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Mensuração e características da dor perineal em primíparas submetidas à episiotomia

Published on Feb 1, 2009in Acta Paulista De Enfermagem0.628
· DOI :10.1590/S0103-21002009000100013
Ana Carolina Rodarti Pitangui7
Estimated H-index: 7
(USP: University of São Paulo),
Lídia de Sousa2
Estimated H-index: 2
(USP: University of São Paulo)
+ 2 AuthorsAna Márcia Spanó Nakano14
Estimated H-index: 14
(USP: University of São Paulo)
Abstract
OBJETIVO: Mensurar e caracterizar a percepcao dolorosa das puerperas primiparas submetidas a episiotomia. METODOS: Trata-se de uma pesquisa descritiva com abordagem quantitativa, realizada com 40 puerperas primiparas submetidas ao parto normal com episiotomia. Para mensuracao da dor foi utilizada a escala de categoria numerica e para caracterizacao a versao brasileira do questionario McGill - Br-MPQ. RESULTADOS: Os valores encontrados na avaliacao da dor foram de media 4,2 e os descritores que melhor caracterizaram a dor foram: dolorida; que repuxa; incomoda; chata; ardida; pica como uma agulhada; latejante; em pressao. CONCLUSAO: A intensidade da dor perineal foi considerada como moderada pelas puerperas. Na caracterizacao da queixa dolorosa os descritores mais citados foram da dimensao sensorial. Este estudo possibilitou observar a necessidade do reconhecimento dos aspectos qualitativos e quantitativos da dor na pratica clinica obstetrica.
  • References (22)
  • Citations (11)
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References22
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#1Chris E. East (University of Melbourne)H-Index: 19
#2Lisa M. Begg (Royal Women's Hospital)H-Index: 9
Last. Karen Wallace (The Joanna Briggs Institute)H-Index: 5
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Background Perineal trauma is common during childbirth and may be painful. Contemporary maternity practice includes offering women numerous forms of pain relief, including the local application of cooling treatments. Objectives To evaluate the effectiveness and side effects of localised cooling treatments compared with no treatment, other forms of cooling treatments and non-cooling treatments. Search methods We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (10 January 20...
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#1Christine KettleH-Index: 14
#2Robert Kerrin Hills (University of Birmingham)H-Index: 63
Last. Khaled M. K. Ismail (Keele University)H-Index: 22
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Millions of women worldwide undergo perineal suturing after childbirth and the type of repair may have an impact on pain and healing. For more than 70 years, researchers have been suggesting that continuous non-locking suture techniques for repair of the vagina, perineal muscles and skin are associated with less perineal pain than traditional interrupted methods
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#1Lilian Varanda Pereira (USP: University of São Paulo)H-Index: 11
#2Fátima Aparecida Emm Faleiros Sousa (USP: University of São Paulo)H-Index: 11
Trata-se de estudo experimental, no qual foram avaliados descritores da dor pos-operatoria, considerando o grau de adequacao de cada um deles para descreve-la. Participaram 48 pacientes pos-operados, com idade entre 14 e 70 anos, 60,4% do sexo masculino, os quais julgaram 20 descritores, pelo Metodo de Estimacao de Magnitude, com o proposito de quantifica-los e identificar aqueles de maior e os de menor atribuicao na descricao da dor pos-operatoria. Dentre os descritores julgados pelos pacientes...
18 CitationsSource
#1Li Li (Southern Medical University)H-Index: 4
#2Xueqin Liu (Southern Medical University)H-Index: 1
Last. Keela Herr (UI: University of Iowa)H-Index: 40
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Objective. To determine the psychometric properties and applicability of four pain scales in Chinese postoperative adults. Design. A prospective clinical study. Setting. A university-affiliated hospital. Patients. In total, 173 Chinese patients (age range 18–78 years) undergoing scheduled surgery. Interventions. Recalled pain and anticipated postoperative pain intensity were rated preoperatively with a visual analog scale (VAS), a numeric rating scale (NRS), a verbal descriptor scale (VDS), and ...
