Postoperative pain experience in post caesarean section mothers in developing countries: A scoping review
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https://doi.org/10.31101/jhtam.3925Abstract views 716 times
Keywords:
Postpartum Women, Pain, Caesarean Section, Developing CountriesAbstract
Background: The increase in the number of global caesarean sections highlights the importance of understanding the postoperative pain experience as well as the factors that influence patient experience after this procedure
Objectives: The aim of this scoping review was to identify the best evidence of pain experience in post-sectio caesarean mothers, evaluate the factors that influence patients' experiences of pain after caesarean sections, and identify barriers to dealing with postoperative pain.
Methods: Databases were searched from 2019 to 2023 from various databases, including PubMed, ScienceDirect, and Wiley. As well as using search engines such as Google Scholar and Research Rabbit and selecting them using Mendeley assistance. Critical appraisal and data charting are adopted from the JBI checklist, including cross-sectional, cohort, RCT, and quasi-experimental JBI. Of the 870 articles identified, only nine met the criteria.
Results: The results of this review identified three themes, including supporting and inhibiting factors for pain management efforts, the implications of post-sectio cesarean pain, and patient characteristics.
Conclusions: Health professionals are advised to implement holistic, evidence-based post-cesarean pain management by combining pharmacological and non-pharmacological methods, supported by improved preoperative education and strict monitoring of analgesic use. An individualized approach and further follow-up studies are essential to optimize maternal recovery and long-term quality of life.
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References
Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Azanu, W. K., Osarfo, J., Larsen-Reindorf, R. E., Agbeno, E. K., Dassah, E., Amanfo, A. O., Dah, A. K., & Ampofo, G. (2022). Assessment and determinants of acute post-caesarean section pain in a tertiary facility in Ghana. PLoS One, 17(5), e0268947.
Bohren, M. A., Mehrtash, H., Fawole, B., Maung, T. M., Balde, M. D., Maya, E., Thwin, S. S., Aderoba, A. K., Vogel, J. P., Irinyenikan, T. A., Adeyanju, A. O., Mon, N. O., Adu-Bonsaffoh, K., Landoulsi, S., Guure, C., Adanu, R., Diallo, B. A., Gülmezoglu, A. M., Soumah, A. M., … Tunçalp, Ö. (2019). How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. The Lancet, 394(10210), 1750–1763. https://doi.org/10.1016/S0140-6736(19)31992-0
Dieb, A. S., Shoab, A. Y., Nabil, H., Gabr, A., Abdallah, A. A., Shaban, M. M., & Attia, A. H. (2020). Perineal massage and training reduce perineal trauma in pregnant women older than 35 years: a randomized controlled trial. International Urogynecology Journal, 31(3), 613–619. https://doi.org/10.1007/s00192-019-03937-6
Garba, Jamilah, Panti, Yakubu, Ukwu, & Burodo. (2021). Post-operative Experience following Caesarean Section in a Nigerian Obstetric Population. Annals of Basic and Medical Sciences, 3(1), 9–15.
Harini, R., Juwitasari, J., Setyowati, L., & Oktavia, R. D. (2021). Post-caesarean section pain and quality of sleep among mothers who delivered by caesarean section under spinal anesthesia. Malahayati International Journal of Nursing and Health Science, 3(2), 110–116. https://doi.org/10.33024/minh.v3i2.3473
Kintu, A., Abdulla, S., Lubikire, A., Nabukenya, M. T., Igaga, E., Bulamba, F., Semakula, D., & Olufolabi, A. J. (2019). Postoperative pain after cesarean section: assessment and management in a tertiary hospital in a low-income country. BMC Health Services Research, 19, 1–6.
Marfuah, Nurhayati, Mutiar, Sumiati, & Mardiani. (2019). Pain intensity among women with post-caesarean section: A descriptive study. KnE Life Sciences.
Maulani, H., Maulida, H., Jariyah, I., & Putri Jullizir, N. (2021). Description of Knowledge and Behavior Levels About Breast Examination (Best Self-Examination) in Adolescent Women. Muhammadiyah International Public Health and Medicine Proceeding, 1(1), 227–238. https://doi.org/10.53947/miphmp.v1i1.50
Moshfaq, M., Debnath, K. C., & Haq, S. (2022). An Assessment of Postoperative Pain Management Undergoing Cesarean Section. 4929, 789–793. https://doi.org/10.36348/sjmps.2022.v08i12.009
Noviyanti, H. A., Sutrisna, M., Kusmiran, E., Tinggi, S., Kesehatan, I., Bandung, K., Barat, J., & Bengkulu, U. D. (2017). Hubungan Intensitas Nyeri dengan Kualitas Tidur pada Pasien Pasca Bedah Sesar Relationship Between Pain Intensity With Sleep Quality of Patient Post Caesarean Section.
Rashidi, Valiee, Roshani, & Shahoei. (2019). The effect of early oral feeding on post-caesarean pain: A randomized clinical trial. Crescent Journal of Medical and Biological Sciences, 6(4), 481–486.
Saputra, A., Andayani, S., & Nursyam, H. (2016). Total Quantity of Phenol and Isolation Methanol Tannin Extract of Red Betel Leaf (Piper crocatum). International Journal of PharmTech Research, 9(7), 146–153.
Sari, D. P., Elsera, C., Sat, S., & Hamranani, T. (2022). Sleep Quality of Post Sectio Caesarea Mothers with the ERACS Method Kualitas Tidur
Ibu Post Sectio Caesarea dengan Metode ERACS. 285–291.
Sari, & Mila. (2022). Postpartum Care PT Global Executive Technology. In PT Global Executive Technology.
Segerdahl, M., Niklasson, B., Öhman, S. G., Blanck, A. E., & Boström, E. (2015a). Oxycodone for postoperative pain control after Cesarean section : oxycodone and metabolites’ distribution into breast milk and effect on neonate NACS score.
Segerdahl, Niklasson, Öhman, Blanck, & Boström. (2015b). Oxycodone for postoperative pain control after Cesarean section : oxycodone and metabolites’ distribution into breast milk and effect on neonate NACS score.
Siregar. (2020). The Relationship between Health Education and the Level of Knowledge and Behavior towards Self-Breast Examination (Sadari) in Grade 3 Female Students of Madrasah Tsanawiyah Negeri 1 Padang Lawas in 2019. Muhammadiyah University of North Sumatra, 21(1), 1–9.
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
WHO. (2018). WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections.
WHO. (2021). Universal Health Coverage (UHC). WHO.
Yugistyowati, & Anafrin. (2013). The Effect of Postpartum Health Education on the Self-Care Ability of Post-Sectio Caesarea (SC) Post-Sectio Mother. 1(3), 96–100.
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