Cesarean Section Pain Research Articles

Efficacy of dexmedetomidine as an adjuvant in transverse abdominal plane blocks for cesarean section pain management: A systematic review and meta-analysis

Postoperative pain management is a key component of care for women undergoing cesarean section. Although the use of dexmedetomidine (DMD) as an adjuvant to local anesthetics in transverse abdominal plane (TAP) blocks has been investigated, its conclusive evidence on its efficacy and safety remains unclear. A standardized data extraction form, under the guidance of the PRISMA protocol, was devised for selecting relevant studies across eight databases, without restrictions on the publication period. In most of the eight studies reviewed, the group receiving DMD demonstrated a significant extension of the duration of analgesia compared to the control group [mean difference (MD) = -3.37 hours, 95% confidence interval (CI) = -6.10 to -0.65 hours, Z = 2.43, P = 0.02]. The DMD group also showed a significant decrease in Visual Analogue Scale pain scores (MD = -1.38, 95% CI = -2.52 to -0.24, Z = 2.37, P = 0.02) in comparison to the control group. Nevertheless, significant heterogeneity was observed across the studies, potentially due to differences in study design, patient demographics, and dosing protocols, among other factors. The results of this meta-analysis indicate that DMD could be an effective adjuvant to local anesthetics in TAP blocks, potentially improving postoperative pain management and decreasing the need for additional analgesia. Nevertheless, the considerable heterogeneity among the studies warrants cautious interpretation of these results.

Effect of Bilateral Erector Spinae Plane Block on Postoperative Analgesia in Cesarean Section Under Spinal Anaesthesia: A Prospective Randomized Controlled Trial.

Acute pain after cesarean section (CS) can affect the quality of life of patients. This study aimed to assess the impact of bilateral erector spinae plane block (ESPB) under spinal anaesthesia on postoperative pain, analgesic usage, and patient satisfaction in elective CS. A total of 116 ASA II females aged 18-45 years who had elective CS were included in this prospective randomized study. Adjusted for the patient's height and weight, 0.5% bupivacaine and 12.5 μg fentanyl were administered for spinal anaesthesia. In the ESPB group, ultrasonography-guided ESPB with 10 mL 0.5% bupivacaine+10 mL saline was applied bilaterally at the T12 vertebrae level at the end of the surgery. Postoperative analgesia was planned with diclofenac and paracetamol. Patients' satisfaction, analgesic usage, rest, movement, cough, and low back pain were evaluated using a visual analogue scale (VAS) at postoperative hours 2, 4, 6, 12, and 24. The extent of the sensory block level of ESPB was evaluated after the spinal anaesthesia had worn off. The analysis included 49 patients in the ESPB group and 50 in the control group with comparable demographics. Rest, movement, and cough VAS scores were substantially lower at the 2nd, 4th, 6th, and 12th h in the ESPB group, and satisfaction was better. Total analgesic consumption and the need for rescue analgesics were higher in the control group. VAS scores and ESPB spread levels are negatively correlated. As a safe component of multimodal analgesia following CS, bilateral ESPB can be effectively performed.

Characteristics and predictors of pain among women who underwent cesarean section in Fiji.

Aim: To identify the characteristics and predictors of post cesarean section (CS) pain among women.Materials & methods: This quantitative study was conducted at Labasa hospital in Fiji over a 6-month period. A total of312 mothers who received spinal, epidural and general anesthesia were included. Their pain score was assessed using the visual analogue scale24hpostoperatively.Results: 70.8% women had either moderate or severe pain on the visual analogue scale. About41.3% women expressed dissatisfaction with their pain management and 70.5% women had difficulties in performing activities due to pain. Lower parity was noted to be a positive predictor of pain among women undergoing CS.Conclusion: Adequate pain management for post-CS patient at Labasa hospital is lacking.

Effectiveness of subarachnoid anesthesia with morphine as treatment of postoperative pain in cesarean section

Foundation: The Postoperative pain is considered time-limited pain, often poorly controlled. Its management requires a great challenge, since postoperative analgesia must provide the mother with adequate control and at the same time facilitate care for the baby. Objective: To evaluate the effectiveness of postoperative analgesia with the use of intrathecal morphine. Method: Observational, descriptive and cross-sectional study carried out at the Martín Chang Puga General Teaching Hospital in the Nuevitas municipality, province of Camagüey, between January 2021 and December 2022. The sample was made up of 36 patients to whom subarachnoid anesthesia was applied with Hyperbaric lidocaine plus morphine for cesarean section. Results: The age between 27-31 years predominated, 63.9% of those who underwent cesarean section did not report postoperative pain. Almost half of the sample (47.2%) studied presented side effects with the use of intrathecal morphine, with pruritus predominating. 80.5% of patients were satisfied with postoperative analgesia. Conclusion: The majority of patients found satisfaction with the analgesic treatment despite the presence of adverse effects, so it can be stated that the use of intrathecal morphine is effective in the management of post-cesarean pain.

