Incidence and risk factors for chronic pain after elective caesarean delivery under spinal anaesthesia in a Chinese cohort: a prospective study.
Int J Obstet Anesth
; 34: 21-27, 2018 May.
Article
en En
| MEDLINE
| ID: mdl-29534950
ABSTRACT
BACKGROUND:
China has one of the highest rates of caesarean delivery in the world. The aim of this study was to investigate the incidence and risk factors for chronic pain after caesarean delivery in a Chinese cohort.METHODS:
Patients undergoing elective caesarean delivery with a Pfannenstiel incision under spinal anaesthesia were recruited prospectively at a Chinese tertiary women's hospital. The State Trait Anxiety Inventory was measured before surgery. Postoperative analgesia was provided by intravenous patient-controlled analgesia for 48â¯hours. Postoperative acute pain scores and analgesic consumption were assessed. After 3, 6 and 12â¯months, patients were interviewed by telephone regarding whether pain was present, and if present, the intensity, frequency, location and impact of the pain.RESULTS:
In total 786 patients completed this study. The incidence of pain at 3, 6 and 12â¯months was 12.2%, 3.8% and 0.8% respectively. Of patients with pain at 3â¯months, most patients experienced pain daily (43.7%) or with intervals of a day or more between pain (41.7%), with intensity overall described as mild to moderate. The most common sites of pain were the incision or nearby (56.3%), and the low back (36.4%). Risk factors for pain at 3â¯months included previous caesarean delivery and higher analgesic consumption at 24â¯h and 48â¯h postoperatively.CONCLUSION:
Chronic pain after elective caesarean delivery under spinal anaesthesia occurs infrequently, especially in the long-term, in a Chinese population. Patients with a previous caesarean delivery and higher analgesic use were at increased risk.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Dolor Postoperatorio
/
Cesárea
/
Dolor Crónico
/
Anestesia Obstétrica
/
Anestesia Raquidea
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Asia
Idioma:
En
Revista:
Int J Obstet Anesth
Asunto de la revista:
ANESTESIOLOGIA
/
OBSTETRICIA
Año:
2018
Tipo del documento:
Article