Evaluation of the relationship between birth experience and colonoscopy pain

Öz

Background and Aims: Patients may feel pain during colonoscopy without sedation. In our study, we aimed to investigate the effect of birth history on colonoscopy pain. Material and Methods: The study included 35 cases with a history of normal childbirth who did not receive sedation during the colonoscopy procedure, along with 35 cases without a childbirth history. The cases were classified as Group 1 and Group 2, respectively. Age, body mass index and abdominal operation history of all patients were recorded. Cecal intubation time, total procedure time, anxiety levels before the procedure and visual analog score values after the procedure were recorded in all patients. Visual analog score over 75 mm was defined as severe pain. Results: In Group 2, the mean age and body mass index were significantly lower, cecal intubation time and visual analog score were significantly higher compared to Group 1 (p = 0.000, p = 0.001, p = 0.008, p = 0.000, respectively). Lack of a history of childbirth was found to be a significant risk factor for severe pain (Odds ratio: 8.17; 95% confidence interval: 2.68-24.93). Conclusion: In the study, visual analog scores were found to be significantly higher in cases without a history of childbirth. Lack of a history of childbirth may be an indication that colonoscopy may be painful. In these cases, sedation colonoscopy may be preferred.

Anahtar Kelimeler

• Birth
• colonoscopy
• pain

Doğum deneyimi ile kolonoskopi ağrısı ilişkisinin değerlendirilmesi

Öz

Giriş ve Amaç: Sedasyon altında olmayan kolonoskopi işleminde hastalar ağrı duyabilmektedir. Çalışmamızda doğum öyküsünün kolonoskopi ağrısı üzerine etkisini araştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya kolonoskopi işlemi sırasında sedasyon uygulanmayan, normal doğum öyküsü olan 35 olgu ve doğum öyküsü olmayan 35 olgu dahil edildi. Olgular sırasıyla Grup 1 ve Grup 2 olarak sınıflandırıldı. Tüm olguların yaş, vücut kitle indeksi ve abdominal operasyon öyküsü kaydedildi. Tüm olgularda çekum entübasyon süresi, toplam işlem süresi, işlem öncesi anksiyete düzeyleri ve işlem sonrası vizüel analog skor değerleri kaydedildi. Vizüel analog skorun 75 mm üzerinde olması şiddetli ağrı olarak tanımlandı. Bulgular: Grup 2’de Grup 1’e göre yaş ve vücut kitle indeksi ortalaması anlamlı düşük, çekum entübasyon süresi ve vizüel analog skor ortalaması anlamlı yüksek bulundu (sırasıyla; p = 0.000, p = 0.001, p = 0.008, p = 0.000). Doğum öyküsünün olmaması şiddetli ağrı için anlamlı risk faktörü olarak saptandı (Odds oranı: 8.17; %95 güven aralığı: 2.68-24.93). Sonuç: Çalışmamızda doğum yapmamış olgularda vizüel analog skor anlamlı yüksek bulundu. Doğum öyküsünün olmaması kolonoskopi işleminin ağrılı olabileceğinin bir göstergesi olabilir. Bu olgularda sedasyonlu kolonoskopi tercih edilebilir.

Anahtar Kelimeler

• Doğum
• kolonoskopi
• ağrı

Kaynakça

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