title: Evaluation of pain before and after vaginal delivery.
abstract: OBJECTIVE
  The objective of this pilot study was to determine pain characteristics of pregnant women immediately before and after childbirth by vaginal delivery and to compare them with the pain intensity reported by physicians.
  
  
  METHODS
  We evaluated 20 Brazilian women between September and December 2007 with the WHOQOL-Bref instrument, VAS, McGill Pain Questionnaire, and Anxiety Adapted Scale. We interviewed the obstetrician with the VAS about the patient's pain. Data were analyzed with the chi-square test.
  
  
  RESULTS
  Mean age was 22.35 years (SD = 6.24, range 15-39 years). It was necessary to use oxytocin in 15 (75%) patients, which had no correlation with anxiety degree. Higher intensity of pain (p < 0.05) and higher anxiety index (p < 0.05) were more common in women in the first pregnancy.
  
  
  CONCLUSIONS
  Higher pain intensity was associated with higher anxiety levels (p < 0.05). Around half of the obstetricians' VAS scores were lower than the VAS scores of women, and probably pain at labor was underestimated and not controlled. Higher indices of anxiety and pain were associated, and were more frequent in women in the first pregnancy.
authors.affiliation: School of Arts, Science and Humanities, University of São Paulo, Brazil.
authors.forename: B
authors.initials: B
authors.lastname: Alves
authors.forename: T
authors.initials: T
authors.lastname: Zakka
authors.forename: M J
authors.initials: MJ
authors.lastname: Teixeira
authors.forename: J T T
authors.initials: JT
authors.lastname: Siqueira
authors.forename: S R D T
authors.initials: SR
authors.lastname: Siqueira
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D010146:Pain / Q000175:diagnosis* / Q000523:psychology; D010147:Pain Measurement; D036801:Parturition; D010820:Physicians; D011247:Pregnancy; D011788:Quality of Life; D055815:Young Adult