Incidence and Predictors of Chronic Pain After Vaginal Childbirth and C-section - a Prospective Cohort Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Pain
- Sponsor
- University Hospital Tuebingen
- Enrollment
- 355
- Primary Endpoint
- Incidence of new chronic pain disorder after vaginal delivery and after c-section
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
There is no doubt, that surgery is very often the beginning of a chronic pain disorder. C-section is a worldwide performed operation with increasing trend in the developed countries .This prospective cohort study evaluated the incidence of persistent pain after childbirth in respect of the pain status before childbirth and the modus of delivery.
Detailed Description
There are different variables that may influence the occurrence of chronic pain after childbirth. One of these could be c- section , pain status before childbirth or other psychological factors like fear of birth, irrational cognitive beliefs about delivery and perinatal complications. The pain status (intensity and location), demographic data, anesthesiological details and data about the circumstances of birth are evaluated by structured interview during pregnancy and 3 month and 12 moth after childbirth. The pregnant women received an individual code for access to the survey on the website of the study. The recruitment takes placed in doctors or midwifes office and by advertising. The commuting area was the city of Tuebingen (Germany). Women who feel uncomfortable with the media based survey supplied a written form. Study population is planned with 500 participants. The Institute for Clinical Epidemiology and Applied Biometry support the statistical analysis.
Investigators
Eligibility Criteria
Inclusion Criteria
- •age of consent
- •must be german-speaking
Exclusion Criteria
- •no written consent
Outcomes
Primary Outcomes
Incidence of new chronic pain disorder after vaginal delivery and after c-section
Time Frame: 12 month after delivery
Surgery is often mentioned as cause of persistent postsurgical pain. C-section procedure could be related to the development of chronic pain after childbirth.
Secondary Outcomes
- Quality of Life (SF 12) after 12 months of delivery(12 months after delivery)