International journal of obstetric anesthesia · 2026
Use of a single pain coping skills session (Empowered Relief) for outpatient postpartum pain following cesarean delivery: a pilot feasibility study.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Jethwa A, Nguyen N, Michel G, Simons L E, Rabbitts J, Panelli D M, Darnall B D, Sultan P
Аннотация
INTRODUCTION: Chronic pain after cesarean delivery affects 17% of patients which can impact quality of life. Interventions to prevent acute to chronic pain transition are limited. The primary aim of this study was to assess feasibility of Empowered Relief, a 2-hour pain skills session delivered by an instructor in the outpatient setting.
METHODS: Patients were screened and approached at the 6-week postpartum clinic visit for pain severity and interference using qualitative questions and a 0-10 numeric rating scale. Those with moderate to severe pain (numeric rating scale ≥ 4/10) were consented and randomized to intervention (Empowered Relief) or standard follow up care. The primary outcome was feasibility of the intervention. Secondary outcomes were changes in pain interference, severity, and catastrophizing at 12 weeks postpartum. Data is presented as median values with interquartile ranges.
RESULTS: Of the 48 patients that were assessed for pain severity between July and November 2025, 4 (8%) reported ≥ 4/10 pain and were eligible; 44 (92%) were ineligible. Of 4 eligible cases for the intervention, 3 declined participation due to time commitment; one consented however, did not attend the intervention session. The trial was terminated due to low eligibility rate and inability to conduct the intervention. Pain interference > 0/10 was reported by 59% of patients (24/41). Median pain severity was 0 [0,3] and pain interference was 1 [0,1.25]. In 88% of cases, reported pain scores to the research team were higher than those reported to the clinical team.
CONCLUSION: Using pain severity (with a threshold of ≥ 4/10 on the numeric rating scale) in the 6-week postpartum follow-up clinic setting resulted in insufficient sample of eligible patients to evaluate the Empowered Relief intervention. Future studies should consider inclusion criteria based on any pain interference or severity.
METHODS: Patients were screened and approached at the 6-week postpartum clinic visit for pain severity and interference using qualitative questions and a 0-10 numeric rating scale. Those with moderate to severe pain (numeric rating scale ≥ 4/10) were consented and randomized to intervention (Empowered Relief) or standard follow up care. The primary outcome was feasibility of the intervention. Secondary outcomes were changes in pain interference, severity, and catastrophizing at 12 weeks postpartum. Data is presented as median values with interquartile ranges.
RESULTS: Of the 48 patients that were assessed for pain severity between July and November 2025, 4 (8%) reported ≥ 4/10 pain and were eligible; 44 (92%) were ineligible. Of 4 eligible cases for the intervention, 3 declined participation due to time commitment; one consented however, did not attend the intervention session. The trial was terminated due to low eligibility rate and inability to conduct the intervention. Pain interference > 0/10 was reported by 59% of patients (24/41). Median pain severity was 0 [0,3] and pain interference was 1 [0,1.25]. In 88% of cases, reported pain scores to the research team were higher than those reported to the clinical team.
CONCLUSION: Using pain severity (with a threshold of ≥ 4/10 on the numeric rating scale) in the 6-week postpartum follow-up clinic setting resulted in insufficient sample of eligible patients to evaluate the Empowered Relief intervention. Future studies should consider inclusion criteria based on any pain interference or severity.