Pain during caesarean delivery in a tertiary maternity hospital: a retrospective cohort study (2022–2023)
Authors' conclusion
PDCD occurred in 2.1% of CD, one-third required conversion to GA. Most patients experiencing PDCD met current motor and sensory blockade criteria.
Study context
- Population
- Patients undergoing caesarean delivery (CD) in a tertiary maternity hospital over a 12-month study period12-month period
- Participants
- 2,429 patients
- Exposure
- Category 1-3 vs Category 4
- Category 1-3n = 1,309
- Category 4n = 1,120
- Outcome
- Incidence of intra-operative pain during CD (PDCD)
Methodological detailssingle-centre, audit against Royal College of Anaesthetists standards, Data from electronic patient records
- Single-centre
- Audit against Royal College of Anaesthetists standards
- Data from electronic patient records
Main finding
As reported in the abstract
PDCD incidence
- Pain during Caesarean delivery (PDCD), all CD
- 52 (2.1%)
Observational data: associations, not effects.
Further findings
Conversion to general anaesthesia (GA) among PDCD
- Required GA
- 17 (33%)
Neuraxial technique among PDCD
- Spinal anaesthesia (SA)
- 24/52 (47%)
- Epidural (EA)
- 28/52 (53%)
Block level among PDCD
- Median sensory block level
- T4
- Median motor block (Bromage)
- 2
Original publication
Pain during caesarean delivery in a tertiary maternity hospital: a retrospective cohort study (2022–2023). Int J Obstet Anesth. Published 18 July 2024. doi:10. 1016/ j. ijoa. 2024. 104235
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