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,* Bi-Hua Lin,2,* 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
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Publicado: Dove Medical Press 2021
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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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