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

Promoting 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. Methods: N = 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. Results: Major 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. Conclusion: Our 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.

© This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/

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Work Title Women's beliefs of pain after childbirth: Critical insight for promoting behavioral strategies to regulate pain and reduce risks for maternal mortality
Subtitle Patient Education and Counseling
Access
Open Access
Creators
  1. Abigail Pauley
  2. Krista S. Leonard
  3. Nicole Cumbo
  4. Isabella F. Teti
  5. Jaimey M. Pauli
  6. Mohamed Satti
  7. Mark Stephens
  8. Tammy E Corr
  9. Robert W. Roeser
  10. Richard S. Legro
  11. A. Dhanya Mackeen
  12. L Bailey-Davis
  13. Danielle Symons Downs
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
Publisher
  1. Patient Education and Counseling
Publication Date November 18, 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1016/j.pec.2022.11.012
Deposited February 06, 2025

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Version 1
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  • Created
  • Added nihms-1851790-1.pdf
  • Added Creator Abigail Pauley
  • Added Creator Krista S. Leonard
  • Added Creator Nicole Cumbo
  • Added Creator Isabella F. Teti
  • Added Creator Jaimey M. Pauli
  • Added Creator Mohamed Satti
  • Added Creator Mark Stephens
  • Added Creator Tammy E Corr
  • Added Creator Robert W. Roeser
  • Added Creator Richard S. Legro
  • Added Creator A. Dhanya Mackeen
  • Added Creator L Bailey-Davis
  • Added Creator Danielle Symons Downs
  • Published
  • Updated