Obstetric anaesthesia

Burden of chronic postsurgical pain after caesarean delivery on maternal quality of life: a systematic review

AnaesthesiaPublished Systematic review with narrative synthesis

Authors' conclusion

Chronic postsurgical pain after caesarean delivery is associated with clinically important impairment across multiple domains of quality of life.

Study context

Population
Women with persistent pain attributed to, or reported after, caesarean delivery; quality of life outcomes ≥ 3 months after surgery
Participants
28,295 women · 30 studies
Outcome
Impact of chronic postsurgical pain on quality of life (physical function, sleep, mood, fatigue, sexual wellbeing), incl. temporal changes

Pooled result

As reported in the abstract

Impact of chronic postsurgical pain on quality of life

Activity-related interference more prominent at 3 months postpartum

54%

Mood-related interference more prominent at 6 months

53%

Mood-related interference more prominent at 12 months

68%

Further pooled results

Postpartum depression common in the first year
7-46%
Depressive symptoms and fatigue frequently associated with chronic postsurgical pain

Original publication

Burden of chronic postsurgical pain after caesarean delivery on maternal quality of life: a systematic review. Anaesthesia. Published 24 September 2026. doi:10.1111/anae.70362

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