Francisco Adriana Amorim, Kinjo Mirian Hiromi, Bosco Caroline de Souza, Silva Renata Luana da, Mendes Edilaine de Paula Batista, Oliveira Sonia Maria Junqueira Vasconcellos
School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.
Department of Maternal-Infant and Psychiatric Nursing, School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.
Rev Esc Enferm USP. 2014 Aug;48 Spec No:39-44. doi: 10.1590/S0080-623420140000600006. Epub 2014 Aug 1.
Objective To identify the association between perineal trauma and pain in 473 primiparous women. Method Cross-sectional study in which pain was measured by the numerical pain scale (0 to 10 - 0 being no pain and 10 maximal pain). Results The prevalence and mean intensity of pain were 33.0% and 4.7 points (standard deviation = 2.0) in the numeric scale, respectively. Episiotomy represented the most frequent trauma (46.7%). The occurrence and intensity of the pain were associated with perineal trauma and postpartum time. Having perineal trauma tripled the chance of pain. Each hour elapsed following the birth reduced the chance of pain by 4.8%. Conclusion Primiparous women are subject to a high frequency of perineal trauma, with episiotomy being the most prominent. Perineal pain affects approximately one-third of primiparous women and is associated with the postpartum time and perineal traumas.
目的 确定473名初产妇会阴创伤与疼痛之间的关联。方法 采用横断面研究，通过数字疼痛量表（0至10分，0分为无疼痛，10分为最大疼痛）测量疼痛程度。结果 疼痛的患病率和平均强度在数字量表中分别为33.0%和4.7分（标准差 = 2.0）。会阴切开术是最常见的创伤（46.7%）。疼痛的发生和强度与会阴创伤及产后时间相关。发生会阴创伤会使疼痛几率增加两倍。产后每过一小时，疼痛几率降低4.8%。结论 初产妇会阴创伤发生率高，其中会阴切开术最为突出。会阴疼痛影响约三分之一的初产妇，且与产后时间和会阴创伤有关。
