Predictors for Moderate to Severe Acute Postoperative Pain After Cesarean Section

Overview

Journal Pain Res Manag

Date 2016 Dec 14

PMID 27956847

Citations 33

Authors

Natalia de Carvalho Borges

Lilian Varanda Pereira

Louise Amalia de Moura

Thuany Cavalcante Silva

Charlise Fortunato Pedroso

Affiliations

Soon will be listed here.

Abstract

Moderate to severe postoperative pain affects performance of daily activities and it contributes to persistent postoperative pain. In patients submitted to cesarean section, this pain can also interfere with women's ability to care for their babies, to effectively breastfeed, and to satisfactorily interact with their children. Factors influencing the pain perception during the immediate postoperative period have not been widely pursued. To investigate the incidence and predicting factors of postoperative pain after cesarean section. A prospective longitudinal study with 1,062 women submitted to cesarean section. We collected sociodemographic, clinical, surgical, and health behavior data. We used the 11-point Numerical Pain and the Hospital Anxiety and Depression Scales. We performed logistic analysis to identify predictors of moderate to severe postoperative pain. The incidence of moderate-severe postoperative pain was 78.4% (CI: 95%: 75.9%-80.8%). The preoperative anxiety (OR = 1.60; CI 95%: 1.22-2.30) and intrathecal morphine with fentanyl (OR = 0,23; CI 95%: 0.08-0.66) were significantly associated with moderate-severe postoperative pain report. The preoperative anxiety increases the risk of moderate-severe postoperative pain in women submitted to cesarean section. The intrathecal morphine with fentanyl added to bupivacaine was a protective factor against this pain.

Citing Articles

Systematic Review of Methods for Individual Prediction of Postoperative Pain.

Mogianos K, Akeson J, Persson A Pain Res Manag. 2025; 2025:1331412.

PMID: 39949726 PMC: 11824487. DOI: 10.1155/prm/1331412.

Analgesia mode after cesarean section: PCEA or EM?.

Sun L, Li X, Yang Y, Feng Y J Anesth. 2024; 39(1):146.

PMID: 39068238 DOI: 10.1007/s00540-024-03381-x.

Predicting the Severity of Acute Pain after Cesarean Delivery: A Narrative Review.

Sangkum L, Chalacheewa T, Tunprasit C, Lavanrattanakul P, Liu H Curr Pain Headache Rep. 2024; 28(12):1241-1248.

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Risk Factors for Acute Postsurgical Pain: A Narrative Review.

Liu Q, Dai Y, Ji M, Liu P, Dong Y, Yang J J Pain Res. 2024; 17:1793-1804.

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Transversus Abdominis Plane Block versus Epidural Anesthesia for Pain Management Post-Caesarean Delivery: A Pilot Study.

Salazar-Florez J, Arenas-Cardona L, Marhx N, Lopez-Guerrero E, Echeverri-Rendon A, Giraldo-Cardona L Local Reg Anesth. 2024; 17:39-47.

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