Karlström Annika, Engström-Olofsson Regina, Norbergh Karl-Gustaf, Sjöling Mats, Hildingsson Ingegerd
Department of Obstetrics and Gynaecology, Hospital of Sundsvall, Sundsvall, Sweden.
J Obstet Gynecol Neonatal Nurs. 2007 Sep-Oct;36(5):430-40. doi: 10.1111/j.1552-6909.2007.00160.x.
To study women's experience of postoperative pain and pain relief after cesarean birth and factors associated with pain assessment and the birth experience.
Descriptive patient survey. Data were collected through a questionnaire. The outcome variables were assessments of pain using a Visual Analog Scale and women's birth experience measured on a seven-point Likert scale.
Central Swedish county hospital, maternity unit.
PATIENTS/PARTICIPANTS: The sample consisted of 60 women undergoing cesarean birth.
Women reported high levels of experienced pain during the first 24 hours. Seventy-eight percent of the women scored greater than or equal to 4 on the Visual Analog Scale, which can be seen as inadequately treated pain. There was no difference between elective and emergency cesarean births in the levels of pain. In spite of high levels of pain, women were pleased with the pain relief. The risk of a negative birth experience was 80% higher for women undergoing an emergency cesarean birth compared with elective cesarean birth. Postoperative pain negatively affected breastfeeding and infant care.
There is a need for individual and adequate pain treatment for women undergoing cesarean birth, as high levels of pain interfere with early infant care and breastfeeding.
研究剖宫产术后女性的疼痛体验及疼痛缓解情况，以及与疼痛评估和分娩体验相关的因素。
描述性患者调查。通过问卷收集数据。结果变量包括使用视觉模拟量表进行的疼痛评估以及用七点李克特量表衡量的女性分娩体验。
瑞典中部郡医院产科病房。
患者/参与者：样本包括60名接受剖宫产的女性。
女性报告在术后24小时内疼痛程度较高。78%的女性在视觉模拟量表上的得分大于或等于4分，这可视为疼痛治疗不充分。择期剖宫产和急诊剖宫产的疼痛程度没有差异。尽管疼痛程度较高，但女性对疼痛缓解情况感到满意。与择期剖宫产相比，急诊剖宫产女性出现负面分娩体验的风险高80%。术后疼痛对母乳喂养和婴儿护理产生负面影响。
剖宫产女性需要个体化且充分的疼痛治疗，因为疼痛程度高会干扰早期婴儿护理和母乳喂养。
