Obvladovanje bolečine po carskem rezu z opioidno analgezijo in vpliv na dojenje
pregled literature
DOI:
https://doi.org/10.14528/snr.2024.58.3.3256Ključne besede:
bolečina, porod, opioid, mobilizacija, zdravstvena negaPovzetek
Uvod: Bolečina po carskem rezu je pričakovan dogodek, ki lahko vpliva na okrevanje otročnice in prvo dojenje. Namen tega pregleda je ugotoviti povezavo med obravnavo bolečine z opioidi po carskem rezu in podporo pri dojenju.
Metode: Izvedli smo pregled strokovne in znanstvene literature. Iskanje je potekalo po podatkovnih bazah PubMed Central, ScienceDirect in Google Scholar. Vključena je bila literature, objavljena med letoma 2013 in 2023. Pri iskanju so bile uporabljene kombinacije ključnih besed: »bolečina«, »porod«, »opioid«, »mobilizacija« in »zdravstvena nega«. Primarni viri so bili izbrani v skladu z merili za vključitev in izključitev. Postopek iskanja in izbor sta prikazana s pomočjo PRISMA diagrama. Tematska analiza je bila izvedena s kodiranjem reziltatov.
Rezultati: Identificirali smo 9 člankov, ki so obravnavali status obvladovanja bolečine z opioidi po carskem rezu. Rezultate smo kritično ovrednotili z orodjem PICO. Glavna vsebina so bili rezultati pri ugotavljanju različnih intervencij za obvladovanje pooperativne bolečine in za začetek dojenja po carskem rezu.
Diskusija in zaključek: Na splošno velja, da so otročnice v različnih državah bolj izpostavljene tveganju neučinkovitih načinov obvladovanja bolečine po carskem rezu. Opredelili smo ključne vrzeli, ki bi lahko bile nadaljne področje raziskovanja za ustreznejše obvladovanje bolečine ter podpora dojenju po carskem rezu.
Prenosi
Metrike
Literatura
Ahmadi, M., Moosavi, S., Moosavi, M., & Ghasemi Y. (2015). Cessation of exclusive breastfeeding in caesarean section mothers: Need more attention. American Journal of Medicine and Medical Science, 5(2), 82−86. http://article.sapub.org/10.5923.j.ajmms.20150502.04.html
Brandt Eriksen, M., & Faber Frandsen, T. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: A systematic review. Journal of Medical Library Association, 106(4), 420−431. https://doi.org/10.5195%2Fjmla.2018.345 PMid:30271283; PMCid:PMC6148624
Brown, H. (2020). Opioid management in pregnancy and postpartum. Obstetrics and Gynecology Clinics of North America, 47(3), 421−427. https://doi.org/10.1016/j.ogc.2020.04.005 PMid:32762927
Bjornstad, J., & Reder, J. (2020). Post-operative pain after caesarean section. Tidsskriftet den Norske Legeforening, 140(1), 1−5. https://doi.org/10.4045/tidsskr.19.0506
Boysen, P. G., Patel, J. H., & King, A. N. (2023). Brief history of opioids in perioperative and periprocedural medicine to inform in the future. Ochsner Journal, 23(1), 43−49. https://doi.org/10.31486%2Ftoj.22.0065 PMid:36936479; PMCid:PMC10016219
Carvalho, B., & Butwick, A. (2017). Post-cesarean delivery analgesia. Best Practice & Research Clinical Anaesthesiology, 31(1), 69−79. https://doi.org/10.1016/j.bpa.2017.01.003 PMid:28625307
Chao, A., Pasca, I., Alschuler, M., Lee, J., Woodfin, M., Pugh, J., Austin, B., Ringer, M., & Ramsingh, D. (2019). Comparison of postopereative opioid consumption and pain scores in primary versus repeat cesarean delivery in opioid naïve patients. Journal of Clinical Medicine, 8(12), Article 2221. https://doi.org/10.3390/jcm8122221 PMid:31888170; PMCid:PMC6947434
