{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:16:02Z","timestamp":1793376962767,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Foundation of Research Support from the State of Goi\u00e1s"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic> Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women\u2019s ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued.<jats:italic> Objective.<\/jats:italic> To investigate the incidence and predicting factors of postoperative pain after cesarean section.<jats:italic> Methods.<\/jats:italic> A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain.<jats:italic> Results.<\/jats:italic> The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%\u201380.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22\u20132.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08\u20130.66) were significantly associated with moderate-severe postoperative pain report.<jats:italic> Conclusion.<\/jats:italic> The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain.<\/jats:p>","DOI":"10.1155\/2016\/5783817","type":"journal-article","created":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T16:01:36Z","timestamp":1478793696000},"page":"1-6","source":"Crossref","is-referenced-by-count":71,"title":["Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1371-0066","authenticated-orcid":true,"given":"Natalia de Carvalho","family":"Borges","sequence":"first","affiliation":[{"name":"Faculdade de Enfermagem, Universidade Federal de Goi\u00e1s, Rua 227 Qd, 68, s\/n, Setor Leste Universit\u00e1rio, Goi\u00e2nia, GO, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4604-0238","authenticated-orcid":true,"given":"Lilian 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