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Войти в исследования Acute Postoperative Pain After Caesarean Section, Intensity and Management: A Cohort Multicentre Study.
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Espinós Ramírez Carles, Castellví Obiols Pere, Martínez-Rodríguez David, Raynard Mireia, Viscasillas Draper Blanca, Masgoret Paula, Rodríguez Cosmen Cristina, Subirana Giménez Laura, Martinez García Maria, Mestres Gerard, Melo Martha, Nebot Galindo Alexia, Montero Gaig Natalia, Sánchez-Migallón Virginia, Valencia Royo David, Pacheco Comino Núria Lara, Bermejo Perez Inés, Santos Farré Cristina, Toll Salillas Lluís, Alonso Gelabert Arnau, Homs Marta, Ribas Patricia, Teixell Claudia, Plaza Moral Ana María, Tena Beatriz, Fernández Castiñeira Adrián, Armengol Gay Mireia, Fort Pelai Beatriz, García Bartoló Carolina, Mestre Iniesta Carolina, Peig Font Anna, Gil Esteller Paula, Clave Jean Louis, Gasca Pera Sandra, Batalla Astrid, Raduá Giménez Virginia, Roca Amatria Gisela
Аннотация
METHODS: A prospective multicentre observational study with women undergoing elective caesarean section. All participants were contacted at 3 months postoperatively to assess the presence or absence of persistent pain. Pain patients were assessed in person to collect data from a focused clinical interview, a targeted physical exam and a set of comprehensive quality of life and functional questionnaires.
RESULTS: CPSP was diagnosed in 69 women (14.59%) of the 514 total participants. Most (94.20%) described their pain with somatic-like characteristics. 46.38% also screened positive for neuropathic features and 41.51% fulfilled diagnostic criteria for chronic pelvic pain. Preoperative SF-12 and catastrophic scale and worse postoperative pain at 24 h were related to a higher risk of developing CPSP. Patients with CPSP reported moderate interference in mood, general activity and occupational functioning being more severe in patients with neuropathic pain.
CONCLUSIONS: The prevalence of persistent pain after caesarean delivery is noticeably high for such a common, simple and benign surgical procedure. A subset of patients develops mixed neuropathic pain and chronic pelvic pain syndromes. CPSP causes a significant negative impact on quality of life, particularly among patients with neuropathic symptoms.
SIGNIFICANCE STATEMENT: This manuscript presents the analysis of the results of a multicentre study regarding the prevalence of CPSP after a caesarean section. Moreover, we have also looked for clinical characteristics of CPSP and its effects on quality of life and daily functioning. The study we describe provides new insights about which the incidence, type, location of CPSP after a caesarean section and association with chronic pelvic pain. It also shows the impact that having CPSP has on these patients' quality of life and activities of daily living.