INCIDENCE, SEVERITY, AND ASSOCIATED FACTORS OF POSTNATAL PERINEAL PAIN AFTER VAGINAL DELIVERY IN COMPREHENSIVE AND SPECIALIZED HOSPITALS IN THE AMHARA REGION ETHIOPIA APRIL 01- JUNE 30, 2022

Abstract

Abstract Introduction: Millions of women suffer perineal trauma during childbirth, which is the most common cause of postnatal pain that lasts for hours, days, weeks, or even months. It is the most common source of postnatal morbidity. Objective: To determine postnatal perineal pain and associated factors among women who have a vaginal delivery. Material and Methods: After ethical clearance was approved, a multicenter prospective followup study was conducted on a total of 374 vaginal delivered women who met the inclusion criteria at a comprehensive specialized hospital in the Amhara region, Ethiopia from April 1 to June 30, 2022. Simple random sampling techniques were used to select samples. Descriptive statistics were performed to determine the incidence of moderate to severe perineal pain. Logistic regression was performed using SPSS version 26.0 for analysis. The association was presented as an odds ratio with a 95% confidence interval, and all p-values less than 0.05 were considered statistically significant. Results: The final data analysis includes 356 women out of 374 with a 95% response rate. The incidence of moderate to severe pain was 213 (59.8%) [95%, CI=54.8-65.4],126 (35.4%) [95%, CI=30.6-39.9], and 30(8.4%) [95%CI=5.6-11.8] at day one, three and seven. Variables likes, degree &above[AOR:3.62,95%CI(0.99-13.08)] day one, Primiparous [AOR=3.22,95%CI (1.91- 5.42)], [AOR=2.66,95 %CI (1.57-4.50)] at day one and three, Episiotomy [AOR=11.90,95% CI (5.98-23.75)], [AOR=18.18,95% CI(7.90-41.81)], [AOR=9.76,95% CI (2.19-43.54)] day one, three, and seven, instrumental [AOR=4.54, 95% CI (1.593-12.91)] at day one, first degree [AOR=5.62,95%CI (2.4213.19)] ,[AOR=7.98,95%CI (3.06-20.77)] at day one and three, 2nddegree [AOR=2.95,95%CI(1.413-6.16)],[AOR=12.48,95%CI(4.9031.79)],[AOR=5.51,95%CI(1.024- 29.618)],3rd/4thdegree[AOR=4.66,95%CI,(1.40-15.57)],[AOR=10.13,95%,CI(3.013-34.04)], [AOR=8.75,(1.3257.822)] at day one, three and seven, respectively had significant associated with post-natal perineal pain.