ANALYSIS OF POSTOPERATIVE PAIN SCORES AND CLINICAL CHARACTERISTICS IN PATIENTS ASSOCIATING OBSTETRICAL AND GYNECOLOGICAL INTERVENTIONS IN NORTH-EASTERN ROMANIA
DOI:
https://doi.org/10.22551/MSJ.2025.04.09Abstract
Pain is a vital function of the nervous system, providing the body with a warning of potential physical or psychological injury. Nociceptors are specialized sensory structures involved in the detection of potentially harmful stimuli. They transform noxious stimuli - whether mechanical, thermal or chemical - into electrical signals that are transmitted to the central nervous system via primary afferent fibers of the Aδ and C types. Materials and methods: We describe the analysis of a representative cohort of 111 patients, which we analyzed for our study characteristics: age, environment of origin, type of intervention performed, length of hospitalization, pain score, recovery period in hospital. We obtained a study group formed by gynecological and pregnant patients who presented for surgical interventions at the “Cuza-Vodă” Obstetrics and Gynecology Clinical Hospital in Iași between 01.12.2024 and 01.12.2025, that were included in the analysis. Results: A wide number of clinical data were analyzed starting with demographic characteristics, type of surgery, number of days of hospitalization, neonatology results. The main statistically significant correlation was a reduced Apgar score at gestational age less than 38 weeks. A complex interplay between the various biological responses of the immune system, the autonomic nervous system, vascular regulation, and the central and peripheral nervous systems in response to tissue injury, pathogens, and irritants comprises the sensation of pain by the body. Pain can then play a vital protective role for an organism, as is the case with acute inflammation that results in the perception of pain, leading to avoidance of noxious stimuli and encouraging healing of damaged tissue. Conclusions: Adequate management of post-cesarean pain remains a challenge in the hospital. Better interprofessional collaboration, self-administered analgesia, scheduled medical prescriptions and increased availability of analgesic medications may contribute to improving postoperative pain management, with better pain scores.
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