ABSTRACT
El cóccix es un hueso con morfología y movilidad propia y puede presentar dolor por causas traumáticas como el parto dificultoso o con terminación instrumental. Sufrir coccidinia puede imposibilitar la realización de las actividades de la vida diaria y afectar desde la esfera física hasta el área psicosocial, dando gran morbilidad a la puérpera. El presente artículo resalta los factores que predisponen a la puérpera a sufrir coccigodinia y qué acciones realizar para su alivio y mejora. La coccidinia posparto es el dolor que aparece tan pronto se adopta posición sentada tras el parto. Son factores de riesgo la morfología del cóccix, el índice de masa corporal, el parto vaginal, el parto instrumental, multiparidad, sexo femenino, edad madura y con periné corto en mujer con parto difícil. Entre las actividades para mejorar el dolor se encuentran los analgésicos y coadyuvantes, la rehabilitación y el masaje del suelo pélvico, las infiltraciones, la psicoterapia y, por último, la cirugía
The coccyx is a bone with its own morphology and mobility and pain can occur due to trauma such as a difficult or instrumental delivery. Coccydynia can make it impossible to carry out the activities of daily life, its affects can be both physical and psychosocial, and causes great maternal morbidity. This article highlights the factors that predispose women to coccydynia and actions to relieve and improve it. Postpartum coccydynia is pain that appears as soon as a sitting position is adopted after delivery. Coccyx morphology, body mass index, vaginal delivery, instrumental delivery, multiparity, female sex, mature age and short perineum in women with difficult delivery are risk factors. The activities to improve pain begin with analgesia and coadjuvants, rehabilitation and pelvic floor massage, infiltrations, psychotherapy or, finally, surgery
Subject(s)
Humans , Female , Coccyx , Pain Management , Pain/complications , Pelvis , Risk Factors , Postpartum Period , Nurse MidwivesABSTRACT
The coccyx is a bone with its own morphology and mobility and pain can occur due to trauma such as a difficult or instrumental delivery. Coccydynia can make it impossible to carry out the activities of daily life, its affects can be both physical and psychosocial, and causes great maternal morbidity. This article highlights the factors that predispose women to coccydynia and actions to relieve and improve it. Postpartum coccydynia is pain that appears as soon as a sitting position is adopted after delivery. Coccyx morphology, body mass index, vaginal delivery, instrumental delivery, multiparity, female sex, mature age and short perineum in women with difficult delivery are risk factors. The activities to improve pain begin with analgesia and coadjuvants, rehabilitation and pelvic floor massage, infiltrations, psychotherapy or, finally, surgery.
Subject(s)
Coccyx , Pain , Puerperal Disorders , Female , Humans , Pain/etiology , Pain Management , Puerperal Disorders/etiology , Puerperal Disorders/therapyABSTRACT
La osteogénesis imperfecta (OI) se produce por un trastorno del tejido conectivo que afecta a la producción de colágeno. Los embarazos asociados a la OI están relacionados con una mayor morbilidad. La incidencia de fracturas no se incrementa durante el embarazo, pero sí las deformidades pélvicas, con una mayor incidencia de desproporciones cefalopélvicas y anomalías comunes en la presentación fetal. Resulta imprescindible la valoración preanestésica, pero la inducción al trabajo de parto está contraindicada. La vía del parto debe ser consensuada e individualizada con la gestante, valorando el estado materno y fetal en todo momento. Una actuación correcta, y sobre todo un buen asesoramiento preconcepcional por parte de la matrona, contribuye a disminuir las complicaciones desencadenadas por esta patología
Osteogenesis imperfecta (OI) is produced by a connective tissue disorder that affects the production of collagen. Pregnancies associated with OI are related to increased morbidity, the incidence of fractures does not increase during pregnancy, but pelvic deformities with a higher incidence of cephalopelvic disproportions and common abnormalities in fetal presentation. Preanesthetic assessment is essential and induction of labor is contraindicated. The way of delivery should be agreed and individualized with the woman assessing the maternal and fetal status at all times. A correct performance, and above all a good preconceptional counseling by the midwife, contributes to decrease the complications triggered by this pathology
