Abstract
Background and Objectives: The aim of this survey was to assess the impact of epidural analgesia on post-partum back pain in post-partum women. Materials and Methods: The questionnaire was completed by post-partum women during the first days after delivery. Six months later, the women were surveyed again. The response rate was 70.66%, a total of 212 cases were included in the statistical analysis. The statistical analysis of the data was conducted using SPSS®Results. Seventy-nine (37.26%) women received epidural analgesia, 87 (41.04%) intravenous drugs, and 46 (21.7%) women gave birth without anesthesia. The prevalence of post-partum back pain was observed in 24 (30.38%) women of the epidural analgesia group, in 24 (27.58%) subjects of the intravenous anesthesia group, and in 14 (30.43%) women attributed to the group of subjects without anesthesia. The correlation between post-partum back pain and the type of anesthesia was not statistically significant (p = 0.907). Six months later, the prevalence of back pain was found in 31.65% of women belonging to the epidural analgesia group, in 28.74% of women with intravenous anesthesia, and in 23.91% of women without anesthesia. The correlation between complaints of back pain six months after delivery and the type of anesthesia applied was not statistically significant (p = 0.654). Conclusions. The labor pain relief technique did not trigger the increased risk of back pain in the early post-partum period and six months after delivery.
Highlights
Labor is among the most painful experiences in a woman’s life, management of childbirth pain is a crucial moment in providing women in labor with more comfort, and in relieving their stress and suffering [1,2,3,4]
Taking into account that the initial studies were retrospective, the findings presented by prospective studies did not reveal the relationship between labor epidural analgesia and long-term post-partum back pain [8,9]
During the first post-partum days, women completed the anonymous questionnaire composed of general items (i.e., age, marital status, education, height, final weight, concomitant illnesses, diseases related to spinal pathology), items on obstetrics, and special items (i.e., back pain after previous pregnancy, back pain in current pregnancy and after delivery, frequency and intensity of pain, pain relief techniques, accompanying symptoms, and the effect of pain on the woman’s daily activities and quality of sleep)
Summary
Labor is among the most painful experiences in a woman’s life, management of childbirth pain is a crucial moment in providing women in labor with more comfort, and in relieving their stress and suffering [1,2,3,4]. Epidural analgesia is an effective and widely used treatment for labor pain. Despite the fact that many scholars refer to epidural anesthesia as a gold standard for pain control in obstetrics, the most frequent concern of our patients receiving epidural analgesia is post-partum back pain [7,8]. The data obtained from the available literature on epidural analgesia during delivery are still controversial. Previous studies have suggested that labor epidural analgesia might be associated. The aim of this survey was to assess the impact of epidural analgesia on post-partum back pain in post-partum women. Materials and Methods: The questionnaire was completed by post-partum women during the first days after delivery. The prevalence of post-partum back pain was observed in 24 (30.38%)
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