Acute pain management after vaginal delivery with perineal tears or episiotomy
Regional Anesthesia & Pain Medicine,
Journal Year:
2024,
Volume and Issue:
unknown, P. rapm - 105478
Published: May 20, 2024
A
vaginal
delivery
may
be
associated
with
acute
postpartum
pain,
particularly
after
perineal
trauma.
However,
pain
management
in
this
setting
remains
poorly
explored.
Language: Английский
NLP-Driven Integration of Electrophysiology and Traditional Chinese Medicine for Enhanced Diagnostics and Management of Postpartum Pain
SLAS TECHNOLOGY,
Journal Year:
2025,
Volume and Issue:
unknown, P. 100267 - 100267
Published: March 1, 2025
Postpartum
pain
encompasses
a
range
of
physical
and
emotional
discomforts,
often
influenced
by
hormonal
changes,
recovery,
individual
psychological
states.
The
complex
interactions
between
the
variables
can
make
it
difficult
for
traditional
diagnostic
techniques
to
fully
capture,
creating
inadequacies
inefficient
management
techniques.
aims
develop
comprehensive
framework
postpartum
integrating
Natural
Language
Processing
(NLP),
electrophysiological
data,
Traditional
Chinese
Medicine
(TCM)
principles.
seeks
enhance
accuracy
diagnosis,
uncover
meaningful
correlations
TCM
diagnoses
physiological
markers,
optimize
personalized
treatment
strategies.
focuses
on
analyzing
textual
data
from
patient-reported
symptoms,
medical
records,
diagnosis
notes.
Data
pre-processing
involves
text
cleaning
tokenization,
followed
feature
extraction
using
Term
Frequency-Inverse
Document
Frequency
(TF-IDF)
capture
patterns.
For
diagnostics
management,
Refined
Coyote
Optimized
Deep
Recurrent
Neural
Network
(RCO-DRNN)
is
employed
analyze
predict
profiles,
combining
insights
with
markers.
results
highlight
effectiveness
RCO-DRNN
in
accurately
diagnosing
types
offering
holistic
This
approach
represents
significant
advancement
data-driven
methodologies
practices,
providing
more
management.
continuously
beats
other
models
after
thorough
evaluation
metrics
like
MSE,
MAE,
R2,
obtaining
lowest
MSE
(0.005),
smallest
MAE
(0.04),
highest
R2
(0.98).
Language: Английский
Association of remifentanil analgesia with postpartum depression and birth experience: an observational study
BMC Pregnancy and Childbirth,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: May 17, 2025
Pain
is
a
risk
factor
for
postpartum
depression.
This
study
aimed
to
determine
the
relationship
between
remifentanil
analgesia
and
depression,
as
well
birth
experience
among
Iranian
women.
observational
was
conducted
on
200
mothers
who
underwent
vaginal
at
Taleghani
Hospital
in
Tabriz,
Iran,
2023-4.
The
Edinburgh
Postnatal
Depression
Scale
Childbirth
Experience
Questionnaire
were
used
assess
outcomes.
To
compare
childbirth
depression
exposure
group
(receiving
remifentanil)
non-exposure
group,
independent
t-tests
Mann-Whitney
U
tests
employed,
respectively.
mean
score
statistically
significantly
lower
than
that
non-analgesia
(p
=
0.002).
total
higher
<
0.001).
Additionally,
comparison
of
subdomains
two
groups
showed
scores
own
capacity
0.001),
perceived
safety
participation
0.001)
compared
group.
However,
there
no
significant
difference
regarding
professional
support
subdomain
0.434).
These
findings
underscore
significance
using
potential
approach
preventing
creating
positive
experience.
It
recommended
clinical
trials
be
obtain
more
precise
results.
Language: Английский
Paracetamol versus ibuprofen for early postpartum pain control: a randomized controlled trial
Shai Ram,
No information about this author
Dotan Madar,
No information about this author
Hila Shalev‐Ram
No information about this author
et al.
Archives of Gynecology and Obstetrics,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 5, 2024
Abstract
Introduction
To
evaluate
the
effectiveness
of
paracetamol
and
ibuprofen
as
non-opioid
treatments
for
postpartum
pain
control
after
vaginal
delivery.
Materials
methods
This
randomized
controlled
study
at
a
university-affiliated
medical
center
involved
parturient
who
received
blindly
oral
tablets
either
1000
mg
or
400
ibuprofen,
post-vaginal
birth.
Pain
levels
were
assessed
using
numeric
rating
scale
(NRS)
four
time
points:
before
treatment,
1,
4,
6
h
post-treatment
(T0,
T1,
T4,
T6,
respectively).
We
also
compared
need
additional
analgesia,
breastfeeding
initiation,
mobilization,
urination
following
delivery
between
groups.
ensure
statistical
power,
was
designed
to
detect
differences
one
point
on
NRS
with
least
37
women
per
group.
Results
A
total
107
participated,
including
(n
=
52)
55)
Demographics
perinatal
outcomes
similar
across
No
significant
found
in
interval
request
(8
±
6–10.5
11
6–16
respectively,
P
.13).
both
groups
all
intervals.
There
no
group
initiation
breastfeeding,
urination,
analgesia.
Conclusion
Both,
can
be
considered
equivalent
effective
alternatives
control.
Registry
clinicaltrials.gov
(NCT04653506),
https://register.clinicaltrials.gov/prs/beta/studies/S000AFOR00000066/recordSummary
.
Language: Английский