Assessment of Perineal Pain
Adequate and effective management of perineal pain begins with a comprehensive assessment (Marcus et al, 2009; Breivikl et al, 2008; Dalton et al, 1999). However, Andrews et al, (2008) UK-based study concluded that there is no pain scale to date that has been developed to appropriately and accurately assess the perineal pain that women experience during the postnatal period. This begins to offer explanation as why up to 92% of new mothers endure perineal pain in the early postpartum period (Macarthur and Macarthur, 2004).To further support these findings Way (2012) discovered that women expect perineal pain following vaginal birth but under estimate the severity of the pain. Women will experience high levels of pain before requesting analgesia as they attempt to normalise the pain as a consequence of vaginal delivery (Swain and Dahlen, 2013). Macarthur and Macarthur (2004) conclude that the current management of perineal pain is inadequate as the use of analgesia is not standardised.
Both Macarthur and Macarthur (2004) and Andrews et al, (2008) used a prospective cohort research design to obtain their data. The sample population that was needed to ensure that the results produced were statistically significant was, therefore, larger (Rees, 2011). Macarthur and Macarthur (2004) used a sample size of four hundred and forty-seven women from Toronto, Canada, and Andrews et al, (2008) included two hundred and forty-one women from London, England. The
In the town of Lake Sapphire lived 3 families of triplets. (of course with their parents as well.) The families last names were Klitz, Kolbic, and Klep. The Klep family's triplet's names were Kayla, Kenna, and Kenzie. The Kolbic family's triplet's names were Katie, Kathleen, and Kara. Last the Klitz family's triplet's names were Katherine, Kansas, and Klara.
For the purpose of this study, a retrospective cohort design will be implemented in the form of longitudinal study. Retrospective cohort studies are a type of observational study. It utilises a retrospective cohort methodological approach. Retrospective cohort studies use data that have already been collected for studies with similar
When the French settled into Canada 400 years ago independently of the British, the first stages of French/Francophone identity was formed. Over time this unique identity began to emerge and become something different from the rest of Canada. Language, history, and the geography of their land continues to evolve and separate the Francophones from Canada as their land and way of life is special to our nation. The dual nature of the French/English faultline in Canada manifested early on in history when New France was threatened by British occupation, ultimately leading to Confederation; we can continue to see this in modern times through referendums which deal with French culture and separation. Quebec is also unique geographically, containing mild to arctic climate zones and 4 geophysical regions; this is very diverse for a single province in Canada. These regions in Quebec allows for a diverse economic industry, including: hydroelectric production, agriculture, forest and mining industries. The economic production through Quebec’s varying geography and their individual French culture and history is what makes Quebec a unique region in Canada.
Barratt, H., Kirwan, M. (2009) Design, Application, Strengths & Weaknesses of Cross-Sectional Studies [Online]. Available from: http://www.healthknowledge.org.uk
The book of Romans appears to be stating that God’s “glory” in essence, exists as His/her sexual presence within people; by which the beauty of God’s glory, one’s true sexual birthright, became an ‘image’ of self-importance. Whereupon, resulting in the presence of lust arrogantly inflating human egos to idolize their bodies, by creating the pride of self, the Truth of God became unimportant, darkening and fading into a forgotten, ancient memory. In the course of time, this evil presence convinced the masses that the LORD exists “too holy, too sacred, and above it all” to become involved with people’s sexuality. Essentially, began the long history of suppressing the memory of the exquisite time of the ‘romance of Eden’ with humanity.
There are substantial benefits to both mother and baby in the provision of epidural analgesia for labour including pain relief, during prolonged labour,
Purpose: The aim of this study was to translate and culturally adapt the Turkish version, and to assess test-retest reliability and validity of the Pelvic Girdle Pain Questionnaire uses for assessing condition-specific health related quality of life in pregnants with pelvic girdle pain. Methods: One hundred and thirty-five women with pelvic girdle pain were recruited in the study. Translation/retranslation of the English version of the PGQ was done blindly and independently by the 4 physiotherapists and adapted. Construct validity of the Turkish version of the instrument was measured by comparing the Visual Analog Scale, Oswestry Disability Index and Nottingham Health
Pharmacological comfort measures can provide partial or complete pain relief. The epidural is the most efficient way of reducing labor pain. Opioids can be given continuously or in intermittent doses at the patient 's request or through the patient controlled pump. There is the potential for these drugs to have some effect on the fetus, such as breathing difficulties that may require assistance through the use of Narcan. Providing pain relief during the labor process is solely the patient’s choice, and as the nurse only support and encouragement should be given for however she chooses to handle the pain. (Jansen, Gibson, Bowles, & Leach, 2013)
Central Idea: Pain management is an important aspect of childbirth that women need to educate themselves on so they can make an informed decision when choosing which method they will use.
