Postoperative pain management after cesarean delivery: cross-sectional study

Zandomenico, Júlia Gonçalves; Perito, Georgia Zandomenico; Machado, Jean Abreu; Silva, Helena Caetano Gonçalves e

doi:10.1016/j.bjane.2021.10.020

Cited by 3 publications

(2 citation statements)

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“…Even though different methods of analgesia are currently in use, pain relief and patient satisfaction are still inadequate in many cases [ 31 , 32 , 33 ]. Because of the fear of possible side-effects, pain after cesarean section often stays under-treated but also underestimated [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study

et al. 2022

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Background and Objectives: Pain during and after the procedure remains the leading concern among women undergoing cesarean section. Numerous studies have concluded that the type of anesthesia used during a cesarean section undoubtedly affects the intensity and experience of pain after the operation. Materials and Methods: This prospective cohort study was conducted at the Clinic for Gynecology and Obstetrics, Clinical Center “Dragisa Misovic—Dedinje”, Belgrade, Serbia. Patients at term pregnancy (37–42 weeks of gestation) with an ASA I score who delivered under general (GEA) or regional anesthesia (RA) by cesarean section were included in the study. Following the procedure, we assessed pain using the Serbian McGill questionnaire (SF–MPQ), Visual Analogue Scale (VAS) and the pain attributes questionnaire at pre-established time intervals of 2, 12, and 24 h after the procedure. Additionally, time to patient’s functional recovery was noted. We also recorded the time to the first independent mobilization, first oral intake, and lactation establishment. Results: GEA was performed for 284 deliveries while RA was performed for 249. GEA had significantly higher postoperative sensory and affective pain levels within intervals of 2, 12, and 24 h after cesarean section. GEA had significantly higher postoperative VAS pain levels. On pain attribute scale intensity, GEA had significantly higher postoperative pain levels within all intervals. Patients who received RA had a shorter time to first oral food intake, first independent mobilization, and faster lactation onset in contrast to GEA. Conclusions: The application of RA presented superior postoperative pain relief, resulting in earlier mobilization, shorter time to first oral food intake, and faster lactation onset in contrast to GEA.

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Section: Discussionmentioning

confidence: 99%

Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study

et al. 2022

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“…Recommended techniques include the combination of analgesics such as paracetamol or metamizole, non-steroidal anti-inflammatory drugs, and dexamethasone associated with a local or regional analgesic technique, including wound infiltration, fascial plane blocks, or low-dose intrathecal morphine. 24 We need to highlight the indications and contraindications of all medications and procedures to provide the best clinical resource to our obstetric patients. A good and individualized clinical judgment can improve outcomes when dealing with postoperative pain following a cesarean section.…”

Section: Erector Spine Plane (Esp) Blockmentioning

confidence: 99%