Cost Benefit Ratio of Different Methods for Controlling Postoperative Pain in Women Delivered by Cesarean Section: Prospective Randomized Clinical Study

Hetta, Hassan Mokhtar; Mohamed, Mohamed Abdalla; Fouad, Marwa Ghareeb; AbdelMooty, Emad Ahmed

doi:10.21608/mjmr.2024.304937.1751

Cost Benefit Ratio of Different Methods for Controlling Postoperative Pain in Women Delivered by Cesarean Section: Prospective Randomized Clinical Study

Articles in Press

Document Type : Original Article

Authors

¹ anaethesia and intesive care department , minia university

² professor Obstetrics & Gynecology department

³ A physician of Obstetrics & Gynecology department

⁴ Obstetrics and Gynaecology,Faculty of medecine,Elminia University,Elminia,Egypt

10.21608/mjmr.2024.304937.1751

Abstract

Background: One of the most frequent surgical procedures is the caesarean section (CS). It has been documented that using local anesthetic techniques considered an essential component of perioperative multimodal analgesia, effectively decrease pain &the need for opioids.

Aim: to evaluate the use of different methods of Postoperative analgesia in controlling cesarean section pain.

Methods: 150 pregnant women who were going to have a caesarean section from those admitted to Minia Maternity University Hospital. Patients have been categorized randomly into three parallel equal groups. Control group taken patient-controlled analgesia (PCA) only, local infiltration group received skin infiltration with local anesthesia and PCA, and transversus abdominis block (TAPB) group received ultrasound guided TAP block and PCA. The 1ry result was the patient pain score, and the 2ry were total analgesic consumption, patients' satisfaction, time till release from bed & any adverse impacts have been documented.

Results: a significant decrease in VAPS (visual analogue pain score) was observed in TAPB group comparing with local infiltration and control group at two, four, six, eight, and twenty four-hour postoperative. Nevertheless, insignificant variance was observed among local infiltration and control groups. TAPB & local infiltration groups exhibited significant decrease in nalufin consumption compared to control group. Additionally, TAPB and local infiltration group demonstrated faster release from bed than control group.

Conclusion: the use of ultrasound guided transversus abdominis block & local infiltration of the skin incision demonstrated more efficient in curing pain following surgery, decrease opioid consumption, & allow faster ambulation compared to PCA.

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