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Document Type

Original Article

Abstract

Background: One of the most typical surgeries performed worldwide is a caesarean section. Both the mother and the infant experience post-operative discomfort, particularly in the first 48 hours after delivery. which can be controlled by multimodal analgesia such as transversus abdominus plane (TAP) block, patient-controlled analgesia (PCA), and local infiltration at the site of the incision, among other techniques. Aim of the work: To assess the impacts of three different methods of post-operative analgesia (TAP) block, (PCA), and local infiltration at the site of the incision after an elective caesarean section—on patient perceptions of pain and pain scores, efficacy, and safety. Patients and Methods: This was a comparative research that was performed at Al-Azhar University Hospitals and Nasser Institute for Research and Treatment Hospital on 300 women undergo elective Cesarean section from June 2022 till November 2022. The study group divided into three equal groups (100 women/ group): Group I: We used a bilateral transversis abdominis plane (TAP) block with 0.25% bupivacaine in 20 mL saline at the conclusion of operation after skin closure. Group II: We used IV pethidine for patient-controlled analgesia (PCA). Group III: We used wound infiltration with 0.25% bupivacaine in 20 ml. Results: There was no significant variation in demographic data and vital signs between groups at 2, 6, and 12 hours postoperatively, and according to the time of first analgesia, time for ambulation, the visual analogue scale (VAS), and the percentage of patients with postoperative nausea, vomiting, and allergy Statistically significant variances exist. Conclusion: Regarding patient anticipation of pain and pain score, time of first analgesia, and time for ambulation, PCA was superior to TAP block and local wound infiltration.

Keywords

Pain; Cesarean section; PCA; TAP block; Local infiltration

Subject Area

Obstetrics and Gynecology

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