Intra-operative sensation during caesarean delivery under neuraxial anaesthesia: A prospective cohort study mapping sensory experiences
Authors' conclusion
Intra-operative sensation during caesarean delivery under spinal anaesthesia is common but usually well tolerated. Most patients experience pressure and touch, especially during delivery, but few find this distressing.
Study context
- Population
- Women ≥18 years undergoing elective caesarean delivery with spinal anaesthesia and uterine exteriorisation, two tertiary hospitals in Israel
- Participants
- 146 women
- Outcome
- Incidence and characteristics of pain, pressure and touch sensations (Verbal Numeric Scale); bothersomeness rates; temporal distribution across surgical phases
Methodological detailsdual-centre
- Dual-centre
Main finding
As reported in the abstract
Intra-operative sensations
- Pain
- 22/146 (15.1%)
- Pain during uterine exteriorisation
- 5.5%
- Pain during uterine reinsertion
- 5.2%
- Pain, median maximum intensity
- 5.0
- Pressure
- 134/146 (91.8%)
- Touch
- 82/146 (56.2%)
- Pressure and touch, median maximum intensity
- 5.0
- Pressure events bothersome
- 7.5%
- Touch events bothersome
- 4.3%
- No sensations
- 4 (2.7%)
Observational data: associations, not effects.
Further findings
Analgesia received for pain
- Patients receiving analgesia
- 2
Original publication
Intra-operative sensation during caesarean delivery under neuraxial anaesthesia: A prospective cohort study mapping sensory experiences. Eur J Anaesthesiol. Published 11 November 2025. doi:10. 1097/ eja. 0000000000002317
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