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#1Rosiane Mattar (UNIFESP: Federal University of São Paulo)H-Index: 22
Last. Maria Rita de Souza Mesquita (UNIFESP: Federal University of São Paulo)H-Index: 2
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#1Rod Sloman (HUJI: Hebrew University of Jerusalem)H-Index: 2
#2Anna Woloski Wruble (HUJI: Hebrew University of Jerusalem)H-Index: 3
Last. Miriam Rom (HUJI: Hebrew University of Jerusalem)H-Index: 4
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Abstract Assessment is an essential, but challenging, component of any pain management plan. Nurses who care for postoperative patients quantify and document pain by use of unidimensional scales such as the numeric rating scale, the visual analogue scale, or a verbal descriptor scale. Improvements in pain ratings on these scales are viewed as a welcome result by nurses and doctors. Pain, however, is a multidimensional phenomenon. Furthermore, pain is subjective, and therefore no objective measur...
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#2Gilson de Vasconcelos Torres (UFRN: Federal University of Rio Grande do Norte)H-Index: 14
Last. Vera Maria da Rocha (UFRN: Federal University of Rio Grande do Norte)H-Index: 6
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Estudo descritivo que objetivou comparar o comportamento qualitativo e quantitativo da dor em pacientes submetidos a toracotomia postero-lateral (tpl). A amostra foi constituida por 18 individuos, sendo 10 homens e 8 mulheres com media de idade de 44 anos. Como instrumentos, utilizou-se a ficha de avaliacao fisioterapeutica, escala numerica da dor e questionario para dor McGill. A dor na escala numerica foi considerada moderada (5) para ambos os sexos. Os descritores do questionario para dor McG...
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#1Fernando Kurita Varoli (USP: University of São Paulo)H-Index: 3
#2Vinícius Pedrazzi (USP: University of São Paulo)H-Index: 15
The purpose of this study was to the present a translated version of the McGill Pain Questionnaire to Brazilian Portuguese that adapted the original pain descriptors according to the Brazilian culture, aiming at its scientific validation. Initially, the original questionnaire was translated by 3 legally recognized translators fluent in English and in Brazilian Portuguese. The translations were meticulously assessed by 5 health professionals (3 dentists, 1 physician and 1 medical student) who wer...
48 CitationsSource
Abstract Objective To assess the potential effect of educational intervention on episiotomy practice. Study design A survey of the attitude of obstetrical caregivers toward episiotomy was conducted among obstetricians and midwives in the three public hospitals in Haifa. Data regarding episiotomy rates was collected for the years 2001–2003. At the beginning of 2002, lectures on the risks and benefits of episiotomy were given in two hospitals. Episiotomy rates before and after the lecture were com...
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Cited By11
Newest
#1Ana Eliza Rios de Araújo Mathias (UPE: Universidade de Pernambuco)H-Index: 1
#2Ana Carolina Rodarti Pitangui (UPE: Universidade de Pernambuco)H-Index: 7
Last. Thaís Guimarães Dias (UPE: Universidade de Pernambuco)H-Index: 1
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BACKGROUND AND OBJECTIVES: Postpartum is a period where there are physiological changes in women’s body, and most of them suffer perineal trauma during the expulsion period, which may induce perineal pain and is considered the most common cause of postpartum morbidity. This study aimed at measuring perineal pain in the immediate vaginal postpartum period and the possible association with its risk factors. METHODS: Participated in the study 147 vaginal postpartum women in the period from Septembe...
Source
#2Márcia Barbieri (UNIFESP: Federal University of São Paulo)H-Index: 12
Last. Angelita José HenriqueH-Index: 2
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Objective. To identify the perception of the teenager puerperas regarding the practice of episiotomy. Methodology. This is a study with qualitative nature developed with 11 teenage puerperas in the Obstetrics Unit of one hospital located in the metropolitan region of Sao Paulo, Brazil. Results. Teens knew of the existence of episiotomy, but they unaware the reasons for its realization. Pain, discomfort and burning were negative repercussions presented, but most of them believe that assisted proc...
