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Prevalence correlates of chronic perinatal pain – a study from India.

Publisher : J Psychosom Obstet Gynaecol

Year : 2017

Abstract : pstrongOBJECTIVES: /strongTo study the prevalence of chronic perinatal pain among mothers who had infants between the ages of 13-25 months in the State of Kerala, India and to report its correlates in the socio-demographic, obstetric and psychological domains./ppstrongMETHODS: /strongA total of 9305 mothers selected by cluster random sampling were assessed cross-sectionally for chronic perinatal pain using a questionnaire by Junior Public Health Nurses (JPHNs). In addition, information regarding socio-demographic profile, obstetric history, infant details and perinatal depression were collected./ppstrongRESULTS: /strongOf the 8302 (89.3%) valid responses, 552 (6.6%) mothers reported chronic perinatal pain. Among those with pain, 142 (25.6%) reported pain during pregnancy, 314 (56.7%) during postpartum and 96 (17.7%) during both periods. The commonest sites of pain reported were back 280 (51%) and pelvic region 110 (19%). Mothers with chronic perinatal pain were more likely to be younger, less educated, employed and from an urban background. Chronic perinatal pain was associated with obstetric complications, delivery by instrumental/caesarean section, non-exclusive breast feeding and higher maternal depression scores./ppstrongCONCLUSION: /strongChronic pain is common among mothers in India during the perinatal period and greater attention needs to be given for it to be recognised and treated early./p

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