Peripartal pain perception and pain therapy: introduction and validation of a questionnaire as a quality instrument
| Autor: | Claudia Weinmann, W Meißner, Uwe Schneider, A. Linzbach, J Jiménez Cruz, D Nitschke, Ekkehard Schleußner, M. Komann, J Rothaug |
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| Rok vydání: | 2021 |
| Předmět: |
Labor Pain
medicine.medical_specialty Labor Obstetric business.industry media_common.quotation_subject Reproducibility of Results Obstetrics and Gynecology Pain Perception Subgroup analysis General Medicine Labor pain Test (assessment) Cronbach's alpha Pregnancy Surveys and Questionnaires Sensation Criterion validity Physical therapy Humans Medicine Pain perception Female Quality (business) business media_common |
| Zdroj: | Archives of Gynecology and Obstetrics. 305:1409-1419 |
| ISSN: | 1432-0711 |
| DOI: | 10.1007/s00404-021-06246-w |
| Popis: | Background Labor pain is difficult to measure. The aim of this proof-of-concept study is to implement and test a questionnaire assessing pain sensation during and after vaginal deliveries. Its key aspect is a highly standardized survey of patient-reported outcome (PRO) by staff not involved in routine care. Methods Between January and November 2015 339 women were assessed 24–48 h after spontaneous or operative-vaginal delivery of a singleton. German language skills were a prerequisite to participate. The test–retest reliability was calculated in 38 women 24–36 and 48–72 h postpartum between July and October 2017. Primiparae after spontaneous delivery and multiparae with no history of operative deliveries were compared in a subgroup analysis. Results Maximum labor pain and post-partum pain were reported a median of 9 [8–10] and 4 [3–6]. Higher ratings were associated with younger age, higher gestational ages, infant’s biometrics, and the duration of laboring. Only regional analgesia tended to reduce pain perception (NRS 8 vs. 9). Higher-degree injuries were associated with less pain postpartum. The questionnaire proved to be reliable in most aspects (Cronbach's α > 0.6 for 19/21 questions) and showed an acceptable content and criterion validity (Cohen correlation > ± 0.3, interrelation between items). Conclusion Labor is a very painful experience, irrespective of previous obstetric history. Ratings indicate inadequateness of treatment except for patients receiving preventive postoperative pain management. Systematic postpartum pain assessment, hence, is still a pending issue. Adjustments will be made concerning language skills and specific questions on effectiveness of analgesia otherwise good reliability and validity of the questionnaire were proven. |
| Databáze: | OpenAIRE |
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