Impact of an anaesthetist-led acute pain service for caesarean delivery as part of an enhanced recovery program: a retrospective before-and-after single-centre cohort study (2021–2023)
Authors' conclusion
An anaesthesia-led acute pain service significantly improved postoperative pain and enabled earlier oral intake after caesarean delivery without increasing complications.
Study context
- Population
- Women undergoing caesarean delivery under neuraxial anaesthesia (GA or missing postoperative outcomes excluded)analysed
- Participants
- 955 women
- Exposure
- After vs before implementation of an anaesthesia-led acute pain service
- Outcome
- Maximum pain score on an 11-point NRS
- Follow-up
- 24 h
Methodological detailssingle-centre, tertiary care centre
- Single-centre
- Tertiary care centre
Main finding
As reported in the abstract
Maximum 24-hour pain score
After
3.4
± 1.9
Before
5.0
± 2.0
P < 0.001
Observational data: associations, not effects.
Secondary outcomes
Moderate-to-severe pain
P < 0.001
Time to first oral fluid intake
P < 0.001
| Outcome | P value |
|---|---|
| Postoperative systemic opioid receipt | P = 0.02 |
| Total morphine-equivalent dose | P = 0.29 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Impact of an anaesthetist-led acute pain service for caesarean delivery as part of an enhanced recovery program: a retrospective before-and-after single-centre cohort study (2021–2023). Int J Obstet Anesth. Published 10 March 2026. doi:10.
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