| Afterpains: a comparison between active and expectant management of the third stage of labor. | |
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MedLine Citation:
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PMID: 22112329 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background: Management of the third stage of labor, the period following the birth of the infant until delivery of the placenta, is crucial. Active management using synthetic oxytocin has been advocated to decrease blood loss. It has been suggested, but not studied, that oxytocin may increase afterpains. The aim of this study was to compare women's experience of pain intensity when the third stage of labor was managed actively and expectantly and their experience of afterpains. Methods: A single-blind, randomized, controlled trial was performed at two delivery units in Sweden in a population of healthy women with normal, singleton pregnancies, gestational age of 34 to 43 weeks, cephalic presentation, and expected vaginal delivery. Women (n = 1,802) were randomly allocated to either active management or expectant management of the third stage of labor. Afterpains were assessed by Visual Analog Scale (VAS) and the Pain-o-Meter (POM-WDS) 2 hours after delivery of the placenta and the day after childbirth. Results: At 2 hours after childbirth, women in the actively managed group had lower VAS pain scores than expectantly managed women (p = 0.014). Afterpains were scored as more intense the day after, compared with 2 hours after, childbirth in both groups. Multiparas scored more intense afterpains, compared with primiparas, irrespective of management (p < 0.001). Conclusions: Active management of the third stage of labor does not provoke more intense afterpains than expectant management. (BIRTH 38:4 December 2011). |
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Authors:
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Elisabeth Jangsten; Ingrid Bergh; Lars-Åke Mattsson; Anna-Lena Hellström; Marie Berg |
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Publication Detail:
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Type: Journal Article Date: 2011-09-06 |
Journal Detail:
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Title: Birth (Berkeley, Calif.) Volume: 38 ISSN: 1523-536X ISO Abbreviation: Birth Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8302042 Medline TA: Birth Country: United States |
Other Details:
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Languages: eng Pagination: 294-301 Citation Subset: IM |
Copyright Information:
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© 2011, Copyright the Authors. Journal compilation © 2011, Wiley Periodicals, Inc. |
Affiliation:
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Elizabeth Jangsten is a Senior Lecturer, Anna-Lena Hellström is a Professor, and Marie Berg is a Professor at the Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg; Ingrid Bergh is Senior Lecturer at the School of Life Sciences, University of Skövde, Skövde; and Lars-Åke Mattsson is a Professor in the Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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