289IMPACT OF PREGNANCY, BREASTFEEDING, AND AMBULATION ON AFTER PAIN SEVERITY IN MULTIPAROUS WOMEN: A PROSPECTIVE ANALYSISAfter vaginal delivery, women commonly encounter afterpain, whose severity is influenced by factors impacting uterine subinvolution. In this study, 105 multiparous women undergoing uncomplicated spontaneous vaginal deliveries with moderate or severe afterpain over 2-4 hours were investigated. Afterpain severity was assessed every hour using a Visual Analogue Scale (0-100 mm) during the initial 12 postpartum hours. The study recorded medication usage for afterpain relief, lactation and ambulation durations, and vital signs. The observed afterpain severity was 57.3±18.9. Positive correlations were identified between afterpain severity and the number of pregnancies and breastfeeding duration. Interestingly, afterpain intensity exhibited a reduction with increased ambulation duration. The administration of oxytocin during labor, prescription of methylergowin, or postpartum oxytocin administration did not significantly alter afterpain intensity. The findings suggest that extended durations of breastfeeding and ambulation in the early postpartum period may contribute to reduced afterpain, emphasizing the importance of initiating these practices promptly after delivery for women's well-beingDr Dhaka Sushma Dilip@gmail.comResearch1222022Afterpain, Vaginal delivery,Multiparous women,Postpartum period, Pain managementDr Dhaka Sushma DilipAssistant Professor, Department of Obstetrics and gynaecology, Gouri Devi Medical College, Durgapur, West Bengal, India