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Vol. 29. Issue 4.
Pages 245-247 (July - August 2019)
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Vol. 29. Issue 4.
Pages 245-247 (July - August 2019)
Nursing care
Coccyx pain in women after childbirth
El dolor de cóccix en la mujer tras el parto
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Ángeles María Márquez-Carrascoa,
Corresponding author
, Elena García-Garcíaa, María Pilar Aragúndez-Marcosb
a UGC Campiña Norte, Distrito Sanitario Condado-Campiña, Huelva, Spain
b UGC Medicina Maternofetal, Genética y Reproducción, Hospital Universitario Virgen del Rocío, Sevilla, Spain
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Abstract

The coccyx is a bone with its own morphology and mobility and pain can occur due to trauma such as a difficult or instrumental delivery.

Coccydynia can make it impossible to carry out the activities of daily life, its affects can be both physical and psychosocial, and causes great maternal morbidity.

This article highlights the factors that predispose women to coccydynia and actions to relieve and improve it.

Postpartum coccydynia is pain that appears as soon as a sitting position is adopted after delivery. Coccyx morphology, body mass index, vaginal delivery, instrumental delivery, multiparity, female sex, mature age and short perineum in women with difficult delivery are risk factors.

The activities to improve pain begin with analgesia and coadjuvants, rehabilitation and pelvic floor massage, infiltrations, psychotherapy or, finally, surgery.

Keywords:
Coccyx
Pain
Midwifery
Pregnant women
Postpartum period
Resumen

El cóccix es un hueso con morfología y movilidad propia y puede presentar dolor por causas traumáticas como el parto dificultoso o con terminación instrumental.

Sufrir coccidinia puede imposibilitar la realización de las actividades de la vida diaria y afectar desde la esfera física hasta el área psicosocial, dando gran morbilidad a la puérpera.

El presente artículo resalta los factores que predisponen a la puérpera a sufrir coccigodinia y qué acciones realizar para su alivio y mejora.

La coccidinia posparto es el dolor que aparece tan pronto se adopta posición sentada tras el parto. Son factores de riesgo la morfología del cóccix, el índice de masa corporal, el parto vaginal, el parto instrumental, multiparidad, sexo femenino, edad madura y con periné corto en mujer con parto difícil.

Entre las actividades para mejorar el dolor se encuentran los analgésicos y coadyuvantes, la rehabilitación y el masaje del suelo pélvico, las infiltraciones, la psicoterapia y, por último, la cirugía.

Palabras clave:
Cóccix
Dolor
Matrona
Mujeres embarazadas
Período posparto

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