Chang, C.-Y., Tu, Y.-K., Kao, M.-C., Shih, P.-C., Su, I.-M., Lin, H.-Y., Chien, Y.-J., Wu, M. -Y., Chen, C.-H., & Chen, C.-T. (2022). Effects of opioids administered via intravenous or epidural patient-controlled analgesia after caesarean section: A network meta-analysis of randomised controlled trials. eClinicalMedicine, 56(2), Article 101787. https://doi.org/10.1016/j.eclinm.2022.101787 PMid:36590790; PMCid:PMC9800204
Cohen S., Alexander D., Krebs N., Young B., Cabana M., Erdmann P., Hays, N. P., Bezold, C. P., Levin-Sparenberg, E., Turini, M., & Saavedra, J. M. (2018). Factors associated with breastfeeding initiation and continuation: A meta-analysis. The Journal of Pediatrics, 203(21), 190–196. https://doi.org/10.1016/j.jpeds.2018.08.008 PMid:30293638
Dalili, H., Shariat, M., Nayeri, F., Emami, Z., Sahebi, R., & Sahebi, L. (2020). Duration of breastfeeding and maternalrelated factors in Iran: Systematic review and meta-analysis. Journal of Pediatric Nursing, 54(1), 23–30. https://doi.org/10.1016/j.pedn.2020.04.011 PMid:32553476
Daoust, R., Paquet, J., Cournoyer, A., Piette, E., Morris, J., Lessard, J., Castonguay, V., Williamson, D., & Chauny, J. M. (2020). Side effects from opioids used for acite pain after emergency department discharge. American Journal of Emergency Medicine, 38(4), 695–701. https://doi.org/10.1016/j.ajem.2019.06.001 PMid:31182367
Fassoulaki, A., Staikou, C., Tsaroucha, A., Micha, G., & Paraskeva, A. (2021). Acute and chronic pain after cesarean delivery under subarachnoid anaesthesia. Is postoperative analgesia adequate: A cohort observational study. Journal of Clinical Medicine, 16(1), 41–47. https://doi.org/10.26574%2Fmaedica.2020.16.1.41 Pmid:34221155; PMCid:PMC8224706
Gianni, M. L., Lanzani, M., Consales, A., Bestetti, G., Colombo, L., Bettinelli, M. E., Plevani, L., Morniroli, D., Sorrentino, G., Bezze, E., Zanotta, L., Sannino, P., Cavallaro, G., Villamor, E., Marchisio, P., & Mosca, F. (2020). Exploring the emotional breastfeeding experience of first-time mothers: Implications for health support. Frontiers in Pediatrics, 8(1), 1–7. https://doi.org/10.3389/fped.2020.00199 PMid:32457856; PMCid:PMC7221017
Harrison, R., Jones, B., Gardner, P., & Lawton, R. (2021). Quality assessment with diverse studies (QuADS): An appraisal tool for mehodological and reporting quality in systematic reviews of mixed- or multi-method studies. BMV Health Services Research, 21, Article 144. https://doi.org/10.1186/s12913-021-06122-y PMid:33588842; MPCid:PMC7885606
Hobbs, A., Mannion, A., McDonald, S., Brockway, M., & Tough S. (2016). The impact of cesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy and Childbirth, 16(1), Article 90. https://doi.org/10.1186/s12884-016-0876-1 PMid:27118118; PMCid:PMC4847344
Hooda, R., Mali, N., Pathak, P., More, H., & Singh, V. (2023). Impact of postoperative pain on early initiation of breastfeeding and ambulation after cesarean section: A randomised trial. Breastfeeding Medicine, 18(2), 132−137. https://doi.org/10.1089/bfm.2022.0208 PMid:36800334
Ismail, S., Afshan, G., Monem, A., & Ahmed, A. (2012). Postoperative analgesia following caesarean section: Intravenous patient controlled analgesia versus conventional continuous infusion. Open Journal of Anesthesiology, 2(4), 120−126. http://dx.doi.org/10.4236/ojanes.2012.24028
