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Artigo Original • Rev. esc. enferm. USP 48 (spe) • Aug 2014 • https://doi.org/10.1590/S0080-623420140000600006 linkcopy

Open-access Association between perineal trauma and pain in primiparous women*

Associación entre el trauma perineal y dolór em primíparas

AuthorshipSCIMAGO INSTITUTIONS RANKINGS

    Abstracts

    Objective  To identify the association between perineal trauma and pain in 473 primiparous women.

    Method  Cross-sectional study in which pain was measured by the numerical pain scale (0 to 10 - 0 being no pain and 10 maximal pain).

    Results  The prevalence and mean intensity of pain were 33.0% and 4.7 points (standard deviation = 2.0) in the numeric scale, respectively. Episiotomy represented the most frequent trauma (46.7%). The occurrence and intensity of the pain were associated with perineal trauma and postpartum time. Having perineal trauma tripled the chance of pain. Each hour elapsed following the birth reduced the chance of pain by 4.8%.

    Conclusion  Primiparous women are subject to a high frequency of perineal trauma, with episiotomy being the most prominent. Perineal pain affects approximately one-third of primiparous women and is associated with the postpartum time and perineal traumas.

    Pain; Episiotomy; Parity; Postpartum period; Obstetrical nursing

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    Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
    E-mail: reeusp@usp.br
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