Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Department of Obstetrics & Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Pain Res Manag. 2019 Aug 8;2019:6985164. doi: 10.1155/2019/6985164. eCollection 2019.
Pregnant women with chronic pain present a unique clinical challenge for both chronic pain and obstetrical providers, and clinical guidelines do not exist. The present study describes the prevalence and management of chronic pain during pregnancy in a perinatal mood disorder clinic. A retrospective chart review of pregnant women who presented to the Women's Mental Health Program at the University of Arkansas for Medical Sciences (UAMS) for an initial evaluation from July 2013 to June 2016 was conducted to obtain demographic and medical information, including pharmacological exposures. Data are described using the mean and standard deviation for continuous data and frequency for categorical data. Pain complaints and medications are presented as counts and percentages. Differences between women with and without chronic pain were assessed by -tests for continuous variables and chi-square analysis for categorical variables. Of the 156 pregnant women, chronic pain conditions were reported by 44 (28.2%). The most common chronic pain complaints included neck and/or back pain (34.1%) and headaches (31.8%). Of subjects with chronic pain, 95.5% were taking at least one prescription medication (mean = 2.6 ± 2.1, range of 0-10). Acetaminophen (43.2%) and opioids (43.2%) were the most common. The complexity of managing maternal benefits of treatment with the risks of fetal exposures presents a uniquely challenging clinical scenario for healthcare providers.
患有慢性疼痛的孕妇给慢性疼痛和产科医生都带来了独特的临床挑战，而目前尚不存在临床指南。本研究描述了在围产期情绪障碍诊所中，孕妇在怀孕期间慢性疼痛的患病率和管理情况。对 2013 年 7 月至 2016 年 6 月期间在阿肯色大学医学科学分校（UAMS）妇女心理健康项目首次就诊的孕妇进行了回顾性图表审查，以获取人口统计学和医疗信息，包括药物暴露情况。使用连续数据的平均值和标准差以及分类数据的频率来描述数据。疼痛投诉和药物以计数和百分比表示。通过 -检验评估有和无慢性疼痛的女性之间的差异用于连续变量，卡方检验用于分类变量。在 156 名孕妇中，有 44 名（28.2%）报告有慢性疼痛。最常见的慢性疼痛投诉包括颈痛和/或背痛（34.1%）和头痛（31.8%）。在有慢性疼痛的患者中，95.5%至少服用一种处方药（平均值=2.6±2.1，范围为 0-10）。最常见的药物是对乙酰氨基酚（43.2%）和阿片类药物（43.2%）。管理母体治疗益处与胎儿暴露风险的复杂性给医疗保健提供者带来了独特的挑战临床情况。
