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Women's postoperative experiences before and after the introduction of spinal opioids in anaesthesia for caesareansection
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.ORCID-id: 0000-0003-4067-2357
Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.ORCID-id: 0000-0002-3907-2197
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2010 (Engelska)Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, nr 9-10, s. 1326-1334Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim.

The aim was to evaluate a new anaesthetic routine and to study the effect of spinal opioids for caesarean section on postoperative pain, expectations of pain, satisfaction with pain treatment, breastfeeding, infant care and length of hospital stay.

Background.

Inadequate postoperative pain relief is a problem among hospitalised patients. Women undergoing caesarean section have been shown to experience high levels of pain during the first days after operation. Women are expected to breastfeed and care for their newborn while recovering from major abdominal surgery and sufficient pain relief are of importance.

Design.

Comparative patient survey.

Methods.

Data were collected through a questionnaire distributed to two independent samples of women undergoing elective and emergency caesarean section before and after the introduction of an additive of opioids in obstetric spinal anaesthesia. Chi-square tests were performed, and risk ratios were used for bivariate analysis. Logistic regression modelling was used for multivariate analysis.

Results.

The group of women undergoing caesarean section with opioids added to the spinal anaesthesia reported significantly lower levels of experienced pain. High pain levels irrespective of mode of caesarean section affected breastfeeding and infant care. Length of hospital stay for caesarean women was shortened and the consumption of analgesics was reduced.

Conclusions.

Women receiving an additive of opioids in spinal anaesthesia experienced lower levels of pain. Low pain levels facilitate breastfeeding and infant care and are of relevance for financial considerations.

Relevance to clinical practice.

The results of this study indicate that spinal opioids for women undergoing caesarean section have a positive effect on the postoperative pain experience. Women undergoing caesarean section and have high pain levels are in special need of attention and care because of a higher risk of a decreased ability to breastfeed and to take care of their newborn.

Ort, förlag, år, upplaga, sidor
2010. Vol. 19, nr 9-10, s. 1326-1334
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Identifikatorer
URN: urn:nbn:se:miun:diva-8908DOI: 10.1111/j.1365-2702.2010.03213.xISI: 000276503500017Scopus ID: 2-s2.0-77955868201OAI: oai:DiVA.org:miun-8908DiVA, id: diva2:216561
Projekt
Caesrean section- emergency exit or shortcut?Tillgänglig från: 2009-05-10 Skapad: 2009-05-10 Senast uppdaterad: 2017-12-13Bibliografiskt granskad

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Karlström, AnnikaNystedt, AstridSjöling, MatsHildingsson, Ingegerd

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Karlström, AnnikaNystedt, AstridSjöling, MatsHildingsson, Ingegerd
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