Obstetric anesthesia

Intra-operative sensation during caesarean delivery under neuraxial anaesthesia: A prospective cohort study mapping sensory experiences

Eur J AnaesthesiolPublished Prospective cohort study

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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