Study on Pain Assessment, Health Related Quality Of Life and Medication Adherence in Women after Cesarean Delivery

Abstract

Introduction: A woman's and her family's most emotional event is giving birth to a child. Throughout the beginning of human culture, cesarean sections have been practised. It has been used successfully for the entirety of the 20th century and, among the major abdominal procedures, is the oldest and most often practised procedure in obstetrics. Following cesarean deliveries, post-operative pain is a prevalent issue. Since the worldwide medical community determined that a WHO-recommended cesarean section rate should range between 10-15% on April 9, 2015, caesarean sections have increased in frequency in both wealthy and developing nations. According to the WHO statement released today, when the prevalence of cesarean sections increases in a population, the number of mother and infant fatalities declines. A woman's HRQOL postpartum may be affected by socio-demographic factors, clinical factors, and obstetric complications; socio-demographic factors that have been shown to have a negative impact on HRQOL postpartum include black ethnicity, low levels of education, low income, and having more children living at home. By defining health to include emotion and social well-being, the WHO has highlighted the significance of QOL even more. Methods: This is a prospective observational study carried out for a period of 6 months involving 166 cesarean delivery women, study site in a tertiary care hospital. Pain assessed by PQAS, VAS and wang bakers face scales. HRQOL assessed using SF12 scale. Results: According to the findings of our study, 97 out of 166 individuals felt moderate pain the most frequently, according to this scale's ratings. Mild discomfort was experienced by fewer cesarean women. According to the Wong-Baker scale for assessing pain, 55% of participants describe their pain as being of the mild to moderate. PQAS comprises the unpleasant sensation towards the pain that was detected by the majority of the participants, after which the intensity had the major mean value between the surface and deep pain surface pain was greater when compared to deeper. According to the findings of this study, HRQOL participants have better physical health and less emotional issue interference, while the majority of the women reported feeling tired and depressed, with around 10 of the 166 participants reporting diminished peace of mind and pain interference.