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#2Tania Cursino de Menezes Couceiro (UFPE: Federal University of Pernambuco)H-Index: 6
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JUSTIFICATIVA E OBJETIVOS: O parto vaginal pode resultar em dor perineal aguda e persistente posparto. Este estudo avaliou a associacao da catastrofizacao, fenomeno de ma adaptacao psicologica a dor que leva o individuo a magnificar a experiencia dolorosa, tornando-a mais intensa, com a incidencia e a intensidade da dor perineal e sua relacao com o trauma perineal. METODO: Estudo coorte. Realizado com gestantes em trabalho de parto. Foi aplicada a escala de pensamentos catastroficos sobre a dor ...
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#2Tania Cursino de Menezes Couceiro (UFPE: Federal University of Pernambuco)H-Index: 6
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Abstract Background and objectives Vaginal birth delivery may result in acute and persistent perineal pain postpartum. This study evaluated the association between catastrophizing, a phenomenon of poor psychological adjustment to pain leading the individual to magnify the painful experience making it more intense, and the incidence and severity of perineal pain and its relationship to perineal trauma. Method Cohort study conducted with pregnant women in labor. We used the pain catastrophizing sc...
5 CitationsSource
#2Tania Cursino de Menezes Couceiro (UFPE: Federal University of Pernambuco)H-Index: 6
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Resumen Justificativa y objetivos El parto vaginal puede traer dolor perineal agudo y persistente postparto. Este estudio evaluo la asociacion de la catastrofizacion, fenomeno de mala adaptacion psicologica al dolor, que hace con que el individuo exagere la experiencia dolorosa, convirtiendola en algo mas intenso, con la incidencia y la intensidad del dolor perineal y su relacion con el trauma perineal. Metodo Estudio de cohorte realizado con gestantes en trabajo de parto. Se aplico la escala de p...
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Aim: We evaluated the effectiveness of high-frequency transcutaneous electrical nerve stimulation (TENS) as a pain relief resource for primiparous puerpere who had experienced natural childbirth with an episiotomy. Methods: A controlled, randomized clinical study was conducted in a Brazilian maternity ward. Forty puerpere were randomly divided into two groups: TENS high frequency and a no treatment control group. Post-episiotomy pain was assessed in the resting and sitting positions and during a...
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#1Ana Carolina Sartorato Beleza (UNIFESP: Federal University of São Paulo)H-Index: 4
#2Cristine Homsi Jorge Ferreira (USP: University of São Paulo)H-Index: 11
Last. Ana Márcia Spanó Nakano (USP: University of São Paulo)H-Index: 14
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This is a descriptive study, involving fifty women after vaginal delivery with episiotomy. The study aimed to measure and to characterize the perineal pain in primiparae who have had a natural childbirth with episiotomy and to verify the activities limited by the perineal pain. For evaluation of perineal pain, a Numeric Scale and the McGill Pain Questionnaire were used, as well as another questionnaire to analyze the activities limited. In the Numeric Scale, the median of perineal pain referred ...
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#2Sonia Maria Junqueira Vasconcellos de Oliveira (USP: University of São Paulo)H-Index: 14
Last. Flora Maria Barbosa da Silva (USP: University of São Paulo)H-Index: 9
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#2Sonia Maria Junqueira Vasconcellos de Oliveira (USP: University of São Paulo)H-Index: 14
Last. Flora Maria Barbosa da Silva (USP: University of São Paulo)H-Index: 9
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Objectives: To identify the prevalence, intensity and therapeutic measures for relief of perineal pain in the vaginal postpartum. Methods: Cross-sectional study in a University Hospital Rooming Unit of the University of Sao Paulo; data were collected through interviews with 303 postpartum women who delivered vaginally (numeric scale from 0 to 10) to assess: perineal pain, perineal assessment and medical record data. Results: The prevalence of perineal pain was 18.5%, with moderate intensity (51....
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