|Learning Objective #1: Discuss the current evidence that exists for nursing interventions for the management of postpartum perineal pain.|
|Learning Objective #2: Discuss how prenatal education can help a postpartum patient mangage perienal pain.|
A convenience sample of primiparous women (N = 158) who gave birth vaginally to healthy newborns was recruited for this descriptive comparative posttest only design. Women who attended prepared childbirth classes (n = 105) and women who did not attend prepared childbirth classes (n = 53) responded to the Short-Form McGill Pain Questionnaire (SF-MPQ) (Melzack, 1987) and a Mother Information Form at 2 weeks postpartum.
Results indicated that no significant differences were found between the two groups on the summated sensory and affective pain scores (F (1, 158) = 3.32, p = .07) and the Present Pain Index (z = -.778, p = .436). However, significant differences were found between groups on present pain intensity as measured by the VAS (F (1, 158) = 6.736, p = .010).
Implications for nursing practice include the need for nurses who are teaching prepared childbirth classes and working in prenatal clinics/offices to discuss the reasons for perineal trauma with their prenatal patients and the interventions that these women can use to assist them with perineal pain after birth.