Specification Acupuncture Points Li4 and Sp6 in Postpartum Sectio Caesarea Pain

Postoperative pain can affect the postpartum SC's mobility, and the physical healing process after surgery can also trigger physiological stress and anxiety due to wound pain. The presence of side effects from analgesic use prompts the exploration of non-pharmacological treatments as an alternative for pain management in post-SC clients, as they are considered to have low side effects. Acupuncture, as one of the non-pharmacological complementary therapies, has been developed to address pain. This research aims to identify the Specific Points of Acupuncture, Li4 and Sp6, in Postpartum Cesarean Section (SC) Pain. The research design employed a quasi-experimental clinical approach, specifically a non-equivalent pre-posttest with a control group. This involved identifying pain reduction before and 24 hours after administering acupuncture intervention at specific points, LI4 and SP6, for a duration of 30 minutes. The study included a total of 34 participants in both the treatment and control groups. The research was conducted at Airlangga University Hospital in Surabaya. The subjects of the study were patients who met the inclusion criteria. The Pain Numeric Rating Scale was used as the research instrument. Statistical analysis involved employing one-way ANOVA to observe the mean change in values between the pre-test and post-test within each group. The administration of acupuncture therapy targeting points LI4 and SP6 in this study proved effective in reducing postpartum SC pain compared to the control group. In future research, further investigation could be conducted to identify changes in chemical reactions within the body following acupuncture treatment.

The Effect of Finger-Grip Relaxation Technique on Post Cesarean Section Pain

Background: Complications that occur during pregnancy are one of the triggers for mothers to undergo surgical procedures, one of which is SC surgery. Post-SC surgery patients experience pain due to the incision made during surgery. The aim of this research is to determine pain management using the finger grip relaxation technique. This research was conducted at RSU Prikasih in 2018. A quasi-experiment method with a pre-test and post-test control group design, sampling using accidental sampling of 20 people (10 people in the control group and 10 people in the experimental group). The pain was measured using the Wong Baker Face Rating Scale. Statistical tests use the independent t-test and the paired sample T-Test. Research results show that there was a significant effect of finger grip relaxation on pain in post-SC surgery patients in the experimental group (t=15.05, p=0.000). Finger grip relaxation can reduce pain in post-SC patients. It is hoped that after this research, health workers can use this therapy to reduce pain.

Jacobson’s Relaxation Technique on Post Cesarean Section Pain, Sleep Quality and Physical Activities: An Intervention Study

Jacobson’s Relaxation Technique on Post Cesarean Section Pain, Sleep Quality and Physical Activities: An Intervention Study

A Comparative Study between Ultrasound-Guided Transversus Abdominis Plane (USG-TAP) Block Vs Open Surgical Technique for Post Cesarean Section Pain Control

A Comparative Study between Ultrasound-Guided Transversus Abdominis Plane (USG-TAP) Block Vs Open Surgical Technique for Post Cesarean Section Pain Control

Effect of Benson Relaxation Technique on Intensity of Post Cesarean Section Pain among Primipara Women

Effect of Benson Relaxation Technique on Intensity of Post Cesarean Section Pain among Primipara Women

Effectiveness of Applying Jacobson's Progressive Relaxation Technique on Post Cesarean Section Pain and Sleep Quality

Effectiveness of Applying Jacobson's Progressive Relaxation Technique on Post Cesarean Section Pain and Sleep Quality

Comparative study between Transversus Abdominus plane (TAP) block & Patient-controlled analgesia (PCA) and local infiltration at site of incision as postoperative analgesia for pain in Cesarean section

Comparative study between Transversus Abdominus plane (TAP) block & Patient-controlled analgesia (PCA) and local infiltration at site of incision as postoperative analgesia for pain in Cesarean section

Efficacy of Fentanyl Patches versus Ultrasound Guided Transversus Abdominis Plane Block in Post Cesarean Section Pain Relief: A Randomized Clinical Study

