E-Posters-10110

10110_Kowalk

Pdf Summary

This secondary analysis of an ongoing study examines the tolerance of women towards comprehensive pelvic evaluations at 2 weeks postpartum. The study includes women who had a high risk of levator ani injury during vaginal childbirth. A total of 54 women participated in the study, and the overall median Short Form McGill Pain Score was 3.5. Out of these women, 44% were unable to tolerate the comprehensive pelvic evaluation. Of those who could not tolerate it, each portion of the exam was associated with a different pain score. Perineal ultrasound was the least tolerated assessment, followed by transvaginal ultrasound, trans-anal ultrasound, and vaginal exam. Women who could not tolerate the exam had 4.9 times higher odds of having a Short Form McGill Pain Score of 4 or higher. The study suggests that almost half of the women were unable to tolerate the comprehensive pelvic evaluations due to pain, with transvaginal and trans-anal ultrasounds being the least tolerated assessments. The authors propose that women may need more time to heal before undergoing invasive evaluations and suggest using the Short Form McGill Pain Rating Index questionnaire as a screening tool before scheduling a comprehensive pelvic evaluation.

Keywords

tolerance

women

comprehensive pelvic evaluations

2 weeks postpartum

levator ani injury

pain score

ultrasound

vaginal exam

healing time

screening tool