Titre : | Perineal pain the first year after childbirth and uptake of post-partum check-up - a Swedish cohort study (2019) |
Auteurs : | Susanne Ahlund ; I Radestad ; Sofia Zwedberg ; Helena Lindgren |
Type de document : | Article : texte imprimé |
Dans : | Midirs. Midwifery Digest (Vol. 29, n° 4, December 2019) |
Article en page(s) : | p. 490-496 |
Langues: | Anglais |
Sujets : |
Paramédical (MeSH) Déchirure périnéale ; Douleur ; Prise en charge postnatale ; Rééducation périnéale ; Sage-femme |
Résumé : |
OBJECTIVE : The aim of this prospective cohort study was to investigate the prevalence of perineal pain related to the perineal injury within the first year after childbirth. The study further explored the rates of postpartum check-up attendance, and whether they had undergone a vaginal examination, pelvic floor assessment and exercise advice.
METHODS : The primary outcome was women's self-perceived and selfreported occurrence of pain related to perineal injuries (within three, six and 12 months) after birth. Secondary outcomes were uptake of postpartum check-up six to 12 weeks after birth and care received at the check-up. A postal questionnaire was completed one year after birth. Descriptive data was used to present data. RESULTS : A total of 461 Swedish women (77%) were included in the study. The majority of women with severe perineal injuries (75.0%), and 61.8% of those with moderate injuries II suffered from perineal pain three months postpartum, while 60% with severe injuries and 38.7 with moderate injuries II still had perineal pain six months after birth. The postpartum check-up was attended by 90.6%. However, one out of four had not been given a pelvic examination or advised about pelvic floor exercises. CONCLUSIONS : Many primiparas suffer from pain related to perineal injuries during the first year after birth. One out of ten women has problems with perineal pain one year postpartum. It is essential to investigate and recognize the impact of perineal pain on women's daily life and psychological and emotional wellbeing at the postpartum checkup. |
Exemplaires (1)
Localisation | Section | Support | Cote de rangement | Statut | Disponibilité |
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Bibliothèque Paramédicale | Périodiques | Périodique | MID.DIG 19-4 | Empruntable | Disponible |