Acute pain management after vaginal delivery with perineal tears or episiotomy
Regional Anesthesia & Pain Medicine,
Год журнала:
2024,
Номер
unknown, С. rapm - 105478
Опубликована: Май 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.
Язык: Английский
NLP-Driven Integration of Electrophysiology and Traditional Chinese Medicine for Enhanced Diagnostics and Management of Postpartum Pain
SLAS TECHNOLOGY,
Год журнала:
2025,
Номер
unknown, С. 100267 - 100267
Опубликована: Март 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).
Язык: Английский
Association of remifentanil analgesia with postpartum depression and birth experience: an observational study
BMC Pregnancy and Childbirth,
Год журнала:
2025,
Номер
25(1)
Опубликована: Май 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.
Язык: Английский
The effect of Nigella Sativa emulgel on episiotomy wound healing and pain intensity in primiparous women: A triple-blind randomized controlled trial
PLoS ONE,
Год журнала:
2025,
Номер
20(6), С. e0325112 - e0325112
Опубликована: Июнь 4, 2025
Background
Episiotomy,
a
common
surgical
procedure
during
childbirth,
often
leads
to
complications
such
as
pain,
infection,
and
delayed
healing.
Nigella
sativa
has
demonstrated
anti-inflammatory
wound-healing
properties
in
prior
studies
have
received
United
States
Food
Drug
Administration
(FDA)
approval
for
food
use,
indicating
their
safety.
This
study
aimed
evaluate
the
efficacy
of
emulgel
on
episiotomy
wound
healing
pain
intensity
primiparous
women.
Methods
A
triple-blind,
randomized
controlled
trial
was
conducted
at
Taleghani
Hospital,
Tabriz,
Iran
(May
2023–April
2024).
Seventy-four
women
with
mediolateral
were
receive
either
or
placebo,
applied
topically
three
times
daily
7
days
post-discharge.
Wound
assessed
using
REEDA
scale
(Redness,
Edema,
Ecchymosis,
Discharge,
Approximation;
primary
outcome),
measured
via
visual
analog
(VAS;
secondary
outcome).
Outcomes
evaluated
discharge
(baseline)
10
±
1
postpartum.
Data
analyzed
independent
t-tests,
ANCOVA
(adjusted
baseline
scores),
Mann-Whitney
U
tests
non-normal
distributions
(SPSS
v26).
Results
At
postpartum,
group
showed
significantly
better
(REEDA
score:
MD
−0.79,
95%
CI
−1.20
−0.39;
p
=
0.001)
lower
scores
(VAS:
−0.74,
−1.3
−0.11;
0.021)
compared
placebo.
Subscale
analysis
revealed
improvements
redness
(p
0.037),
edema
0.041),
ecchymosis
0.043).
No
adverse
effects
reported,
satisfaction
higher
(86.5%
vs.
56.7%;
0.046).
Conclusions
Topical
improved
reduced
intensity,
high
patient
satisfaction.
These
findings
support
its
potential
natural
therapeutic
option,
though
larger
multi-center
trials
are
needed
broader
validation.
Trial
registration
Iranian
Registry
Clinical
Trials
IRCT20120718010324N68
.
Язык: Английский
Paracetamol versus ibuprofen for early postpartum pain control: a randomized controlled trial
Archives of Gynecology and Obstetrics,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 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
.
Язык: Английский