Obstetric anesthesia

Association of pain catastrophizing with labor pain and analgesia consumption in obstetrical patients

Int J Obstet AnesthPublished Prospective observational study

Main finding · Pain score at request for analgesiaResult — go to the resultDifference 1 95% CI 0–2.5

Authors' conclusion

We did not observe greater labor or post-delivery pain or increased analgesic use in high-catastrophizing parturients. High catastrophizers reported greater pain when requesting analgesia, which is consistent with the role of catastrophizing in intensifying the experience of pain.

Study context

Population
Women admitted for a vaginal trial of labor138 analysed
Participants
157 women
Exposure
High vs low catastrophizing
Outcome
Pain at request for neuraxial labor analgesia

Main finding

Pain score at request for analgesia

Difference

1

95% CI 0–2.5

P = 0.008

High-catastrophizing vs Low-catastrophizing
difference 1 (95% CI 0–2.5); P = 0.008

As reported in the abstract

Observational data: associations, not effects.

Further findings

Adjusted labor pain, postpartum pain, opioid analgesic use

Not significantly different

Quality of recovery during hospitalization

High-catastrophizers reported less comfort, ability to mobilize and less control

Post-discharge pain and analgesic use

No differences

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association of pain catastrophizing with labor pain and analgesia consumption in obstetrical patients. Int J Obstet Anesth. Published 10 November 2023. doi:10.1016/j.ijoa.2023.103954

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