دورية أكاديمية

Episiotomy related morbidities measured using redness, edema, ecchymosis, discharge and apposition scale and numerical pain scale among primiparous women in Mulago National Referral Hospital, Kampala, Uganda.

التفاصيل البيبلوغرافية
العنوان: Episiotomy related morbidities measured using redness, edema, ecchymosis, discharge and apposition scale and numerical pain scale among primiparous women in Mulago National Referral Hospital, Kampala, Uganda.
المؤلفون: Pebolo PF; Department of Reproductive Health, Gulu University, Laroo, Uganda., Judith A; Department of Obstetrics and Gynecology, Mulago National Referral Hospital, Kampala, Uganda., Dan KK; Department of Obstetrics and Gynecology, Makerere College of Health Sciences, Makerere University, Kampala, Uganda.
المصدر: The Pan African medical journal [Pan Afr Med J] 2020 Aug 26; Vol. 36, pp. 347. Date of Electronic Publication: 2020 Aug 26 (Print Publication: 2020).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kampala, Uganda : African Field Epidemiology Network
مواضيع طبية MeSH: Ecchymosis/*etiology , Edema/*etiology , Episiotomy/*adverse effects , Pain, Postoperative/*etiology, Adolescent ; Cohort Studies ; Erythema/etiology ; Female ; Humans ; Pain Measurement ; Pain, Postoperative/epidemiology ; Postpartum Period ; Pregnancy ; Prospective Studies ; Uganda ; Young Adult
مستخلص: Introduction: episiotomy induced inflammatory signs like redness, edema, ecchymosis and pain may remain beyond the period of hospitalization and can be objectively measured using redness, edema, ecchymosis, discharge and apposition (REEDA) scale. Pain in the postpartum period is a common problem and can be measured using the numerical pain scale (NPS). Episiotomy is normally poorly executed and poorly repaired with little attention to the subtle pain-free scar. Postpartum perineal pain has been found to affect more people with episiotomy compared to spontaneous perineal tears or contusion in the first two weeks. This study was aimed at comparing NPS and REEDA scores in the first two weeks of postpartum among primiparous parturients with or without episiotomy in Mulago National Referral Hospital.
Methods: a prospective cohort study conducted by recruiting primiparous women systematically on the first postnatal day and categorizing them into episiotomy and no episiotomy group. NPS and REEDA scale were taken at baseline and 2 weeks postpartum.
Results: the mean total REEDA score for primiparous women among the episiotomy group was significantly higher both on day 1 and day 14 with p-values <0.0001 and <0.0001 respectively as well as the day 14 mean NPS p-value 0.001.
Conclusion: episiotomy, a traumatic obstetric procedure, that heals slowly and with persistent perineal pain compare to spontaneous perineal contusion or tears.
Competing Interests: The authors declare no competing interests.
(Copyright: Pebalo Francis Pebolo et al.)
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فهرسة مساهمة: Keywords: Episiotomy; REEDA scale; numerical pain scale; primiparity
تواريخ الأحداث: Date Created: 20201123 Date Completed: 20210114 Latest Revision: 20240803
رمز التحديث: 20240803
مُعرف محوري في PubMed: PMC7664137
DOI: 10.11604/pamj.2020.36.347.25049
PMID: 33224413
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-8688
DOI:10.11604/pamj.2020.36.347.25049