JB, Tennfjord MK, Hilde G, Ellström-Engh M, Bø K. Diastasis recti abdominis during pregnancy and 12 mounths after childbirth: prevalence, risk factors and report of lumbopelvic pain. Br J Sports Med. 2016;50:1092-6. http://dx.doi.org/10.1136/bjsports-2016-096065

Olsson CB, Grooten WJA, Nilsson-Wikmar L, Harms-Ringdahl K, Lundberg M. Catastrophizing during and after pregnancy: associations with lumbopelvic pain and postpartum physical ability. Phys Ther. 2012;92(1):49-57. http://dx.doi.org/10.2522/ptj.20100293

Souza JP, Betran AP, Dumont A, de Mucio B, Gibbs Pickens CM, Deneux-Tharaux C, et al. A global reference for caesarean section rates (C-Model): a multicountry cross-sectional study. BJOG. 2016;123(3):427-36. http://dx.doi.org/10.1111/1471-0528.13509

Khunpradit S, Tavender E, Lumbiganon P, Laopaiboon M, Wasiak J, Gruen R. Non-clinical interventions for reducing unnecessary caesarean section. Cochrane Database Syst Rev. 2011;6:CD005528. http://dx.doi.org/10.1002/14651858.CD005528.pub2

do Carmo Leal M, da Silva AA, Dias MA, da Gama SG, Rattner D, Moreira ME, et al. Birth in Brazil: national survey into labour and birth. Reprod Health. 2012;9:15. http://dx.doi.org/10.1186/1742-4755-9-15

d’Orsi E, Brüggermann OM, Diniz CSG, Aguiar JM, Gusman CR, Torres JA, et al. Desigualdades sociais e satisfação das mulheres com o atendimento ao parto no Brasil: estudo nacional de base hospitalar. Cad Saúde Pública. 2014;30(Supl. 1):S154-68. http://dx.doi.org/10.1590/0102-311X00087813

Ji H, Jiang H, Yang L, Qian X, Tang S. Factors contributing to the rapid rise of caesarean section: a prospective study of primiparous Chinese women in Shanghai. BMJ Open. 2015;5(11):e008994. http://dx.doi.org/10.1136/bmjopen-2015-008994

Benute GRG, Nomura RY, Santos AM, Zarvos MA, Lucia MCS, Francisco RPV. Preferência pela via de parto: uma comparação entre gestantes nulíparas e primíparas. Rev Bras Ginecol Obstet. 2013;35(6):281-5. http://dx.doi.org/10.1590/S0100-72032013000600008

Woolhouse H, Perlen S, Gartland D, Brown SJ. Physical health and recovery in the first 18 months postpartum: does cesarean section reduce long-term morbidity? Birth. 2012;39(3):221-9. http://dx.doi.org/10.1111/j.1523-536X.2012.0051.X

Rowlands IJ, Redshaw M. Mode of birth and women’s psychological and physical wellbeing in the postnatal period. BMC Pregnancy Childbirth. 2012;12:138. http://dx.doi.org/10.1186/1471-2393-12-138

Kuo S-Y, Chien S-R, Tzeng Y-L. Depression and anxiety trajectories among women who undergo an elective cesarean section. PLoS One. 2014;9(1):e86653. http://dx.doi.org/10.1371/journal.pone.0086653

Pitangui ACR, Araújo RC, Bezerra MJS, Robeiro CO, Nakano AMS. Low and high-frequency TENS in post-episiotomy pain relief: a randomized, double-blind clinical trial. Braz J Phys Ther. 2014;18(1):72-8. http://dx.doi.org/10.1590/S1413-35552012005000143

Stuebe AM, Horton BJ, Chetwynd E, Watkinds S, Grewen K, Meltzer-Brody S. Prevalence and risk factors for early, undesired weaning attributed to lactation dysfunction. J Womens Health (Larchmt). 2014;23(5):404-12. http://dx.doi.org/10.1089/jwh.2013.4506

Francisco AA, Oliveira SMJV, Leventhal LC, Bosco CS. Crioterapia no pós-parto: tempo de aplicação e mudanças na temperatura perineal. Rev Esc Enferm USP. 2013;47(3):555-61. http://dx.doi.org/10.1590/S0080-623420130000300005

Kayman-Kose S, Arioz DT, Toktas H, Koken G, Kanat-Pektas M, Kose M, et al. Transcutaneous electrical nerve stimulation (TENS) for pain control after vaginal delivery and cesarean section. J Mater Fetal Neonatal Med. 2014;27(15):1572-5. http://dx.doi.org/10.3109/14767058.2013.870549

Progianti JM, Costa RF. Práticas educativas desenvolvidas por enfermeiras: repercussões sobre vivências de mulheres na gestação e no parto. Rev Bras Enferm. 2012;65(2):257-63. http://dx.doi.org/10.1590/S0034-71672012000200009

Castro AS, Castro AC, Mendonça AC. Abordagem fisioterapêutica no pré-parto: proposta de protocolo e avaliação da dor. Fisioter Pesqui. 2012;19(3):210-4. http://dx.doi.org/10.1590/S1809-29502012000300004