Prise en charge de la douleur post-épisiotomie en suites de couches : analyse des pratiques professionnelles à la Maternité Régionale Universitaire de Nancy

Abstract : OBJECTIVES OF THE STUDY : Observe the current management of post-episiotomy pain and evaluate its effectiveness at the Regional Maternity of Nancy.POPULATION AND METHODS : A prospective single-center study including 65 women who had an episiotomy during the period from September to December 2014. This study was done using questionnaires distributed from D0 to D3 of post partum period. The intensity of pain was evaluated by scoring the numerical scale. Risk factors influencing the pain, the treatment received and patient satisfaction were also sought. RESULTS : The average pain during the stay is 4.3/10. The peak of pain is located at D1 with an average of 4.9 10. All patients did not benefit the same management. We observed a lack of anticipation of pain, medications being given systematically only 62.3 %. We also found that NSAIDs are very little used (26% against 74% only paracetamol), and self-medication affects a large part of our population (57%). In addition, daily oral pain assessment concerns only 11 % of patients. Overall, the patients are satisfied with an average of 6.9 / 10 for their support. CONCLUSION : The management of post- episiotomy pain is not optimal. The standardization of practices would permit an improvement in the quality of care.
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Master thesis
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Mathilde Wehrlé. Prise en charge de la douleur post-épisiotomie en suites de couches : analyse des pratiques professionnelles à la Maternité Régionale Universitaire de Nancy. Médecine humaine et pathologie. 2015. ⟨hal-02110831⟩

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