Caesarean delivery: Bringing more than just a bundle of joy

被引:1
|
作者
Quinlan, Jane [1 ]
机构
[1] Oxford Univ Hosp Trust, John Radcliffe Hosp, Nuffield Div Anaesthet, Oxford OX3 9DU, England
关键词
caesarean delivery; caesarean section; C-section; pain; postoperative; chronic pain; pregnancy; estradiol; progesterone; depression; postpartum; breastfeeding; resilience; psychological; sleep deprivation; CHRONIC PAIN; POSTSURGICAL PAIN; SLEEP-DEPRIVATION; DEPRESSION; RESILIENCE; SURGERY; PREVENTION; PREVALENCE; IMPACT;
D O I
10.1080/24740527.2019.1574538
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Chronic postsurgical pain (CPSP) is a potential complication of all surgical procedures, including caesarean delivery (CD). Psychological factors such as anxiety and depression with negative coping strategies are known to increase the risk of the development of CPSP.Aim: This short review will appraise some additional features that are unique to CD and assess the interplay between them and persisting pain.Methods: This is a narrative review with a focus on describing relevant features associated with the development of CPSP after CD.Results: Hormone changes, postpartum depression, breastfeeding, and sleep disturbance each may affect the mother's pain in the short and long term. Together they have the potential to negatively impact the mother-infant bond.Conclusions: In the weeks after delivery, pain, depression, and poor sleep negatively impact the mother's quality of life and her ability to care for, and bond with, her baby. This represents a critical time for the emotional, social, and behavioral development of the infant. Far-reaching benefits for the whole family may be realized by the early identification and management of persisting postoperative pain and postpartum depression. RESUMEContexte: La douleur chronique postoperatoire est une complication possible de toutes les interventions chirurgicales, y compris l'accouchement par cesarienne. Il est bien connu que certains facteurs psychologiques comme l'anxiete et la depression, assortis de strategies d'adaptation negatives, augmentent le risque de souffrir de douleur chronique postoperatoire.But: Ce bref examen porte sur certaines caracteristiques particulieres de l'accouchement par cesarienne et evalue l'interaction entre celles-ci et la douleur persistante.Methodes: Un examen narratif mettant l'accent sur la description des caracteristiques pertinentes associees au developpement de la douleur chronique post-chirurgicale apres un accouchement par cesarienne.Resultats: Les changements hormonaux, la depression postpartum, l'allaitement et les perturbations du sommeil peuvent tous affecter la douleur de la mere a court terme et a long terme. Ensemble, ils peuvent avoir un effet negatif sur le lien entre la mere et le nourrisson.Conclusions: Dans les semaines suivant l'accouchement, la douleur, la depression et les problemes de sommeil peuvent avoir des repercussions negatives sur la qualite de vie de la mere, ainsi que sur sa capacite a s'occuper de son bebe et a creer un lien avec lui. Il s'agit d'un moment de premiere importance pour le developpement emotionnel, social et comportemental de l'enfant. La detection precoce et la prise en charge de la douleur postoperatoire persistante ainsi que de la depression postpartum peuvent avoir des bienfaits de grande portee pour toute la famille.
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页码:5 / 9
页数:5
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