Objective: To evaluate the effect of type of anesthesia for cesarean section on postoperative cesarean section pain in Tawam Hospital.
Methodology
A retrospective study of 100 consecutive women undergoing cesarean section in Tawam hospital, Al Ain ,UAE from 1st January 2008 till 30 th April 2008. A purpose built performa was used to collect the data including, type of cesarean section, types of anesthesia, Intra operative additional analgesia and analgesia used at end of surgery.
Results
Regional anesthesia which included spinal and epidural was given in 59 cases while 41 cases had general anesthesia. Analgesia requirement was reduced after regional anesthesia. 52% had a pain score of zero and only 2% had a pain score of six to ten. With general anesthesia 15% had a pain score of zero, 13% had a pain score from 1-5 and 9% had pain score from 6-10.
Conclusion
Regional anesthesia was associated with less post operative pain in cesarean section. A clinical practice guideline is issued for detailed counseling of patients during their antenatal visits for regional anesthesia for cesarean section.
Key words: Postoperative pain score, Lower segment cesarean section, general anesthesia, regional anesthesia
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