Obstetric anesthesia

Mobilisation, breastfeeding, and quality of recovery after caesarean delivery: a nationwide prospective cohort study in Denmark with secondary analysis on the association with severe pain

Int J Obstet AnesthPublished Secondary analysis of a nationwide prospective cohort study

Primary result · Recovery score (ObsQoR-10, range 0-100)Result — go to the resultAdjusted difference −11.01 95% CI −13.40 to −8.62

Authors' conclusion

Severe pain during the first 24 h after caesarean delivery is associated with significant and clinically relevant impaired patient-reported outcome measures of recovery, mobilisation and breastfeeding.

Study context

Population
Patients after caesarean delivery, 19 centres in Denmark
Participants
583 patients · 19 centres
Comparison
Severe pain vs No severe pain
Primary endpoint
Overall quality of recovery (ObsQoR-10, range 0-100)
Methodological detailsplanned secondary analysis, multicentre, multivariable regression, multiple imputation
  • Planned secondary analysis
  • Multicentre
  • Multivariable regression
  • Multiple imputation

Primary result

Recovery score (ObsQoR-10, range 0-100)

Adjusted difference

−11.01

95% CI −13.40 to −8.62

P < 0.001

By group

Severe pain

59.13

mean · SD 13.0

No severe pain

70.55

mean · SD 12.8

Severe pain vs No severe pain
adjusted difference −11.01 (95% CI −13.40 to −8.62); P < 0.001

As reported in the abstract

Further findings

OutcomeSevere painNo severe painaOR (95% CI)P value
Walking independently · 24 h86%94%0.43 (0.2–0.9)P = 0.030
Ability to independently breastfeed · 24 h65%75%0.61 (0.4–0.9)P = 0.037

Prevalence of severe pain (NRS ≥ 7) within 24 h

Patients reporting severe pain
64.6%

Original publication

Mobilisation, breastfeeding, and quality of recovery after caesarean delivery: a nationwide prospective cohort study in Denmark with secondary analysis on the association with severe pain. Int J Obstet Anesth. Published 21 January 2026. doi:10.1016/j.ijoa.2026.104863

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