Prevalence and predictors of chronic pain after labor and delivery

Abstract

Treatment of acute pain during labor and delivery is necessary to prevent chronic pain. Future studies should focus on the long-term effects of different analgesic regimens on the development of chronic pain after labor and delivery.

Can anaesthetic technique effect postoperative outcome?

“…Conversely, higher postdelivery pain following casesarean section was indeed found to be a predictor of chronic pain [76]. Some investigators believe that surgery, by cutting nerves or initiating prolonged inflammatory reactions, is the major determinant of CPSP [77]. Although no large prospective trial has confirmed that any specific anaesthetic intervention reduces the risk of CPSP, there is some evidence in smaller trials.…”

Can We Predict Postoperative Pain Prior to Patients’ Undergoing Surgery?

“…Chronic pain (persistent incisional pain > 3 months after surgery) is reported to occur in approximately 10% of patients undergoing surgery [8,9]. A consistent finding in postoperative pain studies is an association between severe, acute, postoperative pain and the likelihood of ongoing persistent incisional pain [9,10]. "Dynamic" experimental pain tests attempt to show the strength of an individual's endogenous inhibitory nociceptive pathways (diffuse noxious inhibitory controls), and the propensity for nociceptive excitation or sensitization (temporal summation) [5,11].…”

Effect of Transverse Abdominis Plane Block on Chronic Post-Operative Pain—A Review

“…It may be in part a failure of the nervous system to return to its initial settings before the injury [10]. Even in a single case of surgery different mechanism might be involved [11]. Usually chronic pain has their origins in an episode of acute pain which is particularly true of chronic pain after surgery.…”