IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v19y2010i9-10p1326-1334.html
   My bibliography  Save this article

Women’s postoperative experiences before and after the introduction of spinal opioids in anaesthesia for caesarean section

Author

Listed:
  • Annika Karlström
  • Regina Engström‐Olofsson
  • Astrid Nystedt
  • Mats Sjöling
  • Ingegerd Hildingsson

Abstract

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.

Suggested Citation

  • Annika Karlström & Regina Engström‐Olofsson & Astrid Nystedt & Mats Sjöling & Ingegerd Hildingsson, 2010. "Women’s postoperative experiences before and after the introduction of spinal opioids in anaesthesia for caesarean section," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(9‐10), pages 1326-1334, May.
    • Handle: RePEc:wly:jocnur:v:19:y:2010:i:9-10:p:1326-1334
    DOI: 10.1111/j.1365-2702.2010.03213.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2010.03213.x
    Download Restriction: no
    File URL: https://libkey.io/10.1111/j.1365-2702.2010.03213.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Lobel, Marci & DeLuca, Robyn Stein, 2007. "Psychosocial sequelae of cesarean delivery: Review and analysis of their causes and implications," Social Science & Medicine, Elsevier, vol. 64(11), pages 2272-2284, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Grant, Darren, 2022. "The “Quiet Revolution” and the cesarean section in the United States," Economics & Human Biology, Elsevier, vol. 47(C).
    2. Tonei, Valentina, 2019. "Mother’s mental health after childbirth: Does the delivery method matter?," Journal of Health Economics, Elsevier, vol. 63(C), pages 182-196.
    3. Rosenthal, Lisa & Lobel, Marci, 2011. "Explaining racial disparities in adverse birth outcomes: Unique sources of stress for Black American women," Social Science & Medicine, Elsevier, vol. 72(6), pages 977-983, March.
    4. Shen, Menghan & Li, Linyan, 2020. "Differences in Cesarean section rates by fetal sex among Chinese women in the United States: Does Chinese culture play a role?," Economics & Human Biology, Elsevier, vol. 36(C).
    5. Nagle, Amanda & Samari, Goleen, 2021. "State-level structural sexism and cesarean sections in the United States," Social Science & Medicine, Elsevier, vol. 289(C).
    6. Leone, Tiziana & Padmadas, Sabu S. & Matthews, Zoë, 2008. "Community factors affecting rising caesarean section rates in developing countries: An analysis of six countries," Social Science & Medicine, Elsevier, vol. 67(8), pages 1236-1246, October.
    7. Judith Aris-Meijer & Claudi Bockting & Ronald Stolk & Tjitte Verbeek & Chantal Beijers & Mariëlle van Pampus & Huibert Burger, 2019. "What If Pregnancy Is Not Seventh Heaven? The Influence of Specific Life Events during Pregnancy and Delivery on the Transition of Antenatal into Postpartum Anxiety and Depression," IJERPH, MDPI, vol. 16(16), pages 1-11, August.
    8. Chen, Chin-Shyan & Liu, Tsai-Ching & Chen, Bradley & Lin, Chung-Liang, 2014. "The failure of financial incentive? The seemingly inexorable rise of cesarean section," Social Science & Medicine, Elsevier, vol. 101(C), pages 47-51.
    9. Mohammad Rifat Haider & Mohammad Masudur Rahman & Md Moinuddin & Ahmed Ehsanur Rahman & Shakil Ahmed & M Mahmud Khan, 2018. "Ever-increasing Caesarean section and its economic burden in Bangladesh," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-13, December.
    10. Surana, Mitul & Dongre, Ambrish, 2018. "Too much care? Private health care sector and surgical interventions during childbirth in India," IIMA Working Papers WP 2018-11-01, Indian Institute of Management Ahmedabad, Research and Publication Department.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:19:y:2010:i:9-10:p:1326-1334. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.