Advancing Maternal Pain Management After Cesarean Delivery in a Rural Tanzanian Hospital Through Hybrid Global Health Education
Authors' conclusion
The introduction of TAP blocks further improved their existing multimodal analgesic strategy with a clinically significant reduction in maximum pain scores.
Study context
- Population
- Women after cesarean delivery at for African Medicine and Education (FAME), a rural hospital in Karatu, Tanzania
- Comparison
- Postintervention vs preintervention
- Outcome
- Maximum pain scores in the first 12 hours, pain scores at 12 and 24 hours after C-section
Methodological detailsquality improvement, educational intervention, pre-post comparison, single-centre, 2020–2023 virtual biannual 2-week workshops; 5-week observership at Stanford (Oct 2023); 4 weeks hands-on RA training in Tanzania (Jan 2024)
- Quality improvement, educational intervention
- Pre-post comparison
- Single-centre
- 2020–2023 virtual biannual 2-week workshops; 5-week observership at Stanford (Oct 2023); 4 weeks hands-on RA training in Tanzania (Jan 2024)
Main finding
As reported in the abstract
Maximum pain score · first 12 hours
Preintervention
7.6
mean · SD 1.9
Postintervention
4.5
mean · SD 1.6
P < . 001
Secondary outcomes
| Outcome | P value |
|---|---|
| Pain score (NRS) · 12 hours after C-sectionSmaller decrease · listed among primary outcomes | P < . 05 |
| Pain score (NRS) · 24 hours after C-sectionSmaller decrease · listed among primary outcomes | P < . 01 |
| Scheduled tramadol | P < . 001 |
Safety
| Outcome | P value |
|---|---|
| Dizziness | P < . 05 |
| Nausea/vomiting | P < . 001 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Advancing Maternal Pain Management After Cesarean Delivery in a Rural Tanzanian Hospital Through Hybrid Global Health Education. Anesth Analg. Published 25 April 2025. doi:10.
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