Efficacy of Fentanyl Patches versus Ultrasound Guided Transversus Abdominis Plane Block in Post Cesarean Section Pain Relief: A Randomized Clinical Study

Comparative study between Transversus Abdominus Plain block, local subcutaneous injection in wound and intravenous Nalbuphine in decreasing post-operative pain in cesarean section

Comparative study between Transversus Abdominus Plain block, local subcutaneous injection in wound and intravenous Nalbuphine in decreasing post-operative pain in cesarean section

Management and associated factors of postoperative acute pain in cesarean section performed under spinal anesthesia, prospective cohort study

Highlights

Clinical evaluation of preoperative three -item questionnaire and pain experienced on infiltration of local anesthetics to predict severity of acute pain after caesarean section.

Several studies have attempted to identify patients at risk of developing severe pain after caesarean section (CS) by utilizing preoperative experimental pain application and clinical tests. The three-item questionnaire and reported pain intensity on infiltration of local anesthetic (LA) on the back of patient just before administration of spinal anesthesia, are two simple tests previously shown to be promising. We aimed to study utility of these two tools in Indian patients undergoing CS and find their correlation with postoperative pain and analgesic consumption. A total of 150 parturients undergoing elective CS were enrolled. Preoperatively patients were asked to rate their level of anxiety, anticipated postoperative pain and analgesic need after surgery (three-item questionnaire). The pain intensity reported by patient upon LA injection for spinal anesthesia were recorded. In the postoperative period, pain intensity at rest, evoked pain and need for rescue analgesics were recorded. The correlation between three item questionnaire and pain on LA infiltration to postoperative pain were evaluated. To see relationship between the predictor variables to outcome, a multiple regression analysis was performed. The predictors variables and postoperative pain were found to have mild correlation (r = 0.124 to 0.239). The predictor variables were significantly correlated with postoperative pain at rest but their association was not significant to evoked pain intensity. Multiple regression analysis showed that change in the predictors explains only 7-8% variance in postoperative pain outcomes. The three -item questionnaire and pain intensity reported upon LA infiltration for spinal anesthesia have mild correlation to postoperative pain in Indian parturients undergoing CS. As these variables predicts only 8% variance in pain experienced after CS, further studies are required for accurate prediction and targeted treatment of post CS pain.

Prescription Pattern of Analgesics for Post Caesarean Section Pain in Nnamdi Azikiwe University Teaching Hospital, Nnewi, South East, Nigeria

Prescription Pattern of Analgesics for Post Caesarean Section Pain in Nnamdi Azikiwe University Teaching Hospital, Nnewi, South East, Nigeria

Disparities in Post Cesarean Section Pain Management

Disparities in Post Cesarean Section Pain Management

P.49 Post-operative caesarean section pain and analgesia following neuraxial anaesthesia

P.49 Post-operative caesarean section pain and analgesia following neuraxial anaesthesia

Fentanyl Transdermal Patches versus Transversus Abdominis Plane Block in Post Cesarean Section Pain control

Fentanyl Transdermal Patches versus Transversus Abdominis Plane Block in Post Cesarean Section Pain control

The Effect of Lavender Essential Oil On Post-Caesarean Section at Sekayu District General Hospital in 2020


 Caesarean section labor causes discomfort in the area of the surgery scar. One of the condition that cause patient discomfort is pain. Pain management can be done with a combination of pharmacology and nonpharmacology farmakologi. One of the non-pharmacological therapy that are good in reducing post cesarean section pain is to use lavender essential oil. This study was conducted to determine the effect of lavender essential oil on post caesarean section pain in The Sekayu District General Hospital in 2020. This study used Pre-exeperimental designwih one group pretest postest approach, the sampling technique used purposive sampling, with a sample of 30 respondents. Before being given Lavender Essential Oil, here were 29 respondents (96,7%) who experienced moderate pain dan 1 respondent who experienced mild pain (3,3%) then after being given Lavender Essential Oil there was a reduction in the level of pain with 29 respondents at mild pain levels (96,7%) and 1 respondent at moderate pain levels (3,3%). Mc Nemar test result showed ρ value = 0,000 (ρ value < (0,05)), wich means that there is an effect of Lavender Essential Oil on post caesarean section at Sekayu District General Hospital in 2020. To overcome post caesareansection midwives are expected to provide easy and safe mehods, one of them by using Lavender Essential Oil