RESUMEN
OBJECTIVE: To identify the prevalence of pain in puerperal women, describe the characteristics of pain and its impacts on the performance of daily life activities, and evaluate satisfaction with received analgesia. METHOD: Cross-sectional study which included women who had given birth. These were evaluated within 72 hours postpartum in a public teaching hospital in São Paulo city. Obstetric and clinical data were evaluated, as well as presence and characteristics of pain and its impact on daily activities. RESULTS: A total 128 women participated in this study. The prevalence of pain was 36.7% during the interview and 54.6% in the previous 24 hours. The main pain site was the abdominal region (64.7%) and pain intensity was moderate to 48.9% of women, with intermittent frequency in 58% of the cases. There was a significant association between presence of pain and type of delivery (cesarean; p=0.030). Not being able to provide care to the newborn, requiring going to a different unit, increased pain perception (p=0.038). A significant impact of pain on the capacity of walking, eating, sleeping, taking care of the baby, evacuating, breathing deeply, breastfeeding, and sitting was verified. CONCLUSION: Pain was frequent during the postpartum period and significantly affected the mothers' activities, indicating a need for improving pain management in puerperium.
Asunto(s)
Dolor , Periodo Posparto , Estudios Transversales , Parto Obstétrico , Femenino , Humanos , Recién Nacido , Madres , Dolor/epidemiología , Embarazo , PrevalenciaRESUMEN
ABSTRACT Objective: To identify the prevalence of pain in puerperal women, describe the characteristics of pain and its impacts on the performance of daily life activities, and evaluate satisfaction with received analgesia. Method: Cross-sectional study which included women who had given birth. These were evaluated within 72 hours postpartum in a public teaching hospital in São Paulo city. Obstetric and clinical data were evaluated, as well as presence and characteristics of pain and its impact on daily activities. Results: A total 128 women participated in this study. The prevalence of pain was 36.7% during the interview and 54.6% in the previous 24 hours. The main pain site was the abdominal region (64.7%) and pain intensity was moderate to 48.9% of women, with intermittent frequency in 58% of the cases. There was a significant association between presence of pain and type of delivery (cesarean; p=0.030). Not being able to provide care to the newborn, requiring going to a different unit, increased pain perception (p=0.038). A significant impact of pain on the capacity of walking, eating, sleeping, taking care of the baby, evacuating, breathing deeply, breastfeeding, and sitting was verified. Conclusion: Pain was frequent during the postpartum period and significantly affected the mothers' activities, indicating a need for improving pain management in puerperium.
RESUMEN Objetivo: Identificar la prevalencia del dolor en las puerperales, describir las características y el impacto del dolor en el desempeño de las actividades de la vida diaria y evaluar la satisfacción con la analgesia recibida. Método: Estudio transversal que incluyó a mujeres que dieron a luz, evaluadas hasta dentro de las 72 horas de posparto en un hospital público de enseñanza en la ciudad de São Paulo. Se evaluaron los datos clínicos y obstétricos, así como la presencia, las características y el impacto del dolor en las actividades cotidianas. Resultados: Participaron 128 mujeres. La prevalencia del dolor fue del 36,7% en el momento de la entrevista y del 54,6% en las 24 horas precedentes. El principal lugar de dolor era la región abdominal (64,7%) y la intensidad del dolor fue moderada para el 48,9% de las mujeres, con una frecuencia intermitente en el 58% de los casos. Hubo una asociación significativa entre la presencia de dolor y el tipo de parto (cesáreo; p=0,030). El no cuidar al recién nacido por tener que trasladarse a otra unidad aumentaba la percepción del dolor (p=0,038). Hubo un impacto significativo del dolor en la capacidad de caminar, comer, dormir, cuidar del bebé, evacuar, respirar profundamente, amamantar y sentarse. Conclusión: El dolor era frecuente en el período de posparto y afectaba significativamente a las actividades de la madre, lo que indica la necesidad de mejorar el tratamiento del dolor en el puerperio.
RESUMO Objetivo: Identificar a prevalência de dor em puérperas, descrever as características e o impacto da dor no desempenho das atividades de vida diária e avaliar a satisfação com a analgesia recebida. Método: Estudo transversal que incluiu mulheres que deram à luz, avaliadas em até 72 horas pós-parto em hospital público de ensino da cidade de São Paulo. Foram avaliados dados clínicos e obstétricos, bem como presença, características e impacto da dor nas atividades diárias. Resultados: Participaram 128 mulheres. A prevalência de dor foi 36,7% no momento da entrevista e 54,6% nas últimas 24 horas. O principal local de dor foi a região abdominal (64,7%) e a intensidade da dor foi moderada para 48,9% das mulheres, com frequência intermitente em 58% dos casos. Houve associação significativa entre a presença de dor e o tipo de parto (cesariana; p=0,030). Não prestar cuidado ao recém-nascido, tendo que se deslocar para outra unidade, aumentou a percepção de dor (p=0,038). Verificou-se impacto significativo da dor na capacidade de caminhar, comer, dormir, cuidar do bebê, evacuar, respirar fundo, amamentar e sentar-se. Conclusão: A dor foi frequente no período pós-parto e afetou significativamente as atividades maternas, indicando necessidade de se aprimorar o manejo da dor no puerpério.