Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy

Cai-Feng Lan,1,&ast; Bi-Hua Lin,2,&ast; Cai-Ling Nie,1 Xiu-Ling Guo,1 Dan-Hong Zhou,1 Yan-Juan Lin3 1Department of Gynecology and Obstetrics, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China; 2Department of Neurosurgery, Fujian Medical University Union Hos...

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Autores principales:	Lan CF, Lin BH, Nie CL, Guo XL, Zhou DH, Lin YJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cesarean scar pregnancy uterine artery embolization moderate to severe pain research Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9456bc54b07a41419b784f57e4ed03e4
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spelling	oai:doaj.org-article:9456bc54b07a41419b784f57e4ed03e42021-11-30T18:50:36ZInvestigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy1178-7074https://doaj.org/article/9456bc54b07a41419b784f57e4ed03e42021-11-01T00:00:00Zhttps://www.dovepress.com/investigation-and-analysis-of-influencing-factors-of-moderate-to-sever-peer-reviewed-fulltext-article-IJGMhttps://doaj.org/toc/1178-7074Cai-Feng Lan,1,&ast; Bi-Hua Lin,2,&ast; Cai-Ling Nie,1 Xiu-Ling Guo,1 Dan-Hong Zhou,1 Yan-Juan Lin3 1Department of Gynecology and Obstetrics, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China; 2Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China; 3Nursing Department, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Yan-Juan LinNursing Department, Fujian Medical University Union Hospital, No. 29 of Xinquan Road, Gulou District, Fuzhou, 350001, Fujian, People’s Republic of ChinaTel +86 591 86218332Email yjlin689@163.comObjective: To investigate the occurrence and influencing factors of moderate to severe pain in patients with cesarean scar pregnancy (CSP) after uterine artery embolization (UAE).Methods: Ninety-eight patients with CSP who underwent UAE in gynecology department of the Fujian Medical University Union Hospital from January 2017 to December 2020 were enrolled, and the specialty data in patients were collected for pain assessment with the adoption of the numerical rating scale (NRS).Results: Moderate to severe pain occurred in 36 patients after surgery, and the interquartile of time to the first onset of postoperative pain in patients was 3.04 (1.75, 7.40) hours. The number of pregnancies, number of miscarriages, human chorionic gonadotropin (HCG) before curettage, duration of medication before UAE, and hemorrhage after UAE were not significantly correlated with the occurrence of moderate to severe pain after UAE (P > 0.05). The volume of gestational sac and days of gestation were responsible for the occurrence of moderate to severe pain after UAE (P < 0.05), with the former being the main influencing factor, and these explained 8.3% of the total variance.Conclusion: Moderate to severe pain occurred commonly in patients with CSP undergoing UAE. In clinical care of patients with CSP who are going to undergo UAE, data concerning the volume of gestational sac and days of gestation should be considered for anticipatory pain assessment, and interventions should be implemented as early as possible to reduce the pain and improve the experience of care.Keywords: cesarean scar pregnancy, uterine artery embolization, moderate to severe pain, researchLan CFLin BHNie CLGuo XLZhou DHLin YJDove Medical Pressarticlecesarean scar pregnancyuterine artery embolizationmoderate to severe painresearchMedicine (General)R5-920ENInternational Journal of General Medicine, Vol Volume 14, Pp 9023-9029 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cesarean scar pregnancy uterine artery embolization moderate to severe pain research Medicine (General) R5-920
spellingShingle	cesarean scar pregnancy uterine artery embolization moderate to severe pain research Medicine (General) R5-920 Lan CF Lin BH Nie CL Guo XL Zhou DH Lin YJ Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy
description	Cai-Feng Lan,1,&ast; Bi-Hua Lin,2,&ast; Cai-Ling Nie,1 Xiu-Ling Guo,1 Dan-Hong Zhou,1 Yan-Juan Lin3 1Department of Gynecology and Obstetrics, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China; 2Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China; 3Nursing Department, Fujian Medical University Union Hospital, Fuzhou, 350001, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Yan-Juan LinNursing Department, Fujian Medical University Union Hospital, No. 29 of Xinquan Road, Gulou District, Fuzhou, 350001, Fujian, People’s Republic of ChinaTel +86 591 86218332Email yjlin689@163.comObjective: To investigate the occurrence and influencing factors of moderate to severe pain in patients with cesarean scar pregnancy (CSP) after uterine artery embolization (UAE).Methods: Ninety-eight patients with CSP who underwent UAE in gynecology department of the Fujian Medical University Union Hospital from January 2017 to December 2020 were enrolled, and the specialty data in patients were collected for pain assessment with the adoption of the numerical rating scale (NRS).Results: Moderate to severe pain occurred in 36 patients after surgery, and the interquartile of time to the first onset of postoperative pain in patients was 3.04 (1.75, 7.40) hours. The number of pregnancies, number of miscarriages, human chorionic gonadotropin (HCG) before curettage, duration of medication before UAE, and hemorrhage after UAE were not significantly correlated with the occurrence of moderate to severe pain after UAE (P > 0.05). The volume of gestational sac and days of gestation were responsible for the occurrence of moderate to severe pain after UAE (P < 0.05), with the former being the main influencing factor, and these explained 8.3% of the total variance.Conclusion: Moderate to severe pain occurred commonly in patients with CSP undergoing UAE. In clinical care of patients with CSP who are going to undergo UAE, data concerning the volume of gestational sac and days of gestation should be considered for anticipatory pain assessment, and interventions should be implemented as early as possible to reduce the pain and improve the experience of care.Keywords: cesarean scar pregnancy, uterine artery embolization, moderate to severe pain, research
format	article
author	Lan CF Lin BH Nie CL Guo XL Zhou DH Lin YJ
author_facet	Lan CF Lin BH Nie CL Guo XL Zhou DH Lin YJ
author_sort	Lan CF
title	Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy
title_short	Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy
title_full	Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy
title_fullStr	Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy
title_full_unstemmed	Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy
title_sort	investigation and analysis of influencing factors of moderate to severe pain after uterine artery embolization in patients with cesarean scar pregnancy
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/9456bc54b07a41419b784f57e4ed03e4
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Investigation and Analysis of Influencing Factors of Moderate to Severe Pain After Uterine Artery Embolization in Patients with Cesarean Scar Pregnancy

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