Programa de Pós-graduação Interdisciplinar em Ciências da Saúde, Universidade Federal de São Paulo (UNIFESP), Santos, SP, Brazil.
Departamento de Bioestatística, Universidade Federal de São Paulo (UNIFESP), Santos, SP, Brazil.
Braz J Phys Ther. 2017 Jan-Feb;21(1):37-43. doi: 10.1016/j.bjpt.2016.12.003. Epub 2017 Jan 13.
To identify women's complaints about pain in the immediate postpartum of vaginal delivery and cesarean section; to measure the intensity of pain in postpartum women at rest and with selected movements and to compare the activity limitations in relation to the mode of delivery and parity.
Observational, descriptive, cross-sectional study. Eighty-six women, in the immediate postpartum period after vaginal delivery (n=43) and cesarean section (n=43), were evaluated for physical discomforts and their difficulty in performing functional activities.
Abdominal pain (mean differences=-39.5%; 95% CI=-57.3 to -21.8%), neck pain (mean differences=-16.3%; 95% CI=-32.3 to -0.3%) and edema (mean differences=-41.4%; 95% CI=-63.3 to -20.4%) were reported of cesarean women postpartum. Perineal pain (p<0.05) was reported in vaginal delivery women postpartum. Postpartum pain was more severe during movement after cesarean section (p<0.05) resulting in pain during the activities of sitting down (mean differences=-30.2%; 95% CI=-50.7 to -9.8%), standing up from a sitting position (mean differences=-46.5%; 95% CI=-65.0 to -28.0%), walking (mean differences=-44.2%; 95% CI=-65.2 to -23.1%), lying down (mean differences=-32.6%; 95% CI=-54.9 to -10.3%) and taking a bath (mean differences=-24.0%; 95% CI=-43.1 to -5.0%). Correspondence analysis found no association between parity and functional limitations.
The highest number of complaints was associated with movement activities and cesarean section postpartum. There was no relationship between functional limitations and parity in this study.
确定女性在阴道分娩和剖宫产即刻产后疼痛的抱怨；测量产后女性休息时和进行特定运动时的疼痛强度，并比较与分娩方式和产次相关的活动受限。
观察性、描述性、横断面研究。对 86 名阴道分娩（n=43）和剖宫产（n=43）后即刻产后的女性进行身体不适和功能活动困难的评估。
剖宫产女性报告术后腹部疼痛（平均差异=-39.5%；95%CI=-57.3 至-21.8%）、颈部疼痛（平均差异=-16.3%；95%CI=-32.3 至-0.3%）和水肿（平均差异=-41.4%；95%CI=-63.3 至-20.4%）。阴道分娩女性报告产后会阴疼痛（p<0.05）。剖宫产术后运动时疼痛更严重（p<0.05），导致坐下（平均差异=-30.2%；95%CI=-50.7 至-9.8%）、从坐姿站立（平均差异=-46.5%；95%CI=-65.0 至-28.0%）、行走（平均差异=-44.2%；95%CI=-65.2 至-23.1%）、躺下（平均差异=-32.6%；95%CI=-54.9 至-10.3%）和洗澡（平均差异=-24.0%；95%CI=-43.1 至-5.0%）时疼痛。对应分析发现，产次与功能受限之间无关联。
与运动活动和剖宫产术后相比，最多的抱怨与活动有关。在本研究中，功能受限与产次之间没有关系。
