Effective pain relief is a prerequisite for reducing postoperative stress and the risk of complications in postpartum women after cesarean section (CS). The following study assessed the usefulness of selected methods of obstetric physiotherapy and transcutaneous electrical nerve stimulation (TENS) in reducing postoperative pain as well as their impact on selected components of women’s well-being. 136 postpartum women were included. The control group received routine midwives’ care. In TENS and nTENS groups, physiotherapy program was applied. Additionally, TENS group received a 40-minute electrostimulation. The assessment included pain intensity at rest and during mobilization, the level of comfort, satisfaction with perinatal care and risk of postpartum depression (PPD). Both TENS and nTENS groups decreased pain intensity immediately after interventions. During mobilization the smallest increase in pain intensity was observed in TENS group. In both groups undergoing physical therapy, the recovery time of bowel function was shortened, and the percentage of patients satisfied with the care was significantly higher as compared to control group. The level of pain negatively correlated with the PPD risk. A single TENS treatment reduces pain during mobilization, and its combination with an educational session and physiotherapy training extends the analgesic effect ; up to 24 hours after CS. The applied physiotherapeutic methods shorten the recovery time of bowel function and improve patients’ comfort. Effective pain relief positively influences the satisfaction with perinatal care and lowers the risk of PPD.
Rada Dyscypliny Nauki o zdrowiu
Klimek, Marek ; Zyznawska, Joanna
14 maj 2024
4 gru 2023
7
0
http://dl.cm-uj.krakow.pl:8080/publication/5003
Nazwa wydania | Data |
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ZB-136753 | 14 maj 2024 |
Pilch, Anna
Gilowski, Andrzej
Sieńko-Hans, Klaudia
Jaeschke, Rafał