There are many different factors that a mother in labor can experience that can impact the postpartum period. These factors differ for every pregnant woman such as the invasiveness of procedures that occur, the interventions that are put in place to alleviate pain, and expectant outcomes that change how the postpartum period is experienced. One procedure that this patient experienced was a cesarean section. This procedure is quite invasive and can have a difficult healing process associated with it. Common concerns of the mothers about her body and newborn can be dominated by pain at the incision site and abdominal discomfort (Lowdermilk et. al., 2016, p. 792). Women who undergo a cesarean section also have to deal with increased tenderness
These new developments in medical and nursing research concludes that the previous beliefs regarding infant pain perception in preterm and term neonates have led to inadequate pain relief in these populations during painful procedures in the hospital environment. This means that many infants undergo procedures where they experience prolonged exposure to pain or multiple exposures to painful stimuli. This has been known to cause a hyperalgesia effect in which the neonate will have a more vigorous response to the painful stimulus compared to previous responses (Murkis & Subramanian, 2011). It is important to address the neonatal pain response during painful procedures because it would be unethical to continue to perform such procedures without utilizing adequate pain reduction measures.
This is a study that focused on eighty-three women and examined the effects of cultural and educational influences on the pain in childbirth. The eighty-three women are divided into Middle-Eastern women and Western women. The women ranged in ages from nineteen to thirty-eight. There were thirty people from the Western group and that consisted of women whose mothers were born in Europe, the US or another English speaking country. There were fifty-three women from the Middle Eastern Group and that consisted of women whose mothers were born in Asia, North African or another Middle Eastern countries. The women were classified by the cultures but were also classified by their level education. Those who had twelve years or less of schooling were in the low education group. Those women who had more than twelve years of schooling were in the high education group. In the Western group sixty-six percent were in the high education group. While the Middle Eastern group only had thirty-three point nine percent in the high education group.
Childbirth can be described as one of the most rewarding and also painful experiences in a woman’s life. Most women choose some type of method to ease pain, however, there has been a lot of controversy over with pain management method is the most effective. According to the CDC (Center for Disease Control), In 2013, there were 3,932,181 births recorded in the United States, 32.7% of those births were surgical procedures. In 2012, 1.36% of recorded births occurred out-of-hospital, meaning these births took place mostly in homes or birthing centers. Without the option of medicine that a hospital provides, how were these women able to manage their pain during labor and delivery. There are many different methods for easing pain during childbirth, some methods involve the use of medicine and surgery, and others include natural techniques, such as hypnosis, Lamaze, and many others. It is a personal preference of the parents over which method is right for the needs of the mother and child. This can be an overwhelming decision for new parents to make because they have to take into consideration the safety of the mother and child, pain management for the mother and desire for medical involvement.
The information gained from the study by Laughon et al., (2014) reports that of 103,415 women, 76% of them had an epidural and 6.7% of those women endured a prolonged labor. Although the number of women to experienced prolonged labor from the analgesia was small, those women experienced more issues like chorioamnionitis, post partum hemorrhage, and larger tears or episiotomy’s than those without the prolonged labor. Other research articles discovered that analgesia did not have an effect on the length of
Childbirth is a beautiful thing. After the hours of labor, there is nothing more special than having the newly mother able to hold her child the minute after it’s born. It makes the pain that you had just experienced go away because all that matters in the world is that newborn child in your arms. During labor, every woman has her own experience but one common experience is the pain. According to Kitzinger (1978) “Labor pain can have negative or positive meaning, depending on whether the child is wanted, the interaction of the laboring woman with those attending her, her sense of ease or dis-ease in the environment provided for birth, her relationship with the father of her child and her attitude to her body throughout the reproductive