Obstetric anesthesia

Outcomes and outcome measures utilised in randomised controlled trials of postoperative caesarean delivery pain: a scoping review

Int J Obstet AnesthPublished Scoping review of randomised controlled trials

Authors' conclusion

Outcomes reported in RCTs for postoperative caesarean delivery pain vary widely.

Study context

Population
Randomised controlled trials (RCTs) and trial registries of interventions to treat or prevent postoperative caesarean delivery pain, with postoperative pain as a primary outcome, May 2016 to 202190 RCTs · 11 trial registries
Primary endpoint
Outcomes reported:
  • Frequencies of outcome domains
  • Measures
Methodological detailsSearched PubMed, Web of Science, CINAHL, LILACS, Embase, CDSR and CRCT
  • Searched PubMed, Web of Science, CINAHL, LILACS, Embase, CDSR and CRCT

Primary result

As reported in the abstract

Outcomes identified
Total outcomes identified (375 inpatient, 17 outpatient)
392
Analgesia domain (most reported), of inpatient outcomes; reported in 96% of inpatient studies
242/375, 64.5%
Analgesic consumption, of analgesia outcomes
108/375, 28.8%
Pain intensity domain (second most common); reported in 97% of inpatient studies
120/375, 32%
Pain intensity measured by VAS
68/120, 59%
Pain intensity measured by numerical reporting scale
37/120, 25%
Maternal adverse effects, of inpatient outcomes
65/375 (17.3%)
Neonatal adverse effects, of inpatient outcomes
19/375 (5.1%)

Original publication

Outcomes and outcome measures utilised in randomised controlled trials of postoperative caesarean delivery pain: a scoping review. Int J Obstet Anesth. Published 15 September 2023. doi:10.1016/j.ijoa.2023.103927

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