Obstetric anesthesia

Pain during caesarean delivery in a tertiary maternity hospital: a retrospective cohort study (2022–2023)

Int J Obstet AnesthPublished Retrospective cohort study

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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