Kling Oms Lii, D. K., Haile, Z., Oms Lii, J. F., & Chertok, I. (2016). Association between method of delivery and exclusive breastfeeding at hospital discharge. Journal of American Osteopathic Medicine, 116(7), 430−439. https://doi.org/10.7556/jaoa.2016.087 PMid:27367948
Kodeks etike v zdravstveni negi in oskrbi Slovenije in Kodeks etike za babice Slovenije. (2014). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Komatsu, R., Nash, M., Mandalia, S., Dinges, E., Kamal, U., Singh, D., El-Omrani, H., Anwar, A., Delgado, C., Ziga, T., & Carvalho, B. (2022). In-hospital opioid consumtion after the previous cesarean delivery weakly predicts opioid consumption after index delivery: A retrospective cohort study. Anesthesia & Analgesia, 134(6), 1280−1287. https://doi.org/10.1213/ane.0000000000005918 PMid:35130195
Landau, R., Cavanaugh, P. F., & DiGiorgi, M. (2023). Persistent opioid use after cesarean delivery in the United States of America: A systematic review. International Journal of Obstetric Anesthesiology, 54(1), Article 103644. https://doi.org/10.1016/j.ijoa.2023.103644 PMid:37004281
Landau, R, Romanelli, E, Daoud, B, Shatil, B, Zheng, X, Corradini, B., Aubey, J., Wu, C. Ha, C., & Guglielminotti, J. (2021). Effects of a stepwise opioid-sparing analgesic protocol on in-hospital oxycodone use and discharge prescription after cesarean delivery. Regional Anesthesia & Pain Medicine, 46(2), 151−156. http://dx.doi.org/10.1136/rapm-2020-102007 PMid:33172902
Mary J. F., Sindhuri R., Kumaran A. A., & Dongre A. (2021). Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital. Clinical and Experimental Pediatrics, 65(4), 201–218. https://doi.org/10.3345/cep.2021.00129 PMid:34665960; PMCid:PMC8990951
O'Connor, A., Smith, J., O'Brien, L., Lamarche, K., Byers, N., & Nichols, S. (2022). Peripartum and postpartum analgesia and pain in women prescribed buprenorphine for opioid use disorder who deliver by cesarean section. Substance Abuse, 16(4), Article 16. https://doi.org/10.1177/11782218221107936 PMid:35754980; PMCid:PMC9218889
Oommen, H., Oddbjorn Tveit, T., Eskedal, L., Myr, R., Swanson, D., & Vistad, I. (2021). The association between intrapartum opioid fentanyl and early breastfeeding: A prospective observational study. Acta Obstetricia et Gynecologica Scandinavica, 100(12), 2294−2302. https://doi.org/10.1111/aogs.14268 PMid:34622936
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo- Wilson, E., McDonald, S., ... Moher, D. (2021). The PRISMA 2020 statement: An update guideline for reporting systematic reviews. BMJ, 371, Article n71. https://doi.org/10.1136/bmj.n71 PMid:33782057; PMCid:PMC8005924
Patel, K., & Zakowski, M. (2021). Enhanced recovery after cesarean: Current and emerging trends. Current Anesthesiology Reports, 11(2), 136–144. https://doi.org/10.1007%2Fs40140-021-00442-9 PMid:33679253; PMCid:PMC7921280
Patzkowski, M., Hammondm K., Herrera, G., & Highland, K. (2023). Factors associated with postoperative opioid prescribing after primary elective cesarean section. Military Medicine, 188(1/2), 339−342. https://doi.org/10.1093/milmed/usab263 PMid:34226932
Polit, D. F., & Beck, C. T. (2018). Esentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins. Roofthooft, E., Joshi, G.P., Rawal, N., & Van de Velde, M. (2021).
