Peripartum factors associated with subacute pain after childbirth

• Published in: Regional anesthesia and pain medicine Vol. 45; no. 12; pp. 1017 - 1018
• Main Authors: Tan, Hon Sen, Tan, Chin Wen, Sultana, Rehena, Shah, Mukesh, Leong, Wan Ling, Sng, David Dawei, Sia, Alex Tiong Heng, Sng, Ban Leong
• Format: Journal Article
• Language: English
• Published: Secaucus BMJ Publishing Group Ltd 01.12.2020; BMJ Publishing Group LTD
• Subjects: Analgesics; Anxiety; Body mass index; Childbirth & labor; Chronic pain; Data analysis; Epidural; Gestational age; Mental depression; Obstetrics; Pain; Pain management; postoperative; Postoperative period; Postpartum period; Regional anesthesia; Research report; Systematic review; Singapore
• ISSN: 1098-7339; 1532-8651
• DOI: 10.1136/rapm-2020-101750

Correspondence to Dr Ban Leong Sng, KK Women's and Children's Hospital, Singapore 229899, Singapore; sng.ban.leong@singhealth.com.sg Introduction Persistent childbirth pain (pelvic, perineal, and abdominal pain lasting ≥2 months) affects up to 20% of women, with adverse impact on quality of life.1 Despite increasing associations between analgesic and psychological risk factors with persistent pain,1 2 their association with subacute pain after childbirth (SAPC, pain lasting ≥4 weeks) is unclear. [...]we aimed to identify peripartum factors associated with SAPC. After receiving standardized effective combined spinal-epidural analgesia, we collected data on maternal (age, race, ASA status, body mass index (BMI), comorbidities), obstetric (gravida, gestational age, labor onset, fetal head position, mode of delivery, labor duration, blood loss), fetal (weight, head circumference) and analgesic (analgesia prior to neuraxial procedure, procedure time, procedure attempts, breakthrough pain, postneuraxial complications) factors.