Abstract
Objective: In this study, we sought to assess the pattern of analgesic usage, adequacy of pain management, side effects, and analgesic drug interactionsin the post-emergency cesarean surgery setting.Methods: This was a prospective observational study of 80 patients who underwent emergency cesarean surgery at the Obstetrics and GynecologyDepartment of the Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo (RSUPN-CM) between July 2015 and January 2016. Adequacy of painmanagement during the first 3 post-operative days was assessed using Pain Management Index. Relation between pain intensity during activities andrest with patient characteristic was assessed using Chi-squared test and Fischer’s exact test.Results: Nineteen patients (8.7%) were prescribed two types of nonsteroid anti-inflammatory drugs concomitantly, and 41.8% received inappropriateanalgesics at a lower frequency. Most patients experienced pain with numerical rating scale score >3 in the first 24 h post-surgery: 59 patients(73.75%) experienced pain during activities and 7 patients (8.75%) during rest.Conclusion: Post-emergency cesarean surgery pain management at RSUPN-CM was not optimal. Most patients did not receive adequate painmanagement in the first 24 h post-surgery.
Highlights
Fear of post-surgery pain is a major concern of patients scheduled for surgery
We sought to assess the pattern of analgesic usage and pain management, side effects, and analgesic drug interactions in the post-emergency cesarean surgery setting
Adequacy of pain management was assessed by Pain Management Index (PMI)
Summary
Fear of post-surgery pain is a major concern of patients scheduled for surgery. Uncontrolled post-surgical pain is known to induce physiologic and clinical changes that are associated with increased mortality and morbidity, increased treatment cost, and decreased quality of life [1]. Several factors need to be considered during administration of analgesics such as the optimal analgesic combination, dosage, interaction of analgesics with other drugs, adverse effects, and treatment cost. In this prospective study, we sought to assess the pattern of analgesic usage (type, dosage, frequency, and mode of administration) and pain management, side effects, and analgesic drug interactions in the post-emergency cesarean surgery setting
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