Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?

arslan, erol; Hocaoglu, Meryem; Bozdag, Halenur; Akdeniz, Esra; Demirel durukan, Döndü

doi:10.14744/nci.2020.23911

Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?

Halenur BOZDAĞ, (İstanbul Medeniyet Üniversitesi, Göztepe Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye)

Esra AKDENİZ, (Marmara Üniversitesi Tıp Fakültesi Biyoistatistik Bilim Dalı, İstanbul, Türkiye)

Döndü Demirel DURUKAN, (Yedikule Surp Pirgic Ermeni Hastanesi Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye)

Erol ARSLAN, (Çukurova Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı, Adana, Türkiye)

Meryem HOCAOGLU (İstanbul Medeniyet Üniversitesi, Göztepe Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye)

İstanbul Kuzey Klinikleri

3 0

Yıl: 2021 Cilt: 8 Sayı: 2 Sayfa Aralığı: 150 - 159 Metin Dili: İngilizce DOI: 10.14744/nci.2020.23911 İndeks Tarihi: 09-05-2021

Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?

Öz:

OBJECTIVE: Our aim is to elucidate the relationship between mediolateral episiotomy (MLE) angle and postpartum perineal pain.METHODS: This study was designed prospectively. Primiparous women with MLE in the postpartum period were included in the study and divided into three groups according to episiotomy angle ranges (Group 1: <40°, Group 2: 40°–60°, and Group 3: >60°). Postpartum perineal pain was quantified with the short-form McGill Pain questionnaire (SF-MPQ) consisting of the following three parts: Sensory-affective-verbal descriptions, visual pain scale (VPS), and present pain intensity scale (PPI). Postpartum perineal pain scores on days 1 and 7 were compared among the angle group.RESULTS: Overall, 86 eligible women were enrolled in this study. Seventy-three women (85%) scored the perineal pain between 0 and 3 on the VPS and 13 women (15%) rated the pain from 4 to 6 on the 1st postpartum day. No significant differences were noted among the three groups regarding the total pain scores on SF-MPQ and on the each part of form at the 1st postpartum day. At 7 days postpartum, total pain score was found significantly high in Group 1 [Med; IQR (min-max)=0; 4 (0–5)] compared with Group 2 [Med; IQR (min-max)=0; 0(0–5)]. The pain scores obtained from the sensory, affective, VPS, and PPI parts of the questionnaire were [Med; IQR (min-max)=0; 1 (0–2)], [Med; IQR (min-max)=0; 1 (0–1)], [Med; IQR (min-max)=0; 2 (0–2)], and [Med; IQR (min-max)=0; 0.25 (0–1)], respectively, in Group 1. For Group 2, pain scores obtained from the sensory, affective, and PPI were [Med; IQR (min-max)=0; 0(0-1)]; and VPS was [Med; IQR (min-max)=0; 0(0-2)]. No significant differences were observed between Groups 1 and 2 for each part of the questionnaire on day 7. Percentage of need for analgesics on day 7 was found significantly higher in Group 1 (42.9%) than Group 2 (31.2%)CONCLUSION: MLE at an angle <40° to the midline is associated with a higher score of perineal pain and an increase need for analgesics during the early postpartum days.Keywords: Incision angle; mediolateral episiotomy; pain relief m

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Bozdag H, Akdeniz E, Demirel durukan D, arslan e, Hocaoglu M (2021). Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. , 150 - 159. 10.14744/nci.2020.23911
Chicago	Bozdag Halenur,Akdeniz Esra,Demirel durukan Döndü,arslan erol,Hocaoglu Meryem Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. (2021): 150 - 159. 10.14744/nci.2020.23911
MLA	Bozdag Halenur,Akdeniz Esra,Demirel durukan Döndü,arslan erol,Hocaoglu Meryem Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. , 2021, ss.150 - 159. 10.14744/nci.2020.23911
AMA	Bozdag H,Akdeniz E,Demirel durukan D,arslan e,Hocaoglu M Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. . 2021; 150 - 159. 10.14744/nci.2020.23911
Vancouver	Bozdag H,Akdeniz E,Demirel durukan D,arslan e,Hocaoglu M Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. . 2021; 150 - 159. 10.14744/nci.2020.23911
IEEE	Bozdag H,Akdeniz E,Demirel durukan D,arslan e,Hocaoglu M "Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?." , ss.150 - 159, 2021. 10.14744/nci.2020.23911
ISNAD	Bozdag, Halenur vd. "Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?". (2021), 150-159. https://doi.org/10.14744/nci.2020.23911

APA	Bozdag H, Akdeniz E, Demirel durukan D, arslan e, Hocaoglu M (2021). Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. İstanbul Kuzey Klinikleri, 8(2), 150 - 159. 10.14744/nci.2020.23911
Chicago	Bozdag Halenur,Akdeniz Esra,Demirel durukan Döndü,arslan erol,Hocaoglu Meryem Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. İstanbul Kuzey Klinikleri 8, no.2 (2021): 150 - 159. 10.14744/nci.2020.23911
MLA	Bozdag Halenur,Akdeniz Esra,Demirel durukan Döndü,arslan erol,Hocaoglu Meryem Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. İstanbul Kuzey Klinikleri, vol.8, no.2, 2021, ss.150 - 159. 10.14744/nci.2020.23911
AMA	Bozdag H,Akdeniz E,Demirel durukan D,arslan e,Hocaoglu M Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. İstanbul Kuzey Klinikleri. 2021; 8(2): 150 - 159. 10.14744/nci.2020.23911
Vancouver	Bozdag H,Akdeniz E,Demirel durukan D,arslan e,Hocaoglu M Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?. İstanbul Kuzey Klinikleri. 2021; 8(2): 150 - 159. 10.14744/nci.2020.23911
IEEE	Bozdag H,Akdeniz E,Demirel durukan D,arslan e,Hocaoglu M "Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?." İstanbul Kuzey Klinikleri, 8, ss.150 - 159, 2021. 10.14744/nci.2020.23911
ISNAD	Bozdag, Halenur vd. "Is mediolateral episiotomy angle associated withpostpartum perineal pain in primiparous women?". İstanbul Kuzey Klinikleri 8/2 (2021), 150-159. https://doi.org/10.14744/nci.2020.23911