ABSTRACT
BACKGROUND: Public attitude towards labor pain and pain relief in labor is not fully formed. PURPOSE: To study the frequency of formation of acute and chronic pain during delivery. MATERIALS AND METHODS: Retrospectively we surveyed 300 women 18-48 years old, who had childbirth naturally or by caesarean section for 4-6 months before the survey and analyzed the history of their childbirth. RESULTS: The obtained data showed that the problem with generic pain has real medical and social consequences, significantly altering the quality of life of women as during childbirth and the postpartum period. Of those surveyed, 74.9% of women in childbirth experienced severe pain during labor; which had 16.7% of women had led to a complete loss of mobility. With approximately 20% of women believed the use of methods of anaesthesia was dangerous and 63% thought that anaesthesia is possible only under strict obstetric indications. Only 20% of pregnant women expected to give birth without pain. In 3-6 months. after labor representation mothers opinion was not changed significantly. In 1 month or more after delivery or cesarean section pain was presented in 21% of women, in 2-3 months--13.7%, in more than 3 months--7%. In 4.3% of the patients the pain persistedfor 5-6 months. CONCLUSIONS: Significant relationship between persistent for a long time after childbirth pain and the way the urgency of delivery, the method of anesthesia for caesarean section, the expression of acute pain during childbirth was not revealed.
Subject(s)
Delivery, Obstetric/adverse effects , Labor Pain , Parturition , Postpartum Period , Quality of Life , Adolescent , Adult , Analgesia, Obstetrical/methods , Anesthesia, Obstetrical/methods , Cesarean Section/adverse effects , Cesarean Section/psychology , Delivery, Obstetric/psychology , Female , Humans , Labor Pain/psychology , Middle Aged , Parturition/psychology , Postpartum Period/psychology , Pregnancy , Quality of Life/psychology , Surveys and Questionnaires , Young AdultABSTRACT
A study of psycho-emotional condition was carried out in 408 women during opioid analgesia in different delivery stages with estimation of the changes in reactive and personal anxiety and rank pain index (RPI). The obtained data suppose that analgetic effect of opioids is carried out especially through the sensor component of RPI. On the other hand, the evaluated (targeted) and the effector components of psycho-emotional condition after administration of opioids have changed insignificantly and not evidently. The effect of medicamental analgetics on emotional component of pain perception in every stage of labour had it own features. This should be taken in account while practical work.
Subject(s)
Analgesics, Opioid/therapeutic use , Anxiety , Delivery, Obstetric/psychology , Labor Pain/psychology , Obstetric Labor Complications/psychology , Analgesics, Opioid/administration & dosage , Analgesics, Opioid/adverse effects , Anxiety/drug therapy , Anxiety/psychology , Delivery, Obstetric/methods , Female , Humans , Labor Pain/drug therapy , Neuropsychological Tests , Pain Measurement , Pregnancy , Treatment OutcomeABSTRACT
The results of treatment of supraventricular paroxysmal tachycardia by the intravenous administration of ATP in a dose of 10-30 mg make it possible to consider ATP as an agent of choice for relieving supraventricular paroxysmal tachycardia under conditions of emergency medical aid.
