Evidence map›Paper›PMID 36410313›Full record

ArticlePatient education and counseling2023

Women's beliefs of pain after childbirth: Critical insight for promoting behavioral strategies to regulate pain and reduce risks for maternal mortality.

Abigail M Pauley, Krista S Leonard, Nicole Cumbo, Isabella F Teti, Jaimey M Pauli, Mohamed Satti, Mark Stephens, Tammy Corr, Robert W Roeser, Richard S Legro and 3 more

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Abigail M PauleyDepartment of Kinesiology, The Pennsylvania State University, 276 Recreation Building, University Park, PA 16802, United States. Electronic address: amp34@psu.edu.
Krista S LeonardDepartment of Kinesiology, The Pennsylvania State University, 276 Recreation Building, University Park, PA 16802, United States.
Nicole CumboDepartment of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States.
Isabella F TetiDepartment of Kinesiology, The Pennsylvania State University, 276 Recreation Building, University Park, PA 16802, United States.
Jaimey M PauliDepartment of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States.
Mohamed SattiDepartment of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, Geisinger, Danville, PA, United States.
Mark StephensDepartment of Family and Community Medicine, Penn State College of Medicine, University Park, PA 16802, United States.
Tammy CorrDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA 17033, United States.
Robert W RoeserDepartment of Health and Human Development, Pennsylvania State University, University Park, PA 16802, United States.
Richard S LegroDepartment of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States.
A Dhanya MackeenDepartment of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, Geisinger, Danville, PA, United States.
Lisa Bailey-DavisDepartment of Epidemiology and Health Services Research, Geisinger, Danville, PA, United States.
Danielle Symons DownsDepartment of Kinesiology, The Pennsylvania State University, 276 Recreation Building, University Park, PA 16802, United States; Department of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, United States.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · USGeisinger Medical Center · USGeisinger Health System · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

objectivePromoting behavioral strategies to better regulate pain and decrease the use of prescription pain medications immediately after childbirth is an attractive approach to reduce risks for adverse outcomes associated with the maternal mortality crisis. This study aimed to understand women's beliefs and experiences about pain management to identify important insights for promoting behavioral strategies to control postpartum pain.

methodsN = 32 postpartum women participated in a semi-structured interview about beliefs/experiences with managing postpartum pain. Higher- and lower-order themes were coded; descriptive statistics were used to summarize results.

resultsMajor trends emerging from the data were: (1) most women used a combination of medications (e.g., oxycodone and acetaminophen) and behavioral strategies (e.g., physical activity) in the hospital (94 %) and at discharge (83 %); (2) some women reported disadvantages like negative side effects of medications and fatigue from physical activity; and (3) some women reported they would have preferred to receive more evidence-based education on behavioral strategies during prenatal visits.

conclusionOur findings showed that most women were prescribed medications while in the hospital and at discharge, and used non-prescription, behavioral strategies. PRACTICAL IMPLICATIONS: Future research is needed to test behavioral strategies in randomized clinical trials and clinical care settings to identify impact on reducing adverse maternal health outcomes.

Indexed as

Maternal MortalityParturitionDelivery, ObstetricFemaleHumansPainPostpartum PeriodPregnancy

Identifiers

PMID36410313
PMCPMC9789185
OpenAlexW4309047330

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.