Prospect guideline for elective caesarean section: Updated systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia, 76(5), 665−680. https://doi.org/10.1111/anae.15339 PMid:33370462; PMCid:PMC8048441
Sangkum, L., Thamjamrassri, T., Arnuntasupakul, V., & Chalacheewa, T. (2021). The current consideration, approach and management in postcesarean delivery pain control: A narrative review. Anesthesiology Research and Practice, 2021, Article 2156918. https://doi.org/10.1155/2021/2156918 PMid:34589125; PMCid:PMC8476264
Streubert, H., & Carpenter, D. (2011). Qualitative research in nursing: Advancing the humanistic imperative. Wolters Kluwer.
Vila-Candel, R., Martin, A., Escuriet, R., Castro-Sanchez, E., & Soriano-Vidal, F. J. (2020). Analysis of cesarean section rates using the robson classification system at a university hospital in Spain. International Journal of Environmental Reserach and Public Health, 17(5), Article 1575. https://doi.org/10.3390%2Fijerph17051575 PMid:32121364; PMCid:PMC7084406
Visic, U., Stopar Pintaric, T., Albreht, T., Blajic, I., & Lucovnik, M. (2021). Multimodal stepwise analgesia for reducing opioid consumtion after cesarean delivery. Clinical and Experimental Obstetrics & Gynecology, 48(5), 1162−1166. https://doi.org/10.31083/j.ceog4805186
Višić, U., Stopar-Pintarič, T., Blajić, I., Albreht, T., & Lučovnik, M. (2022). Vpliv multimodalne analgezije na samostojnost otročnic pri osebni higieni, skrbi za novorojenčka in dojenja po carskem rezu: retrospektivna kohortna raziskava. Obzornik zdravstvene nege, 56(3), 194−199. https://doi.org/10.14528/snr.2022.56.3.3137
Wen, L., Hilton, G., & Carvalho, B. (2015). The impact of breastfeeding on postpartum pain after vaginal and caesarean delivery. Journal of Clinical Anesthesia, 27(1), 33−38. https://doi.org/10.1016/j.jclinane.2014.06.010 PMid:25468582
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714
Zanardo V., Svegliado G., Cavallin F., Giustardi A., Cosmi E., Pietro L., & Trevisanuto, D. (2010). Elective caesarean delivery: Does it have a negative effect on breastfeeding? Birth Issues in Perinatal Care, 37(4), 275−279. https://doi.org/10.1111/j.1523-536X.2010.00421.x PMid:21083718
Zipursky, J., Gomes, T., Everett, K., Calzavara A., Paterson, M., Austin, P., Mamdani, M. M., Ray, J. G., & Juurlink, D. N. (2023). Maternal opioid treatment after delivery and risk of adverse infant outcomes: Population based cohort study. BMJ, 380, Article 074005. https://doi.org/10.1136/bmj-2022-074005 PMid:36921977; PMCid:PMC10015218
Prenosi
Objavljeno
Kako citirati
Številka
Rubrike
Licenca
Avtorske pravice (c) 2024 Obzornik zdravstvene nege
To delo je licencirano pod Creative Commons Priznanje avtorstva 4.0 mednarodno licenco.
Na Obzornik zdravstvene nege, Ob železnici 30A, 1000 Ljubljana, prenašam naslednje materialne avtorske pravice: pravico reproduciranja v neomejeni količini, in sicer v vseh poznanih oblikah reproduciranja, kar obsega tudi pravico shranitve in reproduciranja v kakršnikoli elektronski obliki (23. čl. Zakona o avtorski in sorodnih pravicah – v nadaljevanju ZASP); pravico distribuiranja (24. čl. ZASP); pravico dajanja na voljo javnosti vključno z dajanjem na voljo javnosti prek svetovnega spleta oz. računalniške mreže (32.a čl. ZASP); pravico predelave, zlasti za namen prevoda (33. čl. ZASP). Prenos pravic velja za članek v celoti (vključno s slikami, razpredelnicami in morebitnimi prilogami). Prenos je izključen ter prostorsko in časovno neomejen.
