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Long-term problems and chronic pain after caesarean section

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Lavand’homme, Patricia [UCL]

Childbirth is a major event which can affect women’s quality of life, and giving birth by caesarean section may induce long-term health problems. Among those, during the first year, fatigue and back pain are more often reported than after a vaginal delivery. In contrast, postpartum depression concerns around 10% of the women whatever the mode of delivery. The incidence of chronic postsurgical pain after caesarean section ranges from 4 to 9% in prospective studies which have excluded preexisting pain conditions, with 2% of women reporting severe pain. Scar pain predominates and very often presents with neuropathic features (50–60% of the cases at 6 months and still 26% of the cases at 12 months). Deep visceral pain is also mentioned and specifically chronic pelvic pain (incidence of 2.9% at 6 months and 1.3% at 12 months). Further, caesarean delivery seems associated with a reduced risk of chronic pelvic pain by comparison with vaginal delivery. Finally, previous caesarean section represents a significant risk factor for the development of chronic postsurgical pain after hysterectomy performed later in life. While the degree of tissue trauma has only short-term impact, long-lasting problems, specifically chronic pain, are more related to individual predisposition. It is worth noting that, although they acknowledge needing help and advices, a majority of women do not consult health professionals. It is then mandatory that women’s health after childbirth becomes a priority as shared responsibility between the caregivers and the mothers.

Document type Contribution à ouvrage collectif (Book Chapter)
Publication date 2017
Language Anglais
Host document Capogna, Giorgio ; "Anesthesia for Cesarean Section"- p. 169-182 (ISBN : 9783319420516)
Peer reviewed yes
Publication status Publié
Affiliations UCL - (SLuc) Service d'anesthésiologie
UCL - SSS/IONS/CEMO - Pôle Cellulaire et moléculaire
Links
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Bibliographic reference Lavand’homme, Patricia. Long-term problems and chronic pain after caesarean section. In: Capogna, Giorgio, Anesthesia for Cesarean Section,  2017, p. 169-182
Permanent URL http://hdl.handle.net